患者,男,15,岁,因咽部阻塞感1年余,呼吸不畅2月余于92年10月26日入院,2年前无明显诱因出现咽部阻塞感伴声音嘶哑。近2月来症状加重伴说话含物音及呼吸不畅,呼吸不畅尤以夜间明显。检查:T:36.3℃、P76次、BP12/8kPa,未扪及全身浅表淋巴结。心肺(-)。间接喉镜检查见会厌喉面满布凹凸不平的新生物,表面伪膜附着,核桃大小,双侧声带不能满意窥及。纤维喉镜检查,见肿瘤来自会 The patient, male, 15, was admitted to hospital on October 26, 1992 because of pharyngeal obstruction for more than one year and poor breathing. There was no obvious cause of pharyngeal obstruction and hoarseness two years ago. Symptoms increased in the past 2 months with accompanied speech and poor breathing. Breathing was notably evident at night. Check: T: 36.3°C, P76, BP12/8kPa, no palpation and superficial lymph nodes. Cardiopulmonary (-). Indirect laryngoscopy showed that the epiglottis was full of rugged new organisms, with pseudomembranous attachment, size of walnuts, and bilateral vocal cords were not satisfactory. Fiber laryngoscopy, see tumor from the meeting