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1 病例报告 患者女45岁,于1997年5月16日来我科就诊。初诊咽痛有异物感。逐渐加重,用抗生素治疗无效。近来除能进流汁外,吞咽其他食物均有疼痛,并伴咳嗽痰中带血,无明显声嘶。发病同时胸背部皮肤出现散在性水疱,破后疼痛加重。检查:体温36.8℃,脉博80次/分,血120/80mmHg。背及腰部皮肤有散在性杨梅薄壁软水疱,疱周皮肤正常。眼睑结膜及口腔粘膜正常。耳鼻喉科检查:咽后壁有4×2cm 溃疡,上起软腭平面,下至会厌缘平面,上覆白色假膜,用力咳嗽时可见溃疡面出血。间接喉镜下见舌根,会厌前间隙及会厌喉面也有假膜。纤维喉镜则见杓状软骨、声带、室带及声门下粘膜
1 case report The patient was 45 years old and came to our department on May 16, 1997. First visit sore throat foreign body sensation. Gradually aggravated with antibiotic therapy ineffective. In addition to the recent addition to the flow of juice, swallowing other foods are painful, accompanied by cough and