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据报导近年来成人急性会厌炎之发病率有所增加,似与提高了对此病的认识及与细菌毒力有关。流感杆菌B型引起的急性会厌炎较其他致病菌引起的严重。本文报导17例成人急性会厌炎并进行分析讨论:发病与季节无关;年龄以20—30岁多见,45岁以下占75％;女性3例,男性14例;10例患者在发病24小时内有不同程度的呼吸困难;17例间接喉镜检查其中5例伴有会厌脓肿;9例颈部肿胀;发烧98°—104°F,平均101°F;白血球8000—32000;5例会厌脓肿者4例切开引流,1例自然引流。4例作了气管切开术,气管切开患者平均住院8天,未手术者一般住院5天。
It has been reported that in recent years the incidence of adult acute epiglottitis has increased, it seems to raise awareness of the disease and bacterial virulence. Influenza B caused by acute epiglottitis than other pathogens caused by serious. This article reports 17 cases of adult patients with acute epiglottitis and analysis and discussion: the incidence has nothing to do with the season; age of 20-30 years of age more common, 45 years of age accounted for 75%; 3 females, 14 males; 10 patients within 24 hours of onset There are different degrees of dyspnea; 17 cases of indirect laryngoscopy in which 5 cases with epiglottis abscess; 9 cases of neck swelling; fever 98 ° -104 ° F, an average of 101 ° F; white blood cells 8000-32000; 5 cases of epiglottis abscess 4 cases of incision and drainage, 1 case of natural drainage. Tracheotomy was performed in 4 patients, with an average of 8 days hospitalized for tracheotomy and 5 days hospital stay for non-operative patients.