论文部分内容阅读
目的 :探讨成人急性会厌炎呼吸困难的判断方法及救治措施。方法 :报告 12 6例成人急性会厌炎患者的临床资料。结果 :行会厌切开术 30例 ,无一例发生窒息、炎症扩散和术中术后大出血等意外 ;行气管切开术8例均痊愈 ;行环甲膜切开术 1例死亡 ;保守治疗 87例中死亡 1例。结论 :成人急性会厌炎出现喉鸣、流涎、言语含糊不清是喉阻塞的重要体征 ,纤维喉镜检查是了解会厌肿胀程度最可靠的方法 ;救治的重点是保持呼吸道通畅 ,迅速消除会厌肿胀
Objective: To investigate the method of diagnosis and treatment of dyspnea in adult acute epiglottitis. Methods: Clinical data of 126 adult patients with acute epiglottitis were reported. Results: There were 30 patients who underwent incision-assisted surgery without any complications such as asphyxia, inflammatory spread and intraoperative hemorrhage. All patients underwent tracheotomy were cured. One case died of circumcision and conservative treatment One case died. Conclusions: Malignant epiglottitis appears throat, salivation and ambiguity in vomiting. It is an important sign of laryngeal obstruction. Laryngoscopy is the most reliable way to understand the extent of epiglottis. The focus of treatment is to keep the airway clear and eliminate swollen epiglottis