Roqués J M, Hervás J A, Cambra J, Hernández A, López-Peña R, Rojas L
An Esp Pediatr. 1982 Jan;16(1):16-22.
A revision of acute epiglottitis is carried out with reference to eight cases recorded from 1973 to 1981. The ages of the patients varied from 12 to 35 months, with a female predominance (7:1) and a seasonal pattern occurring in winter months. Authors establish the attitude to be taken when faced to a patient clinically suspected of having acute epiglottitis, its' diagnosis and therapeutic protocol. The use of nasotracheal intubation instead of tracheostomy as the best way of obtaining a free airway in these patients at risk of sudden airway obstruction, is specially stressed.
参考1973年至1981年记录的8例病例,对急性会厌炎进行了回顾。患者年龄在12至35个月之间,以女性为主(7:1),且在冬季出现季节性发病模式。作者确立了面对临床怀疑患有急性会厌炎患者时应采取的态度、其诊断方法和治疗方案。特别强调在这些有突然气道梗阻风险的患者中,使用鼻气管插管而非气管切开术作为获得通畅气道的最佳方法。