Epiglotitis Akut

 

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BFLN 9 Jlwh N`rthe` [`rh, [.Mlj 04

J. C@EHGL[Z@[H C@EHGL[Z@[H MFHEH[

Lpha Lp hafb fbth thth thss p` p`fh fhea ea sl slrhe rhea a tlri tlri`j `jhh p` p`j` j` `e `e`m `m ml mlkh khf. f. Lpha Lphafb fbth thss y` y`ea ea clea`f`ch hegf`c`sh j`p`t cleylo`om`e ali`f` `hr fhur `t`u slmrlt y`ea tlrus cleltl cle ltlss (m`rle (m`rle`` thj`m thj`m ohs` ohs` clealf clealfu`r u`rm`e m`e slmrlte slmrltey`) y`),, jhstrl jhstrlss plre`p plre`p`s`e `s`e,, strhjbr (oueyh plre`p`s`e olre`j` theaah), su`r` y`ea thj`m ilf`s j`e pbstur  tuoun y`ea mf`shm y`htu jujum jlea`e clcoueamumm`e o`j`e slclet`r` flnlr jhlmstleshm`e uetum clcuj`nm`e olre`p`s (trhpbjhea  ( trhpbjhea ). ).8 Lphafbtthths clrup`m`e heglmsh y`ea olrmlco`ea jlea`e klp`t, jhcuf`h jlea`e eylrh tleaabrbm`e, jhhmuth bfln mlc`cpu`e clebflr`esh slmrlsh, nbt   pbt`tb vbhkl, vbhkl, jhsp jhspel el`, `, bo bost stru rums mshh i`f` i`f`e e e` e`p` p`ss gb gbtb tb fl flnl nlrr f` f`tl tlr`f r`f cuea cueamh mhe e

8

 

cleaa` cle aa`co` co`rm` rm`e e t`ej` t`ej` mf`shm mf`shm ‖k`p ‖k`p ilcpbf ilcpbf–– (tnucoprhet ) `mh `mho`t o`t lphafb lphafbtths tths clcoleam`m.? @e`m jlea`e lphafbthths `mut oh`s`ey` jh`t`s ush` ; t`nue. @wht`eey` `m `mut ut jl jlea ea`e `e str strhj hjbr br he hesp sphr hr`sh `sh,, clea clealf lfu` u`rm rm`e `e `h `hrr fhur fhur j` j`e e `a `aht ht`sh `sh y` y`ea ea cleheam`t. Tley`mht clcourum slf`c` plrhbjl :-0? i`c s`cp`h bostrumsh  i`f`e e`p`s tbt`f. Oh`s`ey` `j` jlc`c jlea`e t`ej` tbmshsht`s shstlchm f`he.04

A`co`r ;. Zrhppbjhea pbshthbe

04

 

L. JH@AEB[H JH@AEB[H[ [ @e`celshs

C`ehglst`sh y`ea slrhea h`f`n cleaa`co`rm`e o`nw` `e`m y`ea slcuf` sln`t slk`r` jr`c`ths clej`j`m clea`f`ch bostrumsh plre`p`s`e prbarlshg  y`htu e`cp`m jhspelu, eylrh tleaabrbm`e, jlc`c theaah j`e ololr`p` i`c `e`m clei`jh tbmshm.8 Tlclrhms``e Tlclrhms`` e ghshs

F`ryeabsmbp hejhrlkt j`p`t cleueiumm`e ljlc` j`e mbealsth strumtur  supr`a sup r`afbt fbths hs j`e slrhea slrhea jhilf`s jhilf`sm`e m`e t`cp`m t`cp`m slplrth slplrth 'rlj knlry‘ `ppl`r`ek `ppl`r`ekll, e` e`cu cue e pl plcl clrh rhms ms`` ``e e he hehh i`r`e i`r`ea a jhf` jhf`mu mum` m`e e m` m`rle rle`` ml mlcu cuea eamh mhe` e`e e `m `m`e `e clcplrp`r`n suco`t`e j`rh s`fur`e e`p`s. @t`upue ihm` plrfu jhf`mum`e, c`m`` plclrh c`m plclrhms`` ms``e e heh jhf`mu jhf`mum`e m`e jh tlcp`t tlcp`t y`ea y`ea clchfh clchfhmh mh `f`t-`f `f`t-`f`t `t y`ea y`ea fleam`p, slplrth jh ru`ea bplr`sh.0,?

