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患者,男,52岁。因声嘶一月就诊。体检:营养不良、慢性病容。会厌喉面呈半圆形隆起、淡红色、表面不光滑、向咽后壁突出,不能明视喉部其它情况。初诊:喉肿瘤。由进修医生作间接喉镜下活检术,反复钳取数次方成功。术后患者呼吸困难并迅速加重,体检时突然意识丧失、面色青紫、无自主呼吸,可扪及颈动脉搏动。急用麻醉喉镜暴露喉部,见喉室内存有大量粘液样分泌物,双侧声带紧闭,中前三分之一有新生物,外观水肿。迅速将气管插管插入声门抽吸分泌物,人工呼吸并给低
Patient, male, 52 years old. Due to hoarseness January treatment. Physical examination: malnutrition, chronic disease. Epistaxis throat was semicircular bulge, pink, the surface is not smooth, protruding to the posterior pharyngeal wall, can not be clearly seen other throat. New diagnosis: laryngeal tumor. Indirect laryngoscope biopsy by the attending physician repeated the forceps several times successfully. Postoperative patients with dyspnea and rapid increase in physical examination suddenly lost consciousness, looking bruising, no spontaneous breathing, palpable carotid pulsation. Urgent anesthesia laryngeal laryngeal throat, see the throat room there is a large number of mucus-like secretions, bilateral vocal cord closed, the first one-third of new creatures, the appearance of edema. Insert the endotracheal tube rapidly into the glottis to aspirate secretions, resuscitate it and give it low