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女.22岁,左耳下咽侧包块8个月而入院。查体:左耳垂下方及颌下10cm×8cm×5cm包块,左咽侧壁明显丰满,咽扁桃向前内移位。于1991年4月11日在插管全麻下行肿块摘除术.术中见肿瘤上达颅底,下至甲状软骨平面下,深至斜角肌、头长肌。大部突向咽腔,12cm×10cm×6cm大小,与颈总、颈内、外动静脉广泛粘连,分别切除颈外动脉和颈内静脉.再沿颈内动脉分离体时,动脉破裂。立即紧急结扎切除颈内动脉颅外段,摘除肿瘤.术中输血1200ml,经
Female, 22 years old, was admitted to the hospital with left pharyngeal mass for 8 months. Physical examination: The left ear lobe and the submandibular mass of 10 cm × 8 cm × 5 cm, the left pharyngeal lateral wall was plump, and the pharyngeal almonds shifted inwards and backwards. In April 11, 1991 in the intubation under general anesthesia lump removal surgery. See tumor on the skull reached the bottom, down to the thyroid cartilage plane, deep to the scalene muscle, head long muscle. Most of them protruded into the pharyngeal cavity, 12cm × 10cm × 6cm in size, and had extensive adhesions with the general neck, internal jugular and external arteriovenous. The external carotid artery and internal jugular vein were resected respectively. When the body was separated along the internal carotid artery, the artery was ruptured. Immediately after emergency ligation, the extracranial segment of the internal carotid artery was resected and the tumor was removed. The intraoperative blood transfusion was performed in 1200 ml.