Nadjem H, Lohner M
Institut für Rechtsmedizin, Universität Freiburg.
Beitr Gerichtl Med. 1992;50:205-9.
Report on two deaths from a natural internal cause in children beyond the first year of life. The children (a two-year and a three-year old boy), who seemed completely healthy, sudden suffered from acute inflammation of the upper respiratory tract with dyspnea, inspiratory stridor, fever, dysphagia, and flow of saliva. The disease took a fulminant course and the children died within a few hours showing symptoms of intense dyspnea and cyanosis. The above symptoms and progress were typical of acute epiglottitis. Autopsy revealed an intense inflammation and tumescence of the epiglottis in both cases. The diagnosis of epiglottitis was confirmed histologically and bacteriologically (Haemophilus influenzae).
一岁以上儿童自然内因导致的两例死亡报告。两名儿童(一名两岁男孩和一名三岁男孩)看似完全健康,却突然患上上呼吸道急性炎症,伴有呼吸困难、吸气性喘鸣、发热、吞咽困难和流涎。病情呈暴发性发展,儿童在数小时内死亡,表现出严重呼吸困难和发绀症状。上述症状及病程是急性会厌炎的典型表现。尸检显示两例均有会厌严重炎症和肿胀。会厌炎的诊断经组织学和细菌学(流感嗜血杆菌)证实。