急性会厌炎是急性喉炎的一种特殊形式,主要表现为会厌及会厌壁的急性水肿伴有蜂窝织炎或并发脓肿。其病情发展快,可引起呼吸道梗阻导致死亡。如警惕性不高,检查不深入,则易漏诊。现将我科从1985年至1995年收入院治疗50例成人急性会厌炎病案分析报告如下。1 临床资料1.1 性别与年龄本报告50例中,男性36例,女性14例。就诊年龄为18～65岁,平均41.5岁。发病当天入院者24例,其余在3天以内入院。发病迅速是本病的主要特点。1.2 症状几乎所有病人均自诉咽痛及吞咽困难,多伴发热、畏寒、全身不适。此外还有语音含糊不清,发音时如口中含物,呼吸困难,颌下肿胀等。50例中体温在37.8℃以上伴全身不适者33例,语音含糊不清,呼吸困难者15例,白血球 Acute epiglottitis is a special form of acute laryngitis, mainly manifested as epiglottis and epiglottis wall acute edema associated with cellulitis or concurrent abscess. The rapid development of the disease, can cause respiratory tract obstruction leading to death. Such as vigilance is not high, the inspection is not in-depth, then easy to miss. Now our department from 1985 to 1995 income hospital treatment of 50 cases of adult patients with acute epiglottic disease analysis report as follows. 1 Clinical data 1.1 gender and age 50 cases reported in this report, 36 males and 14 females. Treatment age 18 to 65 years old, with an average of 41.5 years old. On the day of onset, 24 cases were admitted to the hospital and the rest were admitted within 3 days. Rapid onset is the main feature of the disease. 1.2 Symptoms Almost all patients complained of sore throat and swallowing difficulties, with fever, chills, general malaise. In addition there are ambiguous voice, pronunciation, such as mouth content, difficulty breathing, submandibular swelling. 50 cases of body temperature above 37.8 ℃ with systemic discomfort in 33 cases, vague voice, 15 cases of dyspnea, white blood cells