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患者男,61岁,因突然发音嘶哑而就诊。查:左侧声带固定在旁正中位即介于中间位(尸位)与中线位(声带发声位)之间,不能运动,发声时病侧声带不能内收,留有明显裂隙,声嘶而无力。患者28年前诊为风湿性心脏病,多年来一直坚持治疗。20年前因活动后出现下肢浮肿、心慌、气短诊断为风湿性心脏病、二尖瓣狭窄、主动脉瓣关闭不全、房颤、慢性充血性心力衰竭,心功能Ⅳ级。自1994年春天开始夜间不能平卧,咳嗽,多白色泡沫样浆液痰,有时带血丝,呈粉红色泡沫痰。双下肢浮肿加重,颈静脉怒张、搏动,肝颈静脉回流征
Male, 61 years old, presented with a hoarse voice. Check: the left vocal cords fixed in the next median position that is between the median (corpse) and the median line (vocal utterance bit), can not exercise, sound vocal cord can not adduction when sick, leaving a clear crack, hoarse and Powerless. Patients diagnosed with rheumatic heart disease 28 years ago, has been insisting for many years. Twenty years ago, his lower extremity edema, palpitation and shortness of breath were diagnosed as rheumatic heart disease, mitral stenosis, aortic regurgitation, atrial fibrillation, chronic congestive heart failure and cardiac function Ⅳ grade after his activities. Since the spring of 1994 the night can not be supine, cough, cloudy white liquid sample sputum, sometimes with bloodshot, pink foam sputum. Double lower extremity edema, jugular vein engorgement, pulsation, hepatic jugular vein reflux syndrome