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一、病例介绍: 宋××,男,7岁,住院号:235,705,于1982年6月20日因误吞鱼骨6个月入院。缘病孩于6个月前因进食时不慎,误吞鱼骨,当时呛咳、呼吸急促比较明显,经约10分钟,慢慢缓解,仍能进食,呼吸变平顺,偶有咳嗽,无发热,说话声嘶,家人曾带小孩至当地卫生院诊治2次,因症状不明显,只按感冒服四环素、止咳药物治疗,咳嗽减轻,但声嘶依然存在,在平静时呼吸无不适,剧烈运动时见有气促现象,日常生活无影响。家人见病孩声嘶半年未愈,来本院耳鼻喉科门诊,检查后疑声门异物即收入住院进一步检查。既往体健,无特殊传染病史,亦无声嘶现象。体查:病孩发育、营养尚好,T37℃,P84次,R20次,说话中等度声嘶,头部无畸型,眼、耳、鼻、咽未见异常,间接喉镜检查喉部未见异物(小孩不合作),气管居中,甲状腺不大,胸廓对称,双肺
First, the case description: Song × ×, male, 7 years old, hospital number: 235,705, on June 20, 1982 due to swallowing fishbone 6 months admitted to hospital. 6 months ago because of eating inadvertently eating fish, swallowed by the fishbone, then cough, shortness of breath more obvious, after about 10 minutes, slowly ease, can still eat, breathing smooth, occasional cough, no Fever, cries of hysterics, family members have taken children to the local hospital for treatment 2 times, because symptoms are not obvious, only by cold taking tetracycline, cough medication, relieve cough, but the hoarseness still exists, breathing in the calm without discomfort, severe See the phenomenon of shortness of breath during exercise, no impact on daily life. His family members see the cries of hoarseness for six months healed, to ENT clinics in our hospital, after examination, the sound door foreign bodies that hospitalized for further examination. Past physical health, no history of special infectious diseases, no hoarseness phenomenon. Physical examination: the development of sick children, nutrition is still good, T37 ℃, P84 times, R20 times, speak moderate hoarseness, no malformations of the head, eyes, ears, nose, pharyngeal no abnormalities, indirect laryngoscopy no foreign body throat (Children do not cooperate), tracheal center, thyroid is not large, chest symmetry, lungs