类风湿性关节炎累及环杓关节并不罕见,喉功能一般并不受累。就作者们了解,在喉水平的食管深部溃疡作为喉关节炎的一种合并症以前尚无报道。本文报告一例。患者女性,60岁。因咽下困难就诊。由于合并双侧肺炎和胸腔积液作了带气囊的气管切开术。患者罹患类风湿性关节炎已35年,最后几年发展成畸形而残废。既往6年治疗主要是用Bufferin,Plaquenl和金制剂。因长期服用Plaquenl而出现了感音性聋,识别力下降,4年前双眼视力开始减退,现已失明。 Rheumatoid arthritis involving the ring is not uncommon, laryngeal function are generally not involved. As far as the authors understand, deep esophageal ulcers at the larynx have not been reported as a complication of laryngeal arthritis. This article reports an example. Patient female, 60 years old. Because of swallowing difficulties treatment. A balloon-based tracheotomy was performed due to a combination of bilateral pneumonia and pleural effusion. The patient has had rheumatoid arthritis for 35 years and has developed deformity and disability in the last few years. The past 6 years of treatment is mainly with Bufferin, Plaquenl and gold preparations. Because of long-term use of Plaquenl appeared sensory deafness, decreased recognition, 4 years ago, binocular vision began to decline, has been blind.