患者男 ,51岁 ,因呼吸困难 2天 ,于 1999年 5月2 8日入院。入院前 2个月患者颈部出现包块 ,从红枣大迅速弥漫至整个颈部。入院前 2天出现声嘶、喘鸣、呼吸困难 ,在当地医院经 CT检查诊为甲状腺癌 ,侵及喉、气管及胸骨后 ,因行气管切开较为困难转入我院。查体 :呼吸困难 °,不 The patient, male, 51 years old, admitted to hospital on May 28, 1999 because of difficulty breathing for 2 days. Two months before admission, the patient developed masses on the neck, which quickly spread from the red dates to the entire neck. 2 days before admission, there was hoarseness, wheezing, and difficulty in breathing. After being diagnosed as thyroid cancer at a local hospital and infiltrating the larynx, trachea, and sternum, it was difficult for the tracheotomy to be transferred to our hospital. Physical examination: difficulty in breathing °, no