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女,17岁,于1992年3月12日晚入院,住院号32491。20天前在一次进食中曾有一过性呛咳,未予注意。1周后自觉轻度咽喉疼痛,声嘶、间有咳嗽,未予治疗。入院前3天气促、呼吸不畅,11日夜间呼吸困难加重,曾到当地卫生院用抗生素、激素等治疗后症状减轻转来我院。体检:吸气运动加强,时间延长,吸气时胸骨上窝、锁骨上下窝凹陷明显,轻度喘鸣音,声音嘶哑,间中有一两声犬样咳嗽。双肺听诊音清、对称。气管触诊和听诊未闻及异物撞击声和鼓翼声。间接喉镜下见会厌、喉前庭、声门区无炎症。无异物存留,声门下区窥查不满意。X线颈、胸部照片无特殊。初步诊断:喉梗阻、疑喉气管异物。13日在局麻+静脉强化麻醉下行气管
Female, 17 years old, was hospitalized on the evening of March 12, 1992, with a hospitalization number of 32491.20 days before she had a transient cough during a meal without paying attention. After 1 week, mild sore throat, hoarseness, cough, no treatment. 3 days before admission, shortness of breath, poor breathing, increased breathing difficulties at night on the 11th, went to the local hospitals with antibiotics, hormones and other symptoms after treatment to reduce the transfer to our hospital. Physical examination: inspiratory exercise to strengthen, prolonged, suction on the sternum, supraclavicular sulcus obvious depression, mild wheezing, hoarseness, between the two dogs like cough. Binocular auscultation sound clear, symmetrical. Tracheal palpation and auscultation of unknown foreign body percussion and drum wing sound. Indirect laryngoscopy see epiglottis, throat vestibule, glottis area without inflammation. No foreign body retention, subglottic glimpse is not satisfied. X-ray neck, chest photo no special. Initial diagnosis: laryngeal obstruction, suspected laryngeal tracheal foreign body. Local anesthesia in the local anesthesia on the 13th tracheal tube