成人急性会厌炎的临床分析

Clinical Analysis into Adults Acute epiglotitis

目的:探讨成人急性会厌炎的临床特点、诊治措施及预后。方法:回顾性分析28例急性会厌炎患者诊断与治疗过程。结果:28例急性会厌炎患者常见症状为咽痛,其中伴言语含糊16例,流涎咽堵感8例,并发窒息者5例。25例保守治疗,3例行气管切开(包括环甲膜切开),无1例死亡。结论:临床上遇到患者感觉有明显的吞咽痛而咽部未见明显异常时,应检查喉部,以免遗漏急性会厌炎。急性会厌炎病情发展迅速,应尽早使用广谱抗生素及激素治疗,密切观察呼吸情况,大多数急性会厌炎患者通过保守治疗可以痊愈,Ⅳ°呼吸困难需进行气道干预,建立人工气道。

Objective：to discuss the clinical features, diagnosis measures and prognosis of adults acute epiglotitis. Method：retrospective ananysis has been made into the diagnosis and treatment process of 28 cases of acute epiglotitis. Result： the common symptoms among the 25 cases of acute epiglotitis are sore throat,among which 16 cases with flac- cidity of tongue, 8 cases with salivation pharyngeal, 5cases asphyxiation. 25 cases underwent conservative treatment, 3 cases underwent tracheotomy, and no cases died. Conclusion：For those who felt obvious odynphagia but without ev- ident abnormal symptoms, throat should be check to screen acute epiglotitis. Acute epiglotitis develops quickly. Early adminstration of broad-spectrum antibiotics and hormones, and close observation of respiration are essential. The majority of acute epiglotitis patients can be cured by conservative treatment. Patients with IV-degree expiratory dysp- nea should be given airway intervention to build artificial airway.