Tlclrhms``e Tleuei`ea 0. _`jhbf _`jhbfbah bah

J`rh n`shf plclrhms``e r`jhfbah jhtlcum`e a`co`r`e ‖tnuco ‖ tnuco shae–, shae–, y`htu o`y`ea`e j`rh lphafbths afbouf`r y`ea clcoleam`m, tlrfhn`t  plelo`f`e fhp`t`e `rylphafbthm`, j`e jhstlesh j`rh nhpbg`rhea.:

00

 

A`co`r :. ‖Znuco ‖Znuco shae– p`j` shae– p`j` lphafbthths `mut ?. F`rheabsm F`rheabsmbph bph

Gholrbpthm f`ryeabsmbp clrup`m`e plclrhms``e tlro`hm y`ea jh`eiurm`e uetum clfhn`t lphafbths slk`r` f`easuea.

Hegf`c`sh j`e ljlc` p`j`

Hegfc`sh p`j` lphafbtths 3 lphafbtthths

supr`afbths supr`afbt hs (lphafbthths)

A`co`r nheaa` 1? i`c, jh c`e` ljlc` tlf`n olrmur`ea j`e tlrj`p`t mlobkbr`e uj`r` jh slmlfhfhea slf`ea lejbtr lej btr`ml `ml`f. `f. Mrhtlrh Mrhtlrh`` uetum uetum lmstuo lmstuo`sh `sh tlrc`s tlrc`sum um olrmur olrmur`ea `eaey ey`` lrhtlc lrhtlc`, `,  olrmur`eaey` ljlc` lphafbths `t`u slk`r` lcphrhs sltlf`n :> i`c hetuo`sh.

0>

 

F`rheabsmbph gholr bpthm tr`ese`s`f j`p`t jhf`mum`e uetum clehf`h rlsbfush j`rh ljlc` slolfuc jhf`mum`e lmstuo`sh.;,>

N. T_BAEB[H[

T`shle y`ea cleheaa`f slo`ah`e ols`r jhslo`om`e bfln bostrumsh i`f`e e`p`s j`e mbcpfhm`sh tr`mlbstbch.:

08

 

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Lphafbthths `mut clrup`m`e heglmsh f`rhea, y`ea oh`s`ey` jhslo`om`e bfln fln  N.hegfulez`l Zhp Zhpll O y`ea y`ea clclrfu clclrfum`e m`e pleabo pleabo`t`e `t`e jheh jheh j`e `arlshg `arlshg.. Heshjles pley`mht heh olrmur`ea sltlf`n n`jhrey` v`mshe Nho. Beslt pley`mht heh clej`j`m j`e prbarlshg, jlea`e c`ehglst`sh mfhehs olrup` jlc`c theaah, fhurr clea`f fhu clea`fhr, hr, eylrh eylrh tleaa tleaabrb brbm`e m`e,, mlsufh mlsufht`e t`e clelf` clelf`e, e, j`e ali`f` ali`f` tbmshm  tbmshm  f`heey`. T`j` plclrhms``e ghshm jlea`e cleaaue`m`e f`rheabsmbph hejhrlm t`cp`m  lp lpha hafb fbth thss y` y`ea ea nh nhpl plrl rlch chss j` j`e e lj ljlc lc`. `. T`j` T`j` pl plcl clrhm rhms` s``e `e r`jh r`jhbf bfba bahh t`cp t`cp`m  `m   plcoleam`m`e lphafbths jlea`e a`co`r`e ‖tnuco ‖tnuco shae–. shae–. Z`t`f` Z`t `f`ms` ms`e` e` j`rh j`rh pley` pley`mht mht heh `j`f`n `j`f`n r`w`t r`w`t he`p he`p jh _[ uetum uetum clekla clekla`n `n  plrourum`e bostrumsh plre`p`s`e, `ethohbthm, stlrbhj, nhjr`sh y`ea `jlmu`t j`e hetuo`sh `t`u tr`knlbstbch.

?4

 

J@GZ@_ T\[Z@M@

Jnhear`. Jhsl`sl bg l`r ebsl `ej tnrb`t & nl`j `ej  0. TF Jnhear`., [nruth Jnhear`. Jhsl`sl  Elkm [uralry 1tn ljhthbe. ljhthbe. Elw Jlfnh9 Lfslvhlr= ?40: (N`f.;?1, ;?>) N`r-Lf.  Hfcu ZNZ Lslsesh`f  Lsls esh`f . I`m`rt`9 LAK= ?400. ?. Gr`em L Fukletl., A`jy N`r-Lf. Hfcu (N`f. ;01) Nuslhe. Fba`e Zurelr‘s Jhsl`sl bg tnl Ebsl, Znrb`t `ej L`r, ;. [. Cusnllr Nuslhe. Fba`e  \M9 K_K Trlss= ?407  Nl`j `ej Elkm [uralry 00tn ljhthbe. ljhthbe. \M9 :. Mh`au Mh`auss X`eatihm, X`eatihm, G`thc`n G`thc`n @rhghe. @rhghe.  Oumu @i`r _lsphrbfbah @e`m . I`m`rt` 9

GM\H= ?40;. (N`f. ;07-;0>) . Qh Tlelroht9 [`auea [ltb= ?404. (N`f.