重症急性会厌炎90例报告

Acute serious epiglottis:with a report of 90 cases

目的 :总结重症急性会厌炎的诊治经验。方法 :回顾分析重症急性会厌炎 90例的临床资料 ,其中男 76例 ,女 14例 ,19～ 72岁 ,其中 30～ 6 0岁 84例。发病与季节无关。检查见会厌舌面明显充血肿胀 5 6例 ,会厌高度肿胀似球形 2 6例 ;伴有会厌谷黏膜、杓会厌皱襞、杓状软骨红肿 6例 ;会厌脓肿 14例 ,喉脓肿 1例。结果 :联合应用红霉素与地塞米松治疗 4 3例 ;联合应用青霉素、氨苄青霉素与地塞米松治疗 34例 ,疗效无明显差异。行会厌脓肿切开术 7例 ,喉脓肿切开术 1例 ,气管切开术 1例。重症急性会厌炎 90例均治愈。结论 :抗生素与激素联合应用效果良好 ,适时行会厌脓肿切开术 ,喉脓肿切开术 ,气管切开术是救治重症急性会厌炎的重要方法。

Objective:To summarize the experience of diagnosis and treatment of acute serious epiglottis.Methods:90 cases ranged from 19 years to 72 years were retrospectively analysed,76 cases were male,14 cases were female.By examination,56 patients were found congestion and tumefaction in epiglottis lingual surface,26 patients were found high ball-like swelling in epiglottis,6 patients had epiglottic vallecula mucosa aryepiglottic plicae,arytenoid cartilage swelling,14 patients had epiglottic tumefaction,1 case had laryngeal abscess.Invasion had no relation with season.Results:43 cases were used conjoinedly of ertyromycin and dexamethasone(DXM).34 cases were used conjonedly of penicillin,ampicillin and DXM.Curative effect had no difference.7 cases were performed abscess epiglottectomy,1 case was performed abscess of laryngectomy,1 case was performed tracheotomy.All were cured.Conclusion:Conjoined use of antibiotic and hormone receives good results.Abscess section of epiglottis and throat and tracheotomy are methods of treating acute serious epiglottis.