急性会厌炎48例诊治体会

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1993年至2003年收治的48例急性会厌炎患者的临床资料。结果：本组48例均有咽痛。语言含糊不清21例，伴呼吸困难29例，会厌舌面黏膜均有不同程度的充血水肿，其中发生会厌脓肿2例，因喉梗阻而行气管切开1例。结论：咽痛是急性会厌炎的首发症状，间接喉镜检查是确诊的手段，抗感染、抗水肿和维持呼吸道通畅是治疗关键，必要时应建立人工气道。

Experience in Diagnosis and Treatment of 48 Cases of Acute Epiglottiditis

Objective:To summerize the experience in the diagnosis and treatment of acute epiglottiditis.Methods: Clinical data of 48 cases of epiglottiditis admitted into our hospital from 1993 to 2003 was retrospectively alanysed.Results:All the patients had sore-throat,21 spoke vaguely,and 29 complicated with dyspneic respiration.Hydrops was found in lingual surface mocosa of epiglottis in all these patients and abscess of epiglottis developed in 2,and laryngemphraxis in 1 and tracheotomy was carried out.Conclusion:Sore-throat is the first attack of this disease.Indirect laryngoscopy is the way to clarify the diagnosis.Anti-infection,anti-hydrops and maintaining unobstructed respiratory tract are the key to treat it.If necessary,artificial air passage should be established.