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患者,男,65岁。4个月前无明显诱因出现声嘶,无呼吸困难、吞咽、喉痛、咳血等不适,1周前突感呼吸不畅且进行性加重,吸气时明显,活动后加剧,夜间无法平卧,于2012年8月22日急诊入院。既往体健,否认其他疾病史。查体:急性病容,面色潮红,皮肤湿润,端坐呼吸,呼吸急速,可闻及明显中度喉喘鸣,伴明显吸气性三凹征。右侧喉体明显膨隆,喉体移动度尚可,双侧颈部未触及明显肿大淋巴结。间接喉镜检查会厌抬举可,会厌谷、梨状
Patient, male, 65 years old. 4 months ago there was no obvious incentive hoarseness, no breathing difficulties, swallowing, sore throat, hemoptysis and other discomfort, a week ago sudden sensory dyspnea and progressive aggravating, inspiratory obvious, aggravating after activity, unable to flat at night Lying down, on August 22, 2012 emergency admission. Past physical health, deny the history of other diseases. Physical examination: acute disease, flushing, moist skin, sitting and breathing, rapid breathing, can be heard and obvious moderate throat wheeze, with obvious suction three concave sign. The right throat was bulging, throat mobility is acceptable, bilateral cervical neck did not reach significantly enlarged lymph nodes. Indirect laryngoscopy epiglottis lift can, pardon Valley, pear-shaped