성인 급성 후두개염 85예에 대한 연구

초록

Background and Objectives：Acute epiglotitis is a disease that may become serious or even fatal because of sudden upper airway obstruction. The incidence of acute epiglottitis in children has declined with introduction of the Haemophilus influenza type b vacine. However, there have ben few reports about acute epiglottitis in adults up until now. The aim of this study was to ases clinical characteristics of adult cases of acute epiglottitis. Subjects and Method：We retrospectively reviewed 85 hospi-talized adult patients who had been admited to the Department of Otolaryngology-Head and Neck surgery, Korea University Hospital from January 1998 to December 2002, and diagnosed with acute epiglottitis. Results：(27% ) and 24 cases (28% ) were found in fourth and sixth decades of age, respectively. The male-to-female ratio was 1.6：1. Monthly distribution showed that 12 cases (14% ) were in March and 11 (13% ) in July. The most common symptom was in the order of throat pain (78% ). Others were dysphagia (68% ), voice change (67% ) and dyspnea (42% )with antibiotics and steroids. About a half of all cases (54% ) were hospitalized for 4 to 5 days. Tracheostomy was performed in 2 patients and orotracheal intubation in one patient. Conclusion：Throat pain and dysphagia were most common symptoms of acute epiglottitis. In most cases, therapies using intravenous antibiotics and short-term steroid were efective, but otolaryngologist obstruction in only three cases during the first wek of hospitalization.

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