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1 病例报告患者,女,44岁,因咽部异物感,吞咽受阻2个月入院。2个月来,渐感咽部不适,异物堵塞感,吞咽不畅,异物感逐渐加重致吞咽受阻,呼吸不畅,睡眠打鼾,咽干,曾抗炎治疗无效。平素健康。查体:颈部及全身浅表淋巴结未触及,肺心正常,肝脾无肿大。耳鼻咽喉科检查:耳鼻咽喉部正常,咽部充血,右侧扁桃体呈Ⅲ°肿大,越过中线,呈灰粉色,表面凸凹不平,有少许分泌物附着,质硬,左扁桃体无肿大。实验室检查:血象:WBC:11.8×10~9/L,LY26.5,MO8.6,GR64.9,RBC:5.49×100~(12)/L,PLT:286×10~9/L,出凝血时间正常。尿便常规未见异常。X线胸部正侧位片示肺心膈无著变,心电图报为窦性心律,ST轻度改变。初步诊断:右扁桃
A case report patients, female, 44 years old, due to pharyngeal foreign body sensation, swallowing blocked 2 months admission. 2 months, gradually throat discomfort, foreign body blockage, swallowing poor, foreign body sensation gradually increased swallowing obstruction, poor breathing, sleep snoring, dry throat, had anti-inflammatory treatment is invalid. Usually healthy. Physical examination: neck and body superficial lymph nodes not touched, normal pulmonary heart, liver and spleen no enlargement. Otorhinolaryngology examination: otolaryngology throat normal, throat congestion, the right tonsil was Ⅲ ° enlargement, crossed the midline, grayish pink, uneven surface, a little secretions attached, hard, no enlargement of the left tonsil. Laboratory tests: blood: WBC: 11.8 × 10 ~ 9 / L, LY26.5, MO8.6, GR64.9, RBC: 5.49 × 100-12, PLT: 286 × 10-9 / Clotting time out of normal. Urine routine no abnormalities. X-ray chest is lateral film showed no changes in the lungs diaphragm, ECG reported sinus rhythm, ST mild changes. Initial diagnosis: right Almond