急性会厌炎所致的严重喉梗阻的紧急处理  

An emergency management of severe laryngeal obstruction induced by acute epiglottitis

作　　者：侯成杰[1] 张庆泉[1] 王强[1] 王有福[1] 

机构地区：[1]青岛大学医学院附属烟台毓璜顶医院耳鼻咽喉-头颈外科,山东烟台264000

出　　处：《山东大学耳鼻喉眼学报》2007年第2期149-150,共2页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的：回顾分析急性会厌炎并发严重喉梗阻的急诊处理方法及经验教训。方法：对我院收治的7例急性会厌炎患者的诊断、急诊处理、病情演变、治疗后果进行综合分析。结果：7例患者中4例突发呼吸困难加重行紧急气管切开，其中死亡1例，发生脑疝脑水肿昏迷1例，经综合治疗神志恢复，遗留偏瘫，另外2例痊愈；其他3例发生2～3度呼吸困难，经严密监护观察，大剂量应用激素治愈。站论：对急性会厌炎应及时诊断和缜密观察病情，及早应用大剂量激素，根据病情发展及时准确地采取有效措施，争取好的治疗结果。Objective： To study the experience and lessons of the emergency management of severe laryngeal obstruction caused by acute epiglottitis. Methods： The diagnosis, first aid, development of pathogenic condition and consequences of treatment of 7 patients with acute epiglottitis were retrospec-tively analyzed. Results： Four patients suffering from sudden dyspnea were subjected to emergency tracheotomy： of them, one patient died, one suffering from coma secondary to cerebral hernia and edema resumed sensation but regained hemiparalysis, and 2 were fully healed. The other three suffering from dyspnea of 2 to 3 degrees recovered after an intensive monitoring and a large dosage of steroid. Conclusion： After a prompt diagnosis, patients with acute epiglottitis should be subjected to a large dosage of steroid and proper measurement.

关 键 词：会厌炎 急性 喉梗阻 气管切开 激素 

分 类 号：R767.5[医药卫生—耳鼻咽喉科]