Adult clinical treatment of acute epiglottitis.docVIP

 PAGE \* MERGEFORMAT 9 Adult clinical treatment of acute epiglottitis [Abstract] Objective To investigate the treatment of adult acute epiglottitis ways to improve the cure rate. Methods From 76 patients with adult acute epiglottitis retrospective analysis of clinical data. Results The 76 patients had angina, 73 patients had dysphagia, 48 patients with breathing difficulties, 71 patients with anti-inflammatory, anti-infection treatment cured, 2 cases of tracheotomy, and 3 cases epiglottic abscess incision. Conclusion The treatment of adult acute epiglottitis focus on anti-infection and maintenance of airway patency and, if necessary When the artificial airway, the epiglottis abscess complicated incision should be appropriate. [Keywords:] acute epiglottitis, adult, sore throat, difficulty swallowing Acute epiglottitis, also known as supraglottic laryngitis, is a kind of supraglottic acute inflammation of the epiglottis-based, rapid-onset, oncoming danger to its characteristics, can be sudden laryngeal obstruction and died of suffocation, as the Department of Otolaryngology acute one. our hospital in October 1990 ~ October 2005 were treated 87 cases of patients with acute epiglottitis. now 76 cases of adult patients with acute epiglottitis were retrospectively so that the disease has further clinical understanding. 1 Clinical data 1.1 General information on this group of 76 patients, 58 males and 18 females, aged 17 to 72 years. 76 cases of sore throat, dysphagia in 73 cases, 58 cases of respiratory problems, breathing difficulties of those 27 cases of grade , degrees 20 cases, degree in 11 cases, 27 cases of salivation, fever 60 cases. examination: a small number of patients with varying degrees of pharyngeal mucosa congestion. Indirect laryngoscopy: the epiglottis lingual mild to moderate congestion, edema 66 cases of severe congestion, edema in 28 cases, epiglottis was spherical, red meat mucosa, the normal cartilage signs disappeared, can n