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作者提出:确诊为急性会厌炎后就有提出治疗方案之必要。一般主张先用药物治疗,严密观察2小时,如治疗无效并出现紫绀、衰竭及胸骨下陷等征状时则行气管插管,很少作气管切开。本文报导12例急性会厌炎,其中8例药物治疗效果明显;4例药物反应差而出现呼吸道梗阻征状,2例给予气管插管,2例气管切开。文中强调气管插管无后遗症,基本可以代替气管切开,除非超过72小时不能除管、管内反复结痂或不能插管者才考虑气管切开。
The authors propose: the diagnosis of acute epiglottitis have proposed the need for treatment. Generally advocate the first drug treatment, close observation of 2 hours, such as treatment is ineffective and cyanotic, failure and sternum subsidence and other symptoms when tracheal intubation, rarely for tracheotomy. This article reports 12 cases of acute epiglottitis, of which 8 cases of drug treatment effect is obvious; 4 cases of poor response to respiratory tract obstruction symptoms, 2 cases of endotracheal intubation, 2 cases of tracheotomy. The article emphasizes endotracheal intubation sequelae, can basically replace tracheotomy, unless more than 72 hours can not be removed, the tube repeatedly scab or can not intubation was considered tracheotomy.