Deeb Z E, Einhorn K H
Department of Otolaryngology-Head and Neck Surgery, Washington Hospital Center, DC 20010.
Laryngoscope. 1990 May;100(5):455-7. doi: 10.1288/00005537-199005000-00002.
From January 1980 to December 1987, seven patients with acute inflammatory swelling of the subglottic space were treated. Their ages ranged from 25 to 73 years. Medical history and symptomatology are similar to those characteristic of laryngotracheobronchitis (croup) in the pediatric age groups (i.e., an antecedent common cold followed by a barking cough and varying symptoms of upper airway obstruction). Physical findings before and after treatment were confirmed and documented by anteroposterior radiographs of the neck. Three patients required airway intervention but there were no deaths. To our knowledge there are no previous reports in the English literature describing this entity in adults. The purpose of this presentation was to introduce physicians, in general, and otolaryngologists, in particular, to this potentially serious infection. Our limited experience suggests that the pathogenesis and management of croup in adults are very similar to those in children.
1980年1月至1987年12月，对7例声门下间隙急性炎性肿胀患者进行了治疗。他们的年龄在25岁至73岁之间。病史和症状与小儿喉气管支气管炎（哮吼）的特征相似（即先有普通感冒，随后出现犬吠样咳嗽和不同程度的上气道梗阻症状）。治疗前后的体格检查结果经颈部正位X线片证实并记录。3例患者需要气道干预，但无死亡病例。据我们所知，英文文献中此前尚无关于成人这一病症的报道。本报告的目的是向一般医生，尤其是耳鼻喉科医生介绍这种可能严重的感染。我们有限的经验表明，成人哮吼的发病机制和治疗与儿童非常相似。
