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魯特維格式咽峽炎引起之急性上呼吸道阻塞-病例報告

Acute Upper Airway Obstruction Secondary to Ludwig's Angina-A Case Report

摘要


魯特維格氏咽峽炎(Ludwing's angina)是一種急性蜂窩組織炎,侵犯雙側舌下間隙,顎下間隙,及頦下間隙,引起異常疼痛,舌頭向上抬起,頸部腫脹僵硬,嚴重時可因呼吸道阻塞導致窒息。故治療上首重呼吸道的建立與維持,本文報告六位罹患魯特維格氏咽峽炎的病例,並詳述其中因而導致上呼吸道阻塞的一位病患之病史及處置的過程,提出維持呼吸道的適當策略,做爲治療上的參考。

並列摘要


Ludwig's angina is an acute cellulitis. The bilateral submental, sublingual and submandbular spaces are all involved with pain, trismus and tongue elevation. Impending respiratory obstruction maybe occurred. The most important object in the management of Ludwig's angina is the maintenance of the airway. Six cases of Ludwig's angina are presented followed by a discussion of the methods of airway management with emphasis on endotracheal intubation and surgical drainage.

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