McQueen C T, Yarbrough W G, Witsell D L, Holmes D K, Shockley W W
Department of Otolaryngology-Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill 27599-7070, USA.
J Otolaryngol. 1995 Aug;24(4):255-7.
Supraglottitis and epiglottitis have been described for many years by various authors. Haemophilus influenzae type b is the primary cause of childhood epiglottitis, which classically appears between the ages of 2 and 4 years. Onset is usually acute and the presentation can be dramatic with drooling, high temperatures, and stridor. Compared to childhood supraglottitis, adult supraglottitis usually pursues a more indolent course with no significant airway compromise and no identifiable pathogen. Rarely, adult supraglottitis can resemble its childhood counterpart with acute respiratory compromise secondary to H. influenzae infection. Although most incidences of adult supraglottitis are infectious in origin and involve the entire supraglottitis and epiglottis, we present two cases of unilateral supraglottitis caused by inhalation of a hot wire screen used as a filter for smoking crack cocaine.
多年来，不同作者都对会厌上炎和会厌炎进行过描述。b型流感嗜血杆菌是儿童会厌炎的主要病因，典型发病年龄在2至4岁之间。起病通常很急，症状表现可能很严重，包括流口水、高热和喘鸣。与儿童会厌上炎相比，成人会厌上炎通常病程较为隐匿，不会导致明显的气道受压，也没有可明确的病原体。成人会厌上炎很少会类似于儿童会厌上炎，因感染b型流感嗜血杆菌而导致急性呼吸功能不全。虽然大多数成人会厌上炎病例起源于感染，累及整个会厌上区和声门，但我们报告了两例因吸入用于过滤快克可卡因烟雾的热金属丝网而导致的单侧会厌上炎病例。
