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梁×、男、50岁、干部、住院号91384,于1981年4月27日因巨大甲状腺瘤癌变合并气管内出血,呼吸道窒息急诊入院。患者于19岁发现颈部肿块,逐渐增大,但无何不适。至1981年元月始感气促、声嘶,在我院诊为甲状腺腺瘤癌变。肺部照片发现两肺有园形散在性转移病灶。颈部照片发现气管狭窄、畸形、右移并有散在性钙化灶。未手术出院,同年4月27日突感呼吸困难、咳嗽、声嘶再次急诊入院。入院时体温正常,血压170/84毫米汞柱,脉搏126次/分。呈急性病容、发绀、强迫端坐位,呼吸极度困难,脸色苍白,不能说话(图1)。颈前区有一个超新生儿头肿瘤,
Liang X, male, 50 years old, cadres, hospital number 91384, on April 27, 1981, was hospitalized for acute bronchial airway cancer due to malignant transformation of thyroid tumor with intratracheal hemorrhage and respiratory asphyxia. The patient developed a neck mass at the age of 19 and gradually increased, but there was no discomfort. To January 1981 began to feel shortness of breath, hoarseness, in our hospital diagnosed as thyroid adenoma cancer. Lung photographs found that both lungs had a garden-like scattered metastatic lesion. Photographs of the neck revealed tracheal stenosis, malformation, right shift, and scattered calcification. She was discharged without surgery, and on April 27 of the same year, she felt acute respiratory difficulties, cough, and hoarseness and was admitted to the hospital again. Normal body temperature at admission, blood pressure 170/84 mm Hg, pulse 126 beats/minute. She was acutely ill, cyanotic, and forced to sit. Her breathing was extremely difficult and her face was pale and unable to speak (Figure 1). There is an ultra neonatal head tumor in the anterior cervical region.