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儿童急性会厌炎可以很快的发生严重呼吸道阻塞,因此是一种危险性疾病,治疗上需迅速建立通畅的呼吸道以拯救患儿生命。据1941—1952年文献报导,此病死亡率高达40％。自1960年后采用有效抗菌素及配合全麻插管下气管切开,死亡率大大下降,甚至不发生死亡。近年Traff等提出以鼻腔气管插管代替气管切开,效果很好,合并症少,大部分患儿在48小时内拔管。著者采用此法给20例1—6岁患儿进行治疗,就诊时患儿都有明显呼吸困难,严重者烦躁不安、意识模糊和紫绀。10例确诊后立即
Acute epiphyseal inflammation in children can occur serious respiratory obstruction, it is a dangerous disease, the treatment needs to quickly establish a clear airway to save children’s lives. According to the literature from 1941 to 1952, the mortality rate of this disease was as high as 40%. Since 1960, the use of effective antibiotics and intubation with general anesthesia tracheotomy, the mortality rate dropped significantly, and even death does not occur. In recent years, Traff proposed to use nasal endotracheal intubation instead of tracheostomy, the effect is good, less complications, most children extubation within 48 hours. The authors used this method to treat 20 children aged 1-6 years, treatment of children with significant dyspnea, severe irritability, confusion and cyanosis. 10 cases immediately after diagnosis