成人急性会厌炎
Acute epiglottitis in adults.
作者信息
Miller G W
出版信息
Am Fam Physician. 1982 Aug;26(2):183-5.
PMID:7102496
Abstract
Acute epiglottitis in adults is a fulminant disease characterized by local cellulitis of supraglottic structures. Symptoms include sore throat, dysphagia, respiratory difficulty and muffled voice. Signs are pharyngitis, swollen and inflamed epiglottis, epiglottic abscess and/or cervical swelling. Diagnosis is facilitated by an upright, lateral neck x-ray and indirect laryngoscopy. The mainstays of treatment are airway maintenance, antibiotics, steroids, hydration, cool mist, oxygen and supportive care.
摘要
成人急性会厌炎是一种暴发性疾病，其特征为声门上结构的局部蜂窝织炎。症状包括咽痛、吞咽困难、呼吸困难和声音低沉。体征为咽炎、会厌肿胀发炎、会厌脓肿和/或颈部肿胀。通过颈部直立侧位X线片和间接喉镜检查有助于诊断。治疗的主要方法是维持气道通畅、使用抗生素、类固醇、补液、冷雾吸入、吸氧及支持治疗。
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