Töllner U, Trübenbach T, Pirsig W
Laryngol Rhinol Otol (Stuttg). 1984 Apr;63(4):206-7.
Report on 44 cases of acute epiglottitis in childhood. All of these had typical local findings and there was positive proof of bacterial growth. The incidence and occurrence of symptoms and principal signs is discussed. The high incidence of wrong diagnoses is remarkable. 4 out of 44 patients died before reaching a hospital or due to hypoxia. A concept is presented covering preclinical diagnostics and therapy, appropriate care during transport in the first-aid ambulance, and clinical treatment in the hospital.
44例儿童急性会厌炎报告。所有病例均有典型的局部表现且有细菌生长的阳性证据。文中讨论了症状和主要体征的发生率及出现情况。误诊率之高令人瞩目。44例患者中有4例在抵达医院前死亡或因缺氧死亡。本文提出了一个涵盖临床前诊断与治疗、在急救救护车转运过程中的适当护理以及在医院进行临床治疗的概念。