JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY)

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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

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2026

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

CLC Number: 

  • R767.5
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