摘要
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 。
Objective:To discuss the estimation and treatment of adult acute epiglottitis dyspnea.Method:126 adult with acute epiglottitis patients were analyzed.Result:None of 30 patients underggone epiglotiotomy had asphyxia, inflammation diffuse or serious hemorrhage. 8 patients undergone tracheotomy, one patient undergone thyroericotomy but died.One of 87 patients with conservative treatment died.Conclusion:Gaspping,salivating and dyslogia are symbols of severe larynx obstruction. Fibrous larynscope is the best way of exammine. Keeping respiratory path open and eliminating epiglottis swelling is the key of treatment.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2002年第6期270-271,共2页
Journal of Clinical Otorhinolaryngology
