本文报道一例Ⅲ期矽肺合并声带麻痹患者的临床诊断、治疗经过。经咽喉镜检查,和CT胸部扫描进行病变定位,排除肺部肿瘤和喉癌。CT扫描定位证实,纵膈淋巴结肿大,其部位恰好是左侧喉返神经经过之处。住院7个月,声音嘶哑有所好转。出院后随访二年,音调仍保持出院水平。 This article reports a case of stage Ⅲ silicosis with vocal cord paralysis in patients with clinical diagnosis and treatment after. The laryngoscopy, and CT chest scan pathological localization, excluding lung cancer and laryngeal cancer. CT scan confirmed that the mediastinal lymph nodes, its site is exactly where the left recurrent laryngeal nerve. Hospitalized for 7 months, hoarseness improved. After two years of follow-up after discharge, the tone remained at the level of discharge.