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患者,女性,36岁。因咽痛、声嘶4个月,伴吸气性呼吸困难1个月,渐加重,于1995年2月25日以“喉肿物性质待查”急诊收住我科。患者4月前无明显诱因出现咽痛、声嘶,时轻时重,经服消炎药效果不佳,1个月前又出现吸气性呼吸困难,睡眠时常被憋醒,活动后加重。查体:一般情况尚可,浅表淋巴结未触及肿大,三凹征明显,间接喉镜未窥清。于当日下午急行气管切开术,缓解呼吸困难。术后次日行纤维气管镜检查见:会厌正常,双侧声带稍充血,活动良好,自右声带下缘可见一红色肿物,表面略不平,上下纵长约3cm,左声门下粘膜略肿,表面光滑,于肿物粘膜深处取活检。
Patient, female, 36 years old. Due to sore throat, hoarseness for 4 months, with inspiratory dyspnea 1 month, gradually heavier, on February 25, 1995 with “throat properties to be investigated,” emergency admitted to our department. 4 months ago, there was no obvious incentive for patients with sore throat, hoarseness, when light weight, poor anti-inflammatory drugs through the service, 1 months ago, breathing difficulties appear again, often wake up during sleep, increase after exercise. Physical examination: the general situation is acceptable, superficial lymph nodes did not touch the swelling, three concave sign was obvious, indirect laryngoscopy did not peep clear. Emergency tracheotomy in the afternoon on the afternoon to ease breathing difficulties. The next day after fibrin bronchoscopy, see: Epiglottic normal, bilateral vocal cord slightly hyperemic, good activity, visible from the lower edge of the right vocal cord can be seen a red tumor, the surface slightly uneven, vertical length of about 3cm, slightly left mucosal mucosa , The surface is smooth, take biopsy in the deep mucosa.