Ehara Hiroshi
Ehara Clinic, Fuchu-shi, Tokyo, Japan.
J Am Board Fam Med. 2006 Sep-Oct;19(5):517-20. doi: 10.3122/jabfm.19.5.517.
Adult acute epiglottitis is a rare but life-threatening disease caused by obstruction of the airway. The symptoms and signs of this disease may be nonspecific without apparent airway compromise. We encountered 3 consecutive cases of adult patients with this disease in a single 5-month period in one physician's office. In all cases, physical examination revealed tenderness of the anterior neck over the hyoid bone. These observations assisted us in identifying this rare disease quickly. We suggest that tenderness over the hyoid bone should raise suspicion of adult acute epiglottitis.
成人急性会厌炎是一种罕见但危及生命的疾病，由气道阻塞引起。该疾病的症状和体征可能不具有特异性，且无明显气道受损表现。在一位医生的诊室里，我们在短短5个月内连续接诊了3例患有这种疾病的成年患者。在所有病例中，体格检查均发现舌骨上方的颈部前方有压痛。这些观察结果帮助我们迅速识别了这种罕见疾病。我们建议，舌骨上方的压痛应引起对成人急性会厌炎的怀疑。
