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[会厌脓肿作为成人气道阻塞的罕见原因]

[Epiglottic abscess as a rare reason for airway obstruction in adults].

作者信息

Kunitz O, Di Martino E, Schulz-Stübner S

机构信息

Klinik für Anästhesiologie am Universitätsklinikum der RWTH Aachen, Germany.

出版信息

Anasthesiol Intensivmed Notfallmed Schmerzther. 2002 Nov;37(11):697-700. doi: 10.1055/s-2002-35112.

Abstract

Acute epiglottitis in adults is a potentially life-threatening disease of increasing incidence. Although pharyngitis is the most common cause of sore throat in the adult, acute epiglottitis must be considered in the differential diagnosis when there is unrelenting throat pain and minimal objective signs of pharyngitis. We report the case of a 45-year old man with acute epiglottitis and occlusion of the upper airways due to an epiglottic abscess. A brief discussion of the diagnosis and treatment of adult epiglottitis is presented. Patients with acute painful dysphagia should be considered to have epiglottitis until the diagnosis is proven. Early diagnosis and aggressive airway management can be life saving.

摘要

成人急性会厌炎是一种发病率不断上升的潜在危及生命的疾病。虽然咽炎是成人咽痛最常见的原因,但当出现持续咽痛且咽炎的客观体征极少时,鉴别诊断中必须考虑急性会厌炎。我们报告一例45岁男性因会厌脓肿导致急性会厌炎并上呼吸道梗阻的病例。本文对成人会厌炎的诊断和治疗进行简要讨论。在确诊之前,应将急性疼痛性吞咽困难的患者视为患有会厌炎。早期诊断和积极的气道管理可挽救生命。

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