论文部分内容阅读
1989年9月～1993年8月,共收治5例喉结核。其临床经过与局部特征与文献描述有所不同,现报告如下。 临床资料 5例中男3例,女2例;年龄18～76岁,平均52岁,51～76岁4例。首发症状咳嗽,声音嘶哑4例8吞咽痛2例;其次咳血痰1例;发热3例及体重减轻盗汗2例;首次经胸片证实肺结核4bJ;5例痰中找结核菌阴性。纤维喉镜检查病变局限于会厌1例,局限于一侧声带1例,另3例侵及面较广包括杓间隙,喉室杓状软骨,声带。4例以充血肿胀肉芽增殖为主,1例以溃疡会厌软骨破坏为主。2例病变以喉前部为主,3例病变以喉后部为主。5例患者均依照肺结核之全身疗法进行治疗。治疗中发现喉结核症状往往比体征好转快,多于治疗后3d主诉喉部症状
September 1989 to August 1993, a total of 5 cases of laryngeal tuberculosis. The clinical experience with the local characteristics and literature description is different, are as follows. 5 cases of clinical data in 3 males and 2 females; aged 18 to 76 years, mean 52 years old, 51 to 76 years old in 4 cases. The first symptom of cough, hoarseness in 4 cases of 8 swallowing pain in 2 cases; followed by cough bloody sputum in 1 case; 3 cases of fever and weight loss in 2 cases of night sweats; first confirmed by chest X-ray 4BJ; 5 cases of sputum to find tuberculosis negative. Fibrolaryngoscopy lesions confined to the epiglottis in 1 case, limited to one case of vocal cord on one side, and the other 3 cases involving a wide range of Invasion of the scapula, throat arytenoid cartilage, vocal cords. 4 cases of congestion and expansion of granulation proliferation mainly in 1 case of ulcer epiglottic cartilage destruction. 2 cases of lesions mainly in the anterior throat, 3 cases of laryngeal lesions based. Five patients were treated according to systemic therapy of tuberculosis. Treatment found that symptoms of larynx tuberculosis often faster than the signs faster, more than 3 days after the main complaint of throat symptoms