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目的 :总结重症急性会厌炎的诊治经验。方法 :回顾分析重症急性会厌炎 90例的临床资料 ,其中男 76例 ,女 14例 ,19～ 72岁 ,其中 30～ 6 0岁 84例。发病与季节无关。检查见会厌舌面明显充血肿胀 5 6例 ,会厌高度肿胀似球形 2 6例 ;伴有会厌谷黏膜、杓会厌皱襞、杓状软骨红肿 6例 ;会厌脓肿 14例 ,喉脓肿 1例。结果 :联合应用红霉素与地塞米松治疗 4 3例 ;联合应用青霉素、氨苄青霉素与地塞米松治疗 34例 ,疗效无明显差异。行会厌脓肿切开术 7例 ,喉脓肿切开术 1例 ,气管切开术 1例。重症急性会厌炎 90例均治愈。结论 :抗生素与激素联合应用效果良好 ,适时行会厌脓肿切开术 ,喉脓肿切开术 ,气管切开术是救治重症急性会厌炎的重要方法。
Objective: To summarize the diagnosis and treatment of severe acute epiglottitis. Methods: A retrospective analysis of 90 cases of severe acute epiglottitis clinical data, including 76 males and 14 females, 19 to 72 years, of which 30 to 60 years old in 84 cases. The incidence has nothing to do with the season. Check epiglottis tongue showed obvious hyperemia swelling 5 6 cases, epiglottium swelling like spherical 26 cases; accompanied by epigastral valley mucosa, scapulohumeral obstruction, arytenoid cartilage infiltration in 6 cases; epiglottic abscess in 14 cases, 1 case of laryngeal abscess. Results: The combination of erythromycin and dexamethasone in 43 cases; combination of penicillin, ampicillin and dexamethasone in 34 cases, the effect was no significant difference. Abdominal pain abdomen incision in 7 cases, laryngeal abscess incision in 1 case, tracheotomy in 1 case. 90 cases of severe acute epiglottitis were cured. Conclusion: The combination of antibiotics and hormones works well, and timely epiglottis abscess incision, laryngeal abscess incision, tracheotomy is an important method of treatment of severe acute epiglottitis.