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男性,70岁,修表工人,自诉刺激性咳嗽,有粘痰,无声嘶,有吞咽困难,已10年。于1988年11月16日入本院呼吸科。既往有肺结核病史,有口衔零件陋习,1978年某日突发阵发性呛咳,回忆当时口衔表面丢失。 体温36.8℃,脉搏80次/min,血压24.0/10.7kPa,消瘦,呈慢性病容,气管居中,甲状腺不肿大,移动喉体有不适感。于11月19日来我科会诊,间接喉镜所见:喉腔左侧有白色反光物,边缘模糊,疑有异物,用l％地卡因喷雾麻醉咽喉部,患者连续剧烈呛咳,呕出白色塑料表面一个,直径为2.9cm。异物排出后,咽喉痛、吞咽困难等症状消失,呼吸通畅,于12月2日出院。
Male, 70 years old, watch repair workers, private prosecution irritating cough, phlegm, silent hoarseness, difficulty swallowing, has 10 years. On November 16, 1988 into the hospital respiratory department. Previous history of tuberculosis, oral bad habits parts, one day in 1978, paroxysmal paroxysmal cough, memories of the surface of the mouth was lost. Body temperature 36.8 ℃, pulse 80 beats / min, blood pressure 24.0 / 10.7kPa, weight loss, chronic disease, tracheal center, thyroid enlargement, throat movement discomfort. On November 19 to our department consultation, indirect laryngoscopy seen: the left throat white reflector, the edge of the fuzzy, suspected foreign body, with l% dexamethasone anesthesia throat, the patient continued severe cough, vomiting A white plastic surface, a diameter of 2.9cm. Foreign body discharge, sore throat, dysphagia and other symptoms disappear, breathing is clear, was discharged on December 2.