Harjacek M, Kornberg A E, Yates E W, Montgomery P
Division of Pediatric Emergency Medicine, Children's Hospital of Buffalo, NY 14222.
Pediatr Emerg Care. 1992 Dec;8(6):342-4. doi: 10.1097/00006565-199212000-00009.
Acute infectious epiglottitis in children is a well-recognized clinical entity. We report the development of acute thermal epiglottitis after ingestion of hot tea by a three-year-old patient. Clinical and radiographic findings in our patient and others reported in the literature resemble acute infectious epiglottitis. In all cases of burns around the mouth, the possibility of intraoral and respiratory damage must be considered. Because of the high risk of upper airway obstruction, children in whom thermal epiglottitis is suspected should be observed in the intensive care unit and have appropriate airway management.
儿童急性感染性会厌炎是一种广为人知的临床病症。我们报告了一名三岁患者在饮用热茶后发生急性热性会厌炎的病例。我们患者以及文献中报道的其他患者的临床和影像学表现类似于急性感染性会厌炎。在所有口周烧伤的病例中,必须考虑口腔内和呼吸道损伤的可能性。由于上呼吸道梗阻风险高,疑似热性会厌炎的儿童应在重症监护病房观察并进行适当的气道管理。