急性会厌炎142例临床分析

A clinical analysis on 142 cases of acute epiglottitis

目的总结急性会厌炎的诊断和治疗经验,提高疗效。方法 回顾性分析我科1990年1月～2001年8月收治的142例急性会厌炎患者的临床资料,总结经验,提高疗效。结果本组142例均有咽痛,126例伴吞咽困难,68例伴呼吸困难。会厌舌面粘膜均有不同程度的充血水肿。其中发生会厌脓肿12例,因喉梗阻而行气管切开4例。结论咽喉疼痛是急性会厌炎的首发症状,喉镜检查是明确诊断的重要手段,抗感染和维持气道通畅是治疗关键,必要时应建立人工气道。

Objective To sum up the clinical experience for the diagnosis and treatment of acute epiglottitis. Methods A retrospective study was made based on the clinical date of 142 cases with this condition, treated in our department from Jan, 1990 to Aug, 2001, to sum up clinical experience from the course of management for these cases in order to improve the therapeutic effect for this lesion further. Results In this group of cases, all were accompanied with the symptom of pharyngodynia, 126 with dysphagia, and 68 with dyspnea. Furthermore, 12 cases were seen with abscess in epiglottis and 4 were operated on with tracheotomy because of acute laryngeal obstruction. Conclusion Pharyngodynia and laryngalgia are usually the firstly appearing symptoms of acute epiglottitis seen in clinic, and indirect laryngoscopy is commonly the most important way to diagnose this condition. For the treatment of this lesion, the key steps include an anti-infective therapy and procedures to keep air way free. However, artificial respiratory pas- ?sage should be established in case of necessary.