患者,女,42岁,因咽痛20d,加重伴呼吸困难10d入院。患者入院前20d无诱因出现咽痛、咽干不适,自服抗生素等治疗无好转,逐渐加重伴呼吸困难。体检:舌根、咽黏膜充血,会厌游离缘充血肿胀如球状,表面无溃疡及出血,双声带运动正常,声门闭合可,门诊以急性会厌炎收入院。入院后给予抗生 Patient, female, 42 years old, admitted with sore throat for 20 days and aggravated with dyspnea for 10 days. 20d before admission, there was no incentive to induce sore throat, throat discomfort, self-medication antibiotics and other treatment did not improve, and gradually increased with dyspnea. Physical examination: tongue base, pharyngeal mucosal hyperemia, epiglottis swim edge congestion and swelling such as spherical, ulceration and bleeding on the surface, the two-voiced movement is normal, the glottis can be closed, the clinic with acute epiglottitis income hospital. Give antibiotics after admission