Dangerous! Suddenly sore throat, 32-year-old man almost died! 4 symptoms to seek medical attention quickly

Source|Shenzhen big event (nandusz), N video report, Shenzhen People's Hospital, Yunnan First People's Hospital

The experience of a sore throat

Everyone should be familiar with it

Recently I had a sudden sore throat

Many people's first reaction is

Ate lychee "on fire"

It may also be "Eryang"

So a lot of people don't really care

But you know what?

A small sore throat

It can also cause big trouble

32-year-old Alin (pseudonym) in Shenzhen

Recently, I had a sore throat

Almost lost his life

Sore throat thought it was "Eryang"

Shenzhen man suddenly went into cardiac arrest

32-year-old Alin (pseudonym), who usually eats quite lightly, can be regarded as a standard Cantonese. He does not smoke, does not drink, does not have much pressure at work, and usually does not have the habit of turning day and night upside down.

But just two days ago, Alin's favorite adventure game was new, so he couldn't wait to immerse himself in a thrilling game world and bravely beat level after level, but the happy times always passed quickly, and Alin stayed up late playing games for two nights in a row.

After staying up for two days, Alin felt a sore throat, but there was no other discomfort, he wondered if he was "Eryang", after all, there were more and more "Eryang" people around him during this time. So, Alin went to the pharmacy to buy some lozenges for a sore throat, but didn't pay much attention to it afterwards.

But the day passed

Arin felt his throat getting sicker

It is very difficult to swallow

I even feel that it is very difficult to breathe

Alin's wife saw that Alin's lips were purple, and she couldn't say a word with her mouth open, which was very painful, she immediately dialed 120, and Alin was sent to the emergency department of Shenzhen People's Hospital for rescue.

"The patient had a sore throat and sudden dyspnea at night for 1 hour, and he was given oxygen from a mask, with an oxygen flow rate of 8L/min." The emergency personnel were already waiting in the rescue room and reported to Dr. Lu Yanlu of the Department of Otorhinolaryngology of Shenzhen People's Hospital and Dr. He Jianbin of the Department of Anesthesiology.

At that time, the situation was very urgent, Dr. He Jianbin took the video laryngoscope and tracheal tube to prepare for Alin's emergency intubation, and found that Alin's epiglottis was extremely hyperemic and edematous, completely blocking the breathing channel - glottis, and the gap in the throat was only 2mm.

The epiglottis is hyperemic and swollen into a spherical shape

At this moment, the ECG monitor issued a harsh alarm sound, Alin cardiorespiratory arrest, and needed to prepare for cardiopulmonary resuscitation immediately!

2 minutes to decide life or death

The killer turned out to be "acute epiglottitis"

"The patient is acute epiglottitis and undergoes emergency cricothyroidotomy!"

2 minutes of emergency surgery, quick connection to the ventilator, accompanied by the rapid pumping of oxygen into Alin's lungs and blood, Alin recovered his heartbeat, and the resuscitation was successful!

At this time, Alin's wife was already paralyzed in fear, but fortunately Alin was not in a big way.

But what is puzzling is that

Alin, who was originally just a sore throat

Sudden onset of difficulty breathing

After rescue, he was able to walk back from the "ghost gate"

What's going on here?

Dr. Lu Yanlu said, "Due to the recent stay up late, the patient's lack of sleep led to a decrease in resistance, which caused acute epiglottitis, the disease developed suddenly and rapidly, fortunately, the patient was sent to the hospital in time, and there was no major problem."

Acute epiglottitis has a rapid onset and can "seal the throat" instantaneously

Its dangers are self-evident

About epiglottitis

You must know this

01

What causes inflammation of the epiglottis?

There are 4 main causes of epiglottitis -

Inflammation. Bacterial infections, viral infections. These two types are more common.

Allergic. People with allergies have epiglottis symptoms after allergies.

Trauma. The larynx is traumatized by external forces, or inhaled with high heat, harmful gases, and our epiglottis is damaged.

Tumor. The epiglottis itself has tumors, cysts and other lesions, and sudden infection can also cause acute changes in the epiglottis.

02

What are the symptoms of epiglottitis?

Early stage: sore throat, that is, acute sore throat. It is not the same as the general sore throat, generally accompanied by painful swallowing, which will seriously affect the swallowing function, and even saliva is difficult to swallow, and it will be aggravated when eating.

Severe: Symptoms of dyspnea occur. Some patients have systemic symptoms, including fever, general exhaustion, dysphagia, and dyspnea.

03

How to detect and identify epiglottitis

Symptoms of epiglottitis are typical, with a sudden sore throat accompanied by a painful swallowing.

At this time, after examination, the doctor will find that the inflammation of the mucosa of the oropharynx is not too obvious, the tonsils are not significantly inflamed, and the inflammation of the oropharynx is not obvious, if the patient is accompanied by painful swallowing, it is drooling, or it will be aggravated when eating, this situation is generally the first to consider epiglottitis.

Acute epiglottitis is more dangerous, belongs to one of the emergency diseases of otolaryngology, it will cause relatively severe symptoms, there is a certain mortality.

There are two types of acute epiglottitis –

Slow progression

The harm is not particularly great.

Fast-progressive

The symptoms are relatively severe and the disease progresses very quickly. Generally, from the onset of the disease to the occurrence of dyspnea, relatively fast 4~8 hours, will occur acute dyspnea. The area around the epiglottis, the entrance to the laryngeal will be severely edematous, this epiglottitis symptoms are very serious, will affect our breathing, cause difficulty breathing, and produce fatal harm.

04

Who is prone to epiglottitis

Epiglottitis is high in winter and spring, and the onset of disease is very large, and most of them start at night.

These types of people are particularly prone to acute epiglottitis -

People with physical deviations, weak resistance, or patients with diabetes are particularly prone to acute epiglottitis.

Child. Children have loose tissues around the epiglottis, inflammation spreads easily, and they are prone to acute epiglottitis.

People with allergies.

People who have poor living habits, often stay up late, and like to eat spicy and exciting foods that are easy to get on fire. Spicy and irritating foods can affect the periphery of the epiglottis and induce epiglottitis.

05

When you find out about these conditions, you immediately go to the hospital

Before the onset of the disease, most patients have obvious sore throat and swallowing obstruction when swallowing, which is not much different from ordinary tonsillitis and laryngitis pain, which also increases the difficulty of diagnosing the disease.

However, acute epiglottitis occurs and develops rapidly, and inspiratory laryngeal sounds (that is, abnormal breath sounds during inspiration) occur within 24 hours of onset; Severe cases have dyspnea early and progress rapidly, and in severe cases, people can suffocate in 2-3 hours.

In severely ill patients, dyspnea appears relatively early, progresses rapidly, and can cause asphyxia within a few hours, while systemic reactions such as fever, chills, and fatigue occur.

It should be noted that patients with poor physical fitness will show more obvious systemic symptoms, and those who are strong will not be obvious.

Therefore, when one of these 4 symptoms occurs, you should go to the hospital immediately:

Sore throat: severe sore throat with significant swallowing pain. In severe cases, the neck twists and the pharynx can also be severely painful.

Difficulty swallowing: Severe pain can affect swallowing, and there will be difficulty swallowing, drinking water cough, mouth salivation, etc.

Slurred pronunciation: severe edema of the epiglottis, a feeling of obstruction in the throat, slurred speech.

Dyspnea: dyspnea caused by epiglottitis is divided into four degrees: (1) one degree is mild dyspnea only during activity or crying; (2) The second degree refers to mild dyspnea when quiet, laryngeal sounds in the throat when inhaling, and depressions can be seen in the suprasternal fossa and supraclavicular fossa, but there is no manifestation of hypoxia; (3) The symptoms of third-degree dyspnea are more obvious, the laryngeal sound is very large, and the depression during inhalation is significant, because of lack of oxygen, the patient is irritable and unable to eat and sleep; (4) Extremely difficult to breathe at the fourth degree, due to severe hypoxia, the patient is pale, purple lips, heartbeat, blood pressure, blood oxygen saturation are unstable, and may suffocate and coma at any time.

However, it should be noted that most patients have obvious sore throat and swallowing obstruction when swallowing before the onset, which is not much different from the sore throat of "Eryang" or ordinary sore throat, which also increases the difficulty of diagnosing the condition.

06

Prevention of epiglottitis is key

Most epiglottitis is caused by infection, so prevention is key.

Don't want to be provoked by it

It's best to do these things in your daily life

(1) Strengthen exercise to enhance the body's resistance;

(2) Maintain oral hygiene, quit smoking and alcohol, and eat less spicy and stimulating foods;

(3) For acute inflammation of adjacent organs of the epiglottis, timely treatment should be carried out to prevent the spread of infection;

(4) Diabetic patients should pay attention to blood sugar control.

hereon

Remind everyone

Not all sore throats are "little things"

In addition to "on fire" and "two yang"

Acute epiglottitis is also possible

Discomfort occurs

Please seek medical attention in time~