Cohen E L
Postgrad Med. 1984 Mar;75(4):309-11. doi: 10.1080/00325481.1984.11697976.
Acute epiglottitis in adults is probably commoner than is generally appreciated. Although upper airway obstruction can occur, the course most often is benign. Acute epiglottitis should be suspected in all patients with a sore throat and dysphagia, especially if symptoms are out of proportion to pharyngeal findings. Diagnosis can be established by mirror or flexible fiberoptic laryngoscopy, lateral radiography of the neck, or both. Treatment consists of maintenance of a patent airway and use of humidified oxygen and antibiotics (ampicillin and chloramphenicol [Chloromycetin] ). The role of corticosteroids in treatment of epiglottitis is still controversial.
成人急性会厌炎可能比普遍认为的更为常见。虽然可能会发生上呼吸道梗阻，但病程通常是良性的。所有咽痛和吞咽困难的患者都应怀疑患有急性会厌炎，特别是如果症状与咽部检查结果不成比例时。可通过间接喉镜或可弯曲纤维喉镜检查、颈部侧位X线片或两者来确诊。治疗包括保持气道通畅、使用湿化氧气和抗生素（氨苄西林和氯霉素）。皮质类固醇在会厌炎治疗中的作用仍存在争议。
