患者男,６０岁。因气管切开术后不能拔管入院。患者１０年前因痰中带血,双耳闭塞感就诊,经病理检查诊断为“鼻咽癌”,直线加速器行鼻咽部及双侧颈部根治性放疗。经治疗鼻咽部肿瘤及颈部转移淋巴结消失。１年前突然出现呼吸困难,立即前往当地医院,被诊断为“双侧声带麻痹”,紧急行气管切开术,术 Male patient, 60 years old. Due to tracheotomy can not extubation admission. Patients with blood phlegm 10 years ago, ears closed sense of treatment, the pathological examination diagnosed as “nasopharyngeal carcinoma”, linear accelerator nasopharyngeal and bilateral neck radical radiotherapy. After the treatment of nasopharyngeal tumors and cervical lymph node metastasis disappeared. Sudden onset of dyspnea 1 year ago, immediately went to the local hospital, was diagnosed as “bilateral vocal cord paralysis,” emergency tracheotomy, surgery