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成人急性会厌炎与一般喉炎不同,临床表现重、伴中毒症状、剧烈吞咽痛、甚而可导致喉梗阻、呼吸功能不全、窒息致死。作者报导61例(男34,女27,19～87岁)患者,多数于发病后3天内住院,无季节发病差异,一般常于夜间突然发病,有强烈喉痛及吞咽痛,可伴有渐加重的呼吸困难,检查咽部无明显炎症,间接喉镜检查易确诊,可见会厌红、肿并遮掩声门,临床表现与病变范围关系密切。就诊时患者中9例有声嘶,27例发声无力,34例有喉梗阻表现(Ⅰ期21例、Ⅱ期10、Ⅲ期2、Ⅳ期1例),多数患者体温正常或仅
Adult acute epiglottitis and general laryngitis different clinical manifestations, with symptoms of poisoning, severe swallowing pain, can even lead to laryngeal obstruction, respiratory insufficiency, suffocation and death. The authors reported 61 patients (male 34, female 27,19 to 87 years old), most of the hospitalized within 3 days after onset, no seasonal differences in the disease, usually sudden onset at night, with severe sore throat and swallowing pain, may be associated with gradually Increased breathing difficulties, check the pharyngeal no obvious inflammation, easy to diagnose indirect laryngoscopy, showing epiglottic red, swollen and cover the glottis, clinical manifestations and the extent of the disease is closely related. There were 9 patients with hoarseness, 27 patients with vocal weakness, 34 patients with laryngeal obstruction (stage Ⅰ in 21 cases, stage Ⅱ, stage Ⅱ and stage Ⅳ in 1 case). Most of the patients had normal temperature or only