急性化膿性會厭軟骨炎併發下行性前縱隔腔炎

急性會厭軟骨炎，是一種快速進展造成生命威脅的疾病，一般常見的臨床症狀包括喉嚨痛、吞嚥痛、吞嚥困難、呼吸急促及口水堆積無法下嚥。處理上除了呼吸道建立外，必須施予適當的抗生素。在極少數狀況下，病菌從頸部筋膜向下延伸造成頸部壞死性筋膜炎，更甚者造成前縱隔腔發炎，引發致命危險。本文在此描述一例因急性化膿性會厭軟骨炎，導致前縱隔腔發炎病例，患者住院中除了接受抗生素治療外，亦由胸腔外科安排了2次前縱隔腔清創引流術，術後恢復良好，追蹤兩年無復發。藉此病例，提供同仁們處理急性會厭軟骨炎時參考，除了呼吸道急症外，應注意病人是否在病程中表現出胸悶、胸痛、心悸等症狀，進一步注意頸部、縱隔腔侵犯的危險性。

關鍵字

急性化膿性會厭軟骨炎；下行性前縱隔腔炎

並列摘要

Acute epiglottitis is a life-threatening disease with rapid progression. The common clinical symptoms include sore throat, odynophagia, dysphagia, dyspnea and saliva pooling. Approaches to this disease, in addition to setting up the respiratory tract, necessarily include the use of the correct antibiotics. However, in a few cases, the spread of infection is from the cervical fascia with a downward extension to the mediastinum. This report presents a case of acute suppurative epiglottitis complicated with anterior mediastinitis. During admission, antibiotic therapy was started and debridement of anterior mediastinum was carried out. The postoperative period was uneventful and the patient has continued to be well over a serial follow-up of two years. In the course of acute epiglottitis, we should take note of various symptoms such as chest tightness, chest pain and palpitation, etc. and attention should be paid to the possible fatal consequences of an invasion to the cervix and mediastinum.

並列關鍵字

acute suppurative epiglottitis ； descending anterior mediastinitis

國際替代計量

急性化膿性會厭軟骨炎併發下行性前縱隔腔炎

全文下載

主題瀏覽