近期高发的嗓子疼，可能是一种“凶险”急症，或瞬间“封喉”引发窒息

近期天气干燥，很多人出现喉咙痛、异物感等问题。一般人们将这当成是小毛病，下意识地认为是发炎了、上火了。

然而，有一种喉痛常伪装成咽炎或扁桃体炎，可能瞬间“封喉”，引发窒息，它就是「急性会厌炎」。

受访专家

郑州人民医院耳鼻咽喉头颈外科主任 高明

会厌炎，能致命的凶险疾病

会厌是咽喉要道的重要关卡，可随吞咽进行上下扇动。吃饭吞咽时，它会像盖子一样盖住咽喉入口，避免食物进入喉腔、气管引发呛咳；在呼吸时向上开放，保证气流顺利进入气管。

当会厌发炎时，这层“盖子”会不断肿胀，严重时甚至肿成球状，导致气道封闭，人便无法呼吸。

临床上，以下几种病因都可诱发急性会厌炎：

细菌感染、病毒感染；

过敏患者接触过敏原后也可出现会厌症状；

喉部受到外力创伤，或吸入高热、有害气体，也可损伤会厌。

此外，会厌本身会长囊肿、肿瘤等，突然合并感染可引发急性改变。

会厌部位容易存在两大问题：

！

打不开

会厌组织结构比较疏松，容易在炎症刺激下发生肿胀，导致喉气管入口被阻塞。

急性会厌炎十分凶险，治疗要争分夺秒，要足量抗生素和激素治疗，有时甚至要做气管切开等处理。

若在流感季节出现咽喉剧烈疼痛且吞咽时加重，甚至出现吞咽困难，就应警惕。

！

关不上

很多人都有过一边吃东西一边说话造成呛咳的经历，这就是会厌没及时关闭造成的。

支气管肺炎、喉软骨软化、喉炎等呼吸系统感染或发育不全，也可能导致吞咽时会厌关闭不良，造成少量食物进入气管。

患者以治疗原发病为主要手段，若发生呛咳可用海姆立克急救法施救。

会厌炎与感冒咽喉痛的区别

通常，急性会厌炎起病突然、发展迅速，易造成上呼吸道阻塞，但发病前期和扁桃体炎、咽喉炎疼痛没有太大区别，并且会厌的生理位置比扁桃体位置低，因此常被忽视。

感冒

急性会厌炎

咽喉痛一般不会妨碍呼吸，也不会产生呼吸道阻塞症状

剧烈喉痛

早期伴有喉部异物感和梗阻感；后期呼吸费力、吞咽困难，甚至窒息昏迷

急性会厌炎的发生及发展很快，多在发病24小时内出现吸气性喉鸣（吸气时有异常的呼吸音）。

以下几类人都是会厌炎的高发群体：

身体体质偏差、抵抗力较弱的人；

糖尿病患者；

过敏体质者；

生活习惯不良的人，如常熬夜、喜欢吃辛辣刺激食物，会厌及周边均易出现炎症。

有4种症状之一，立即就医

急性会厌炎没有自救方法，若出现以下症状之一，应立刻就医：

1.咽喉有明显吞咽痛，严重时脖子扭动也可诱发剧痛；

2.吞咽困难，出现唾液难咽、饮水呛咳、张口流涎等；

3.会厌严重水肿的患者有咽喉阻塞感，导致语音含糊；

4.呼吸不畅，严重时可出现面色苍白、嘴唇发紫，随时可能窒息昏迷。

预防急性会厌炎，建议大家：

加强日常锻炼，增强抵抗力，注意颈部保暖；

保持口腔卫生，戒烟酒，少吃辛辣刺激食物，辣椒会刺激咽喉、口腔等部位黏膜；

会厌邻近器官出现急性炎症时需及时治疗，以防感染蔓延。▲

本期编辑：张宇

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