Guillozet N, Barclay A M
J Fam Pract. 1982 Nov;15(5):895-7.
Acute epiglottitis, considered primarily a disease of infancy and early childhood, is seen rarely in adulthood but may be increasing in incidence. Although it may appear more slowly in adults, it is imperative to establish a rapid diagnosis and promptly assure care for this life-threatening disease. Epiglottitis may cause total obstruction of the upper airway, and it often falls to the primary care physician to discriminate this disease from the many self-limiting infections of the upper airway. The diagnosis should be considered if dysphagia and sore throat are not accompanied by hoarseness. Management of the airway is the first priority, but intravenous antibiotic use is justified.
急性会厌炎主要被认为是婴幼儿期的疾病，在成人中很少见，但发病率可能在上升。尽管它在成人中可能进展得更慢，但必须迅速做出诊断，并及时确保对这种危及生命的疾病进行治疗。会厌炎可能导致上呼吸道完全阻塞，区分这种疾病与上呼吸道许多自限性感染的任务常常落在初级保健医生身上。如果吞咽困难和咽痛不伴有声音嘶哑，则应考虑该病的诊断。气道管理是首要任务，但使用静脉抗生素是合理的。
