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患者,女,69岁。主诉进食后呼吸困难2h。2h前患者吃苹果后出现呛咳,继而出现持续性声嘶,咽喉部疼痛,且自感吸气时呼吸困难,活动后加重。体检:患者精神紧张,神智清,呼吸25次/min,脉搏72次/min,心率72次/min,血压110/70mmHg(1mmHg=0.133kPa),三凹征(+),吸气时喉鸣(+),气管居中,双肺听诊可闻及哮鸣音,心脏听诊率齐,未闻及病理性杂音。电子喉镜检查示:会厌黏膜光滑,声门处可见异物,嵌顿
Patient, female, 69 years old. The main complaint of dyspnea after eating 2h. 2h before appearing in patients with apple cough, followed by persistent hoarseness, throat pain, and self-inspiration breathing difficulties, aggravating after activity. Physical examination: The patient was mentally challenged, breathless, breathing 25 times / min, pulse 72 times / min, heart rate 72 times / min, blood pressure 110/70 mmHg (1mmHg = 0.133kPa) (+), Tracheal center, lung auscultation can be heard wheeze, heart auscultation rate Qi, unheard of and pathological murmur. Electronic laryngoscopy showed: epiglottis mucosa smooth, foreign body visible in the glottis, incarcerated