The treatment of acute epistaxis includes medication, surgery, and supportive therapy. First of all, medication includes: 1. Glucocorticoid: it is a very important drug for the treatment and prevention of epiglottitis edema, and it also has non-specific anti-inflammatory, anti-allergic and anti-shock effects, and it needs to be used in combination with antibiotics in the early stage. If the patient has serious swelling of the epiglottis, accompanied by respiratory difficulties, at the same time to combine glucocorticoids for intravenous infusion, the condition can be stabilized after the change to oral antibiotics; 3, local treatment: mainly with glucocorticoids nebulized inhalation for local treatment, can reduce the local swelling, promote the inflammation of subside. Surgical treatment is as follows: 1, incision and drainage: for patients with epiglottis abscess formation, clinical use of incision and drainage is beneficial to the control of infection, reduce the use of antibiotics, reduce bacteremia and shorten the course of the disease; 2, establishment of artificial airway: mainly including transoral and transnasal tracheal intubation, cricothyrotomy and tracheotomy, etc., usually used for patients with laryngeal obstruction, asphyxia and other conditions. In terms of supportive treatment, oxygen is usually used to relieve hypoventilation and improve the patient’s systemic symptoms. If the patient has difficulty in eating, intravenous rehydration and nutritional support are required.