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1 临床资料 患者男性,26岁,歼-6飞行员,飞行时间300 h。于1997年11月25日因咽痛、呼吸困难1d入院。入院后体检:体温38.5℃,全身体检基本正常。专科情况:咽轻度充血,双侧扁桃体Ⅰ度,无充血。间接喉镜下见会厌充血、水肿,以舌面为甚。血常规:白细胞16.4×10~9/L,红细胞4.33×10~(12)/L,血红蛋白137g/L,分叶0.92,淋巴0.08。诊断为急性会厌炎。入院后予静脉注射青霉素、地塞米松,5d后症状消失,复查血常规恢复至正常,间接喉镜下见会厌无充血、水肿,治愈出院。
1 clinical data of patients male, 26 years old, J-6 pilots, flight time 300 h. On November 25, 1997 due to sore throat, dyspnea 1d admission. Physical examination after admission: body temperature 38.5 ℃, physical examination was normal. Specialist conditions: mild pharyngeal congestion, bilateral tonsil Ⅰ degree, no congestion. Indirect laryngoscopy see epiglottis congestion, edema, to the tongue is even. Blood: white blood cells 16.4 × 10 ~ 9 / L, red blood cells 4.33 × 10 ~ (12) / L, hemoglobin 137g / L, leaf 0.92, lymph 0.08. Diagnosis of acute epiglottitis. After admission to intravenous penicillin, dexamethasone, symptoms disappeared after 5d, recheck the blood routine returned to normal, indirect ephemeral see epiglottis without congestion, edema, cured and discharged.