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患者男,13岁。2年前咽部有异物感,在外院按咽炎治疗明显好转.1年前感冒后鼻塞逐渐加重,张口呼吸,夜间鼾声如雷,但无脓涕及头痛,体质渐消瘦,学习成绩下降。入院当晚看电视时突然呛咳,一过性气促,说话以手势表示且不能吞咽动作.张口见一肿物,急症住院。检查:全身各系统未见异常。鼻腔内未见异常,口中流涎不止,张口动作可,舌体上见一肿物呈舌形。粉红色,表面光滑,柔软不易出血,无血管性波动,活动可,约5×4×3cm大,其蒂部来自鼻咽后孔,其下方鼻咽部见一乒乓球大小肿
Patient male, 13 years old. 2 years ago, there was foreign body sensation in pharynx and the treatment of pharyngitis was obviously improved in the outpatient hospital. One year ago, the nasal obstruction gradually increased after the flu, mouth breathing, night snore thunderstorm, but no purulent nasal discharge and headache, weight loss, weight loss, academic performance decline. On the night of admission, he suddenly coughed while watching TV and had a brief breath of breath. He gestured and could not swallow his mouth. Check: no abnormal system of the whole body. No abnormalities in the nasal cavity, drooling more than the mouth, mouth movements can be seen on the tongue was a mass was tongue-shaped. Pink, smooth surface, soft and difficult to bleed, vascular fluctuations, activity can be about 5 × 4 × 3cm large, the pedicle from the nasopharynx posterior orifice, below the nasopharynx see a table tennis ball swollen