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回顾了确诊为急性会厌炎的24例儿童,男14,女10;平均年龄41个月。经喉部直接检查和颈部X线确诊有会厌水肿。会厌炎的症状和体征如下:厌食、淡漠、呕吐,而后很快发展为咽痛,吞咽困难和呼吸困难。早期常误诊为轻度咽炎。体征表现为端坐时张口,颌部向前,头部前伸;病人常因吞咽痛而拒绝吃喝,同时流口水;声音压抑而嘶哑,吸气和呼气时都有喘鸣;但大的儿童可能看不到,他们宁可安静吸气而不挣扎。本组病儿中14例(58%)同时有精神改变,7例有咳嗽。24例平均白细胞计数为18950和83%有特异性左移。会厌拭子常无流感嗜血杆菌生长,因此培养结果不
A total of 24 children diagnosed with acute epiphyseal inflammation were reviewed, with a mean age of 41 months and 14 males and 10 females. Direct examination by the throat and neck X-ray diagnosis of epiglottis edema. Epiglottitis symptoms and signs are as follows: anorexia, indifference, vomiting, and later quickly developed into sore throat, swallowing difficulties and breathing difficulties. Early misdiagnosed as mild pharyngitis. Symptoms manifested when sitting on the mouth, jaw forward, head forward; patients often refuse to eat and drink due to swallowing pain, while drooling; voice suppressed and hoarse, breathing and expired wheezing; but large Children may not see, they rather quietly inhale without struggle. Fourteen patients (58%) in this group also had mental changes, and seven had cough. 24 cases of mean white blood cell count 18950 and 83% specific left shift. Epiglottis swabs often do not grow Haemophilus influenzae, so the results are not training