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患者,男,39岁.因咽痛伴吞咽困难1天人院.患者1天前受凉后感咽痛,无发热及全身不适,仍坚持工作,并自服麦迪霉素.第2天因咽痛加重来院急诊.检查:会厌舌面粘膜充血肿胀,诊断“急性会厌炎”收治人院.立即静滴青霉素1000万U加地塞米松40mg(液体量1000ml).约2h后患者讲话困难,流涎增多,但唇无紫组.再次检查发现会厌粘膜水肿呈半球形,不能抬举.此时患者已不能平卧,立即给氧吸入,静注50%葡萄糖加地塞米松20mg.下午5时左右,患者突然出现紫绀,烦躁,咳吐血性分泌物约40ml后呼吸、心跳停止.急行人工呼吸、胸外按摩、心内注药并气管插管接呼吸机抢救,但终因呼吸、
Patient, male, aged 39, was hospitalized for 1 day because of pharyngalgia and swallowing difficulties. The patient had a sore throat after a cold one day ago, had no fever and general malaise, and still insisted on work and self-serving midecamycin. Exacerbation of pain to hospital emergency .Check: epiglottis tongue mucosal hyperemia, diagnosis of “acute epiglottitis” admitted to the hospital immediately intravenous infusion of penicillin 10 million U plus dexamethasone 40mg (liquid volume 1000ml.) About 2h after the patient speech difficulties, drooling , But the lip without purple group.According to the examination found epiglottis mucosal edema was hemispherical, can not lift.At this time the patient has not supine, immediately inhaled oxygen, intravenous injection of 50% glucose plus dexamethasone 20mg.At about 5 pm, the patient suddenly Appear cyanosis, irritability, cough and hemorrhagic secretions about 40ml after breathing, heartbeat stopped .Acute artificial respiration, chest massage, intracardiac intubation and intubation breathing machine rescued, but the end result of breathing,