急性会厌炎153例的诊治体会

目的总结急性会厌炎的诊断和治疗经验,提高临床疗效。方法对153例急性会厌炎病例,给予足量抗生素(首次使用大剂量的糖皮质激素,静脉滴注)、雾化吸入快速降低水肿程度,观察临床效果。结果所有患者均治愈,无死亡,无明显并发症。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 acute epiglottiditis.

Objective To summarize the experience in diagnosis and treatment of acute epiglottiditis. Methods One hundred and fifty three cases of acute epiglottiditis were treated with adequate and effective antibiotics, intravenous infusion of large dosage of corticosteroid, local atomized inhalation, tracheotomy and other comprehensive treatment with good efficacy. Results All patients were cured and no death occurred. Conclusion Sore - throat is the symptom of first attack of this disease. Indirect laryngoscopy is the way to confirm the diagnosis. Anti - infection, anti - hydrops and maintaining unobstructed respiratory tract are keys for treatment of this disease. If necessary, artificial air passage should be established for treatment.