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患者,女,50岁,农民。1993年9月上山砍竹,在山溪里喝了几口溪水,饮后次日自觉喉痒,咳嗽,痰带鲜血丝。病情持续3个月。12月下旬病情加重,出现声嘶,讲话有时突然发不出声音,咳嗽数声,突然又恢复声音,晚上因呼吸困难而不能入眠。曾在当地医院抗炎治疗。滴点氨苄青霉素等药物未见好转,于12月27日到我院五官科住院。体格检查:T36.5℃,R28次/分,P85次/分,BP16/10kPa心肺肝脾未见异常,间接喉镜检查,发现声门下气管后壁有一条黑褐色能活动异物,披裂肿胀。初步诊断:声门下动物异物,28日在全麻直接喉镜下,用气管异物钳从声门下取出一条长8cm,粗1cm,头部尖细,后端有个大吸盘,能活动的黑褐色大蚂蝗。术后喉痒,声嘶,呼吸困难等症状消失,痊愈出院。
Patient, female, 50 years old, farmer. In September 1993 up the mountain cut bamboo, drink a few mouthfuls of stream in the mountain stream, consciously throat itching the next day after drinking, cough, blood stained sputum. The condition lasted 3 months. In late December, his condition worsened and his voice hoarse. His speech suddenly burst out without sound. He coughed and suddenly recovered his voice. He was unable to sleep because of difficulty in breathing at night. Anti-inflammatory treatment at a local hospital. Drop of ampicillin and other drugs did not improve, on December 27 to hospital ENT hospital. Physical examination: T36.5 ℃, R28 beats / min, P85 beats / min, BP16 / 10kPa cardiopulmonary liver and spleen no abnormalities, indirect laryngoscopy and found that the subglottic tracheal wall has a dark brown can move foreign body, fissure swelling. Initial diagnosis: subglottic animal foreign body, on the 28th under general anesthesia direct laryngoscopy, tracheal foreign body forceps removed from the subglottic a long 8cm, rough 1cm, tip sharp, the back has a large sucker, can move the dark brown Big leech locust. Postoperative throat itch, hoarseness, dyspnea and other symptoms disappeared, discharged.