Chung C H
Accident and Emergency Department, North District Hospital, Sheung Shui, New Territories, Hong Kong.
Hong Kong Med J. 2000 Sep;6(3):322-4.
A 49-year-old man presented with dysphagia and the sensation of a foreign body in the throat, after he had swallowed chicken meat that contained bones during the previous evening. There were no respiratory symptoms. A plain lateral soft-tissue X-ray of the neck and oesophagogastroduodenoscopy showed a grossly swollen epiglottis. His condition improved rapidly with intravenous antibiotic therapy. As acute epiglottitis may be a sudden life-threatening condition, a high index of suspicion should be maintained for patients who present with an obstructive sensation in the throat.
一名49岁男性,前一晚吞食了带骨头的鸡肉后,出现吞咽困难和咽部异物感。无呼吸道症状。颈部X线平片及食管胃十二指肠镜检查显示会厌明显肿胀。经静脉抗生素治疗后,他的病情迅速好转。由于急性会厌炎可能是一种突然危及生命的疾病,对于出现咽部梗阻感的患者应保持高度怀疑。