急性喉頭蓋炎237例の臨床的検討  [in Japanese] A Clinical Study of 237 Cases of Acute Epiglottitis  [in Japanese]

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Abstract

1971年7月から2003年2月までの間に北里大学病院へ入院のうえ治療した急性喉頭蓋炎237例について検討した。気道確保群は21例であった。気道確保群と非気道確保群を比較した。その結果,気道確保の指標として(1)起坐呼吸がある,(2)喉頭蓋腫脹が高度で披裂部腫脹がある,(3)症状発現から24時間以内に呼吸困難が生じている。これらが重要と考えた。

A retrospective survey was conducted on 237 cases of epiglottitis (152 males and 85 females) admitted to Kitasato University Hospital during the period from 1971 to 2003. Twenty-one cases of the 237 underwent aggressive procedures on admission to maintain an open airway. A comparison was made between the airway-maintained group and the conservatively treated group, with reference to clinical findings. The findings suggested that orthopnea on admission, severe epiglottis swelling under laryngeal examination, and progressive aggravation of symptoms within 24 hours from the onset of symptoms are risk factors indicating the necessity of urgent aggressive preservation of the airway.

Journal

  • Nihon Kikan Shokudoka Gakkai Kaiho

    Nihon Kikan Shokudoka Gakkai Kaiho 55(3), 245-252, 2004-06-10

    The Japan Broncho-esophagological Society

References:  15

Cited by:  11

Codes

  • NII Article ID (NAID)
    10013294141
  • NII NACSIS-CAT ID (NCID)
    AN00187474
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    00290645
  • Data Source
    CJP  CJPref  J-STAGE 
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