患者男，46岁。咽喉部疼痛12小时，于1997年9月20日晚9点急诊入院。体检：体温37．8℃，急性痛苦面容，口水多，说不出话，Ⅲ°吸气性呼吸困难；心、肺、腹检查无异常，口烟部急性充血，间接喉镜下见会厌高度红肿，呈球形，披裂及声门均看不见，颈部无红肿，诊断为急性会厌炎致 Male patient, 46 years old. Throat pain for 12 hours, at 9:00 on the September 20, 1997 emergency admission. Physical examination: body temperature 37.8 ℃, acute painful face, drooling, speechless, Ⅲ ° breathing difficulties breathing; heart, lungs, abdomen examination no abnormalities, acute oral hyperemia, indirect ephemeral epiglottis height Inflamed, spherical, Phlox and glottis were invisible, no neck swelling, diagnosis of acute epiglottitis caused