| 急性会厌炎所致的严重喉梗阻的紧急处理 |
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| 引用本文： | 侯成杰,张庆泉,王强,王有福. 急性会厌炎所致的严重喉梗阻的紧急处理[J]. 山东大学耳鼻喉眼学报, 2007, 21(2): 149-150 |
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| 作者姓名： | 侯成杰 张庆泉 王强 王有福 |
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| 作者单位： | 青岛大学医学院附属烟台毓璜顶医院耳鼻咽喉-头颈外科,山东,烟台,264000;青岛大学医学院附属烟台毓璜顶医院耳鼻咽喉-头颈外科,山东,烟台,264000;青岛大学医学院附属烟台毓璜顶医院耳鼻咽喉-头颈外科,山东,烟台,264000;青岛大学医学院附属烟台毓璜顶医院耳鼻咽喉-头颈外科,山东,烟台,264000 |
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| 摘 要： | 目的：回顾分析急性会厌炎并发严重喉梗阻的急诊处理方法及经验教训。方法：对我院收治的7例急性会厌炎患者的诊断、急诊处理、病情演变、治疗后果进行综合分析。结果：7例患者中4例突发呼吸困难加重行紧急气管切开，其中死亡1例，发生脑疝脑水肿昏迷1例，经综合治疗神志恢复，遗留偏瘫，另外2例痊愈；其他3例发生2～3度呼吸困难，经严密监护观察，大剂量应用激素治愈。结论：对急性会厌炎应及时诊断和缜密观察病情，及早应用大剂量激素，根据病情发展及时准确地采取有效措施，争取好的治疗结果。
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| 关 键 词： | 会厌炎 急性 喉梗阻 气管切开 激素 |
| 文章编号： | 1673-3770（2007）02-0149-02 |
| 收稿时间： | 2007-01-16 |
| 修稿时间： | 2007-01-162007-03-30 |
An emergency management of severe laryngeal obstruction induced by acute epiglottitis |
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| HOU Cheng-jie,ZHANG Qing-quan,WANG Qiang,WANG You-fu. An emergency management of severe laryngeal obstruction induced by acute epiglottitis[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2007, 21(2): 149-150 |
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| Authors: | HOU Cheng-jie ZHANG Qing-quan WANG Qiang WANG You-fu |
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| Affiliation: | Department of Otorhinolaryngology & Head and Neck Surgery,Yantai Yuhuangding Hospital,Medical College of Qingdao University,Yantai 264000,Shandong,China |
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| Abstract: | ［ABSTRACT］Objective: To study the experience and lessons of the emergency management of severe laryngeal obstruction caused by acute epiglottitis. Methods: The diagnosis, first aid, development of pathogenic condition and consequences of treatment of 7 patients with acute epiglottitis were retrospec tively analyzed. Results: Four patients suffering from sudden dyspnea were subjected to emergency tracheotomy: of them, one patient died, one suffering from coma secondary to cerebral hernia and edema resumed sensation but regained hemiparalysis, and 2 were fully healed. The other three suffering from dyspnea of 2 to 3 degrees recovered after an intensive monitoring and a large dosage of steroid. Conclusion: After a prompt diagnosis, patients with acute epiglottitis should be subjected to a large dosage of steroid and proper measurement. |
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| Keywords: | Epiglottitis, acute Laryngeal obstruction Tmcheotomy Steroid |
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