山东大学耳鼻喉眼学报

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急性会厌炎所致的严重喉梗阻的紧急处理

侯成杰,张庆泉,王 强,王有福   

  1. 青岛大学医学院附属烟台毓璜顶医院耳鼻咽喉-头颈外科, 山东 烟台 264000
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2007-04-24 发布日期:2007-04-24
  • 通讯作者: 侯成杰

An emergency management of severe laryngeal obstruction induced by acute epiglottitis

HOU Cheng-jie,ZHANG Qing-quan,WANG Qiang,WANG You-fu   

  1. Department of Otorhinolaryngology & Head and Neck Surgery,Yantai Yuhuangding Hospital,Medical College of Qingdao University,Yantai 264000,Shandong,China
  • Received:1900-01-01 Revised:1900-01-01 Online:2007-04-24 Published:2007-04-24
  • Contact: HOU Cheng-jie

摘要: 目的:回顾分析急性会厌炎并发严重喉梗阻的急诊处理方法及经验教训。方法:对我院收治的7例急性会厌炎患者的诊断、急诊处理、病情演变、治疗后果进行综合分析。结果:7例患者中4例突发呼吸困难加重行紧急气管切开,其中死亡1例,发生脑疝脑水肿昏迷1例,经综合治疗神志恢复,遗留偏瘫,另外2例痊愈;其他3例发生2~3度呼吸困难,经严密监护观察,大剂量应用激素治愈。结论:对急性会厌炎应及时诊断和缜密观察病情,及早应用大剂量激素,根据病情发展及时准确地采取有效措施,争取好的治疗结果。

关键词: 会厌炎, 急性, 喉梗阻, 气管切开, 激素

Abstract: [ABSTRACT]Objective: To study the experience and lessons of the emergency management of severe laryngeal obstruction caused by acute epiglottitis. Methods: The diagnosis, first aid, development of pathogenic condition and consequences of treatment of 7 patients with acute epiglottitis were retrospectively analyzed. Results: Four patients suffering from sudden dyspnea were subjected to emergency tracheotomy: of them, one patient died, one suffering from coma secondary to cerebral hernia and edema resumed sensation but regained hemiparalysis, and 2 were fully healed. The other three suffering from dyspnea of 2 to 3 degrees recovered after an intensive monitoring and a large dosage of steroid. Conclusion: After a prompt diagnosis, patients with acute epiglottitis should be subjected to a large dosage of steroid and proper measurement.

Key words: Epiglottitis, acute, Laryngeal obstruction, Tracheotomy, Steroid

中图分类号: 

  • R767.5
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