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急性会厌炎起病急,进展迅速,如不及时治疗常会在短时间内引起呼吸道梗阻。 我科1986～1992年共收治急性会厌炎44例,占本科住院总人数1.1％,现报告如下。 44例中,21～40岁19例,41～60岁18例,61岁以上7例。男女之比为1.5:1。全年均可发病,但以春冬季为主,约占70％。临床表现以咽痛、畏寒、发热为主,2例有呼吸困难,喉镜检查见会厌高度水肿,5例伴咽峡水肿,4例颈部有触痛。实验室检查:
Acute epiglottitis acute onset, rapid progress, if not treated often cause respiratory tract obstruction in a short time. Our department from 1986 to 1992 were treated 44 cases of acute epiglottitis, accounting for 1.1% of the total number of undergraduate hospitalization, are as follows. In 44 cases, 19 cases were 21-40 years old, 18 cases were 41-60 years old and 7 cases were 61 years old and older. The ratio of men to women is 1.5: 1. The disease can occur throughout the year, but mainly in spring and winter, accounting for about 70%. Clinical manifestations of sore throat, chills, fever-based, 2 cases of dyspnea, epiglottis laryngoscopy showed a high degree of edema, 5 cases with pharyngeal gorge edema, 4 cases of neck tenderness. Laboratory examination: