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急性会厌炎为自限性疾病,多可自然缓解,但部分病例在发病后数小时内可暴发上呼吸道梗阻。为探讨何种病例易暴发气道梗阻,作者回顾7年间诊治该病80例,年龄17～77岁。确诊依据颈侧位X线照片及能做到的间接喉镜检查。有呼吸迫促、心动过速、颈后反张、喘鸣、紫绀、流涎、倦怠等症状一项或多项者考虑气管插管或切开。按发病到就诊间隔时间分组:甲组22例,在8小时内就诊,均有上呼吸道梗阻,呈端坐呼吸;17例有流涎。除1例拒绝手术外均行气管插管或
Acute epiglottitis as a self-limited disease, can be more natural relief, but in some cases in a few hours after the onset of upper respiratory tract obstruction may be outbreaks. In order to explore what kind of cases are prone to airway obstruction, the author reviewed 80 cases of the disease in seven years, aged 17 to 77 years. Diagnosis based on the lateral cervical X-ray and can do indirect laryngoscopy. A forced breathing, tachycardia, neck anti-Zhang, wheezing, cyanosis, salivation, fatigue and other symptoms of tracheostomy or incision. According to the onset to treatment interval grouping: A group of 22 cases, within 8 hours of treatment, have upper respiratory tract obstruction, was sitting and breathing; 17 cases of salivation. Except one case of rejection of surgery, tracheal intubation or