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目的探讨糖尿病合并急性会厌炎的临床特点、诊断与治疗。方法回顾分析2001-03-2011-03收治的23例糖尿病合并急性会厌炎患者的资料。结果 23例均有咽痛,吞咽困难,3例有憋气,血糖在7.8～10.3mmol/L之间,所有患者给以抗生素、地塞米松,控制血糖治疗,22例痊愈,1例行气管切开后出现昏迷。结论对于糖尿病合并急性会厌炎的患者再给以抗生素、糖皮质激素治疗的同时注意控制其血糖,必要时给以胰岛素控释血糖,有利于其炎症的好转。
Objective To investigate the clinical features, diagnosis and treatment of diabetic patients complicated with acute epiglottitis. Methods A retrospective analysis of 2001-03-2011-03 admitted to 23 cases of diabetic patients with acute epiglottitis data. Results Thirty-two patients had sore throat and swallowing difficulties. Three patients had suffocation and blood glucose was between 7.8 and 10.3 mmol / L. All patients were given antibiotics, dexamethasone and blood glucose control. Twenty-two patients were cured and one patient had tracheotomy Coma after opening. Conclusion For diabetic patients with acute epiglottitis given antibiotics, glucocorticoid treatment at the same time pay attention to control their blood glucose, if necessary, to insulin-controlled blood glucose, is conducive to the improvement of their inflammation.