急性喉頭蓋炎例の検討

DOI Web Site Web Site 参考文献1件
  • 河野 通久
    社会医療法人北斗北斗病院耳鼻咽喉科・頭頸部外科
  • 後藤 孝
    社会医療法人北斗北斗病院耳鼻咽喉科・頭頸部外科
  • 坂東 伸幸
    社会医療法人北斗北斗病院耳鼻咽喉科・頭頸部外科
  • 原渕 保明
    旭川医科大学耳鼻咽喉科・頭頸部外科

書誌事項

タイトル別名
  • A Clinical Study of Patients with Acute Epiglottitis
  • 二次出版 急性喉頭蓋炎例の検討
  • ニジ シュッパン キュウセイ コウトウブタエンレイ ノ ケントウ

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<p>Acute epiglottitis refers to acute inflammation of the epiglottis, and rarely causes airway obstruction. A retrospective study was conducted of the data of 115 patients with acute epiglottitis seen from April 2007 to December 2017 (65 males and 50 females; age 12 to 85 years old; median age 45 years). The median duration from symptom onset to the first clinic visit was 3 days (range, 1 to 14 days). Eight (7%) of the 115 patients had diabetes, and 16 (13.9%) had an epiglottic cyst. We divided the patients into 6 groups by the laryngeal findings according to the classification of Katori et al. Forty-one (35.7%) of the 115 patients was classified into class IA, and 8 (7%) into class IIIB. The median duration of hospitalization was 5 days (2 to 26 days). Blood test performed on day 1 of hospitalization revealed a white blood cell (WBC) count in the range of 3400 to 25350/μl (median 10350/μl) and a serum C-reactive protein (CRP) level in the range of 0.01 to 23.3 mg/dl (median 2.5 mg/dl). The WBC count and serum CRP level on day 4 of hospitalization were significantly lower than those on day 1. Eight (7%) patients required the airway management such as tracheotomy or cricothyroidotomy. The patient age, laryngoscopic findings (severe epiglottic swelling and arytenoid edema; Katori’s classification class IIIB), and high inflammatory reaction (WBC ≥20000/μl and serum CRP ≥20 mg/dl) were significantly correlated with the need for airway management.</p>

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