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患儿李某,男,4岁。1984年6月13日因持续性呼吸不畅,伴有喉鸣,声嘶,咳嗽,以喉源性呼吸困难入院。全身检查未见明显异常,X线摄片示喉部肿物性质待查。急行常规气管切开术。直接喉镜检查,左侧杓状软骨前上有一光滑球形肿物,有弹性,约1.5×1.2×1.0cm,与会厌喉面有空隙,与食管入口前壁不粘连。病理诊断为喉纤维瘤。时年两岁,暂时带气管套管出院。同年12月14日再次住院。瘤体增大至2.2×2.0×1.5cm。食管钡透肿物压迫食管前壁。拟定喉裂开肿物切除术,因术中出现颈交感迷走综合征,手术中止,未治出院。患儿于1986年4月24日,第三次住院。喉腔肿瘤明显增大,充满前庭,上部超出会反游离缘,压迫舌根时可窥及肿瘤。食管口前壁受压进食困难。纤维喉镜检查,肿瘤填满喉前庭,超出会厌游
Lee, male, 4 years old. On June 13, 1984, due to persistent poor breathing, accompanied by laryngeal sound, hoarseness, and cough, she admitted to hospital with laryngeal dyspnea. There was no obvious abnormality in the whole body examination. The X-ray film showed the nature of the laryngeal mass to be investigated. Urgent conventional tracheotomy. Direct laryngoscopy revealed a smooth bulb mass on the left side of the arytenoid cartilage, which was elastic and was about 1.5 x 1.2 x 1.0 cm. It had a gap with the surface of the epiglottis and did not adhere to the anterior esophageal entrance wall. Pathological diagnosis of laryngeal fibroids. At the age of two, she was temporarily discharged with a tracheal tube. On the 14th of the same year, he was hospitalized again. The tumor increased to 2.2 x 2.0 x 1.5 cm. The esophageal fistula penetrates the anterior wall of the esophagus. The resection of laryngeal dehiscences was planned, because of cervical sympathetic vagal syndrome during surgery, and the operation was suspended and left untreated. The patient was hospitalized for the third time on April 24, 1986. The tumor in the laryngeal cavity is obviously enlarged and filled with the vestibule. The upper part of the tumor is beyond the free edge. When the tongue is pressed, the tumor can be seen. The front wall of the esophagus is difficult to press and eat. Fiberoptic laryngoscopy, tumor filling the throat, beyond epilepsy