急性会厌炎的诊断与治疗

Diagnosis and management of acute epiglottitis

目的 加强对急性会厌炎的认识 ,提高诊断治疗水平 ,防止误诊误治。方法 对 180例急性会厌炎临床资料进行总结和分析。结果 15 7例用抗生素及类固醇激素联合治疗 ,2 0例行气管切开术 ,4例行会厌脓肿切开 ,均痊愈。 2例突发窒息死亡。结论 咽痛是急性会厌炎的首发症状 ,喉镜检查是诊断的重要手段 ,保持呼吸道通畅和抗感染是治疗的关键。

Objective To intensify the knowledge about acute epiglottitis,improve the level of diagnosis and treatment,prevent erroneous management.Methods 180 cases clinical data of acute epiglottitis are summarized and analyzed.Results 157 cases received the treatment of antibiotics combined with corticosteroid,20 cases of tracheostomy were performed,four cases underwent abscess-drainage.All of these cases perfectly recovered.Two cases died of sudden asphyxia.Conclusion Pain of pharynx is the first symptom of acute epiglottitis.Indirect laryngoscopic examination is an important method for diagnosis.The key to treatment is to keep the respiratory passages unblocked along with the use of anti-infectives.