Analysis of 81 cases of acute epiglottitis.docVIP

 PAGE \* MERGEFORMAT 7 Analysis of 81 cases of acute epiglottitis [Abstract] Objective To investigate the diagnosis and treatment of acute epiglottitis. Methods Retrospective analysis of 81 cases in 2004 -2009 in cases of acute epiglottitis. Results of this group 81 patients had sore throat and 5 underwent tracheotomy, all cured. Conclusion the application of effective antibiotics and corticosteroids on conservative therapy, while close observation, ready implementation of tracheotomy. [Keywords:] laryngeal obstruction in acute epiglottitis, tracheostomy Also known as acute epiglottitis Acute supraglottic laryngitis, which is including the epiglottis, scoop epiglottis folds, arytenoid cartilage, and even the room with an acute bacterial infection of the uvula, the throat is a life-threatening emergency, ferocious, rapid progression can be sudden upper airway obstruction and death .2004 to 2009 were treated in our hospital 81 cases of adult acute epiglottitis, are as follows. 1 Data and methods 1.1 Data 1.1.1 General Information of this group 81 cases, 55 cases of male and 26 female patients aged 20-67 years old. Onset to treatment time of 2 to 48 hours, an average of 22 hours. Incentives are: 55 cases of upper respiratory tract infection, acute tonsillitis 14 cases, 5 cases of heavy drinking, eating fish and other 2 cases, no other obvious causes. acute epiglottitis associated with other diseases, 7 cases of epiglottic cyst, 1 case of carcinoma of the epiglottis, larynx after radiotherapy in 1 case, 7 cases of epiglottic abscess , accompanied by hypertension, 6 cases of diabetes in 8 cases. 1.1.2 The group of clinical symptoms were sore throat, associated with increased pain when swallowing, and 47 patients with varying degrees of fever, body temperature can reach 39 . Most of slurred speech, a sense of obstruction in some patients the throat, hoarse voice but no symptoms, because the inflammation is generally not involving t