Abou-Elhamd Kamaleldin-Eldin A, Al-Rasheed Maeidah A, Jawad Ahmed
Department of Surgery, Al-Ahsa College of Medicine, King Faisal University, Al-Ahsa, Kingdom of Saudi Arabia.
Saudi Med J. 2008 Dec;29(12):1811-4.
This is a report of 2 cases of Ludwig's angina. An Indonesian young female patient developed severe stridor after oral examination. Then she underwent tracheostomy and developed post decannulation dyspnea due to huge surgical emphysema. The second case regards an Indian young male who developed disseminated intravascular coagulation and died from hemorrhage. The objectives of our cases presentation are to avoid mouth examination of Ludwig's angina if we are not ready for performing tracheotomy and to be aware of the possible development of disseminated intravascular coagulation and post decannulation emphysema.
本文报告2例路德维希咽峡炎病例。一名印度尼西亚年轻女性患者在口腔检查后出现严重喘鸣。随后她接受了气管切开术，因巨大的手术性气肿出现拔管后呼吸困难。第二例是一名印度年轻男性，发生弥散性血管内凝血并死于出血。我们展示这些病例的目的是，如果未准备好进行气管切开术，应避免对路德维希咽峡炎患者进行口腔检查，并应意识到可能发生弥散性血管内凝血和拔管后气肿。
