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病例简介患者周××,男性,34岁。患者于79年11月18日凌晨在睡眠中突然被人在后枕、前额、喉部砍伤6处,各处伤口由二至四厘米长。当时作了一般伤口处理,并由喉部切口处插入气管套管,三天后拔出气管套管时自伤口咳出血脓痰若干。被砍伤后一个月出现呼吸困难,喉损伤部经过扩创刮除肉芽,呼吸困难稍有好转。10天前出现喉鸣,两日前呼吸困难加重,乃急转我院。自受伤后就用青、键霉素控制感染。查体:发育营养中等,有喉鸣,呈现Ⅱ度吸入性呼吸困难,无绀色。前额、后枕及右侧下颌角多处表浅疤痕,环状软骨水平有一横行
Case Profile Patients Week × ×, male, 34 years old. Patients in the early morning of November 18, 79 in sleep suddenly was in the rear pillow, forehead, throat cut 6, all wounds from two to four centimeters long. At that time made a general wound treatment, and throat incision into the tracheal tube, pull out the tracheal tube after three days since the wound cough bleeding purulent sputum number. One month after being chopped, he developed dyspnea. After throat injury, the wounds were scraped to remove granulation buds and the dyspnea slightly improved. Throat appeared 10 days ago, two days ago, dyspnea increased, but urgently transferred to our hospital. Since the injury with green, ningmycin control infection. Physical examination: development of moderate nutrition, throat, showing degree of respiratory difficulty breathing, no cyanosis. Forehead, occipital and right mandibular angle many superficial scars, horizontal cartilage horizontal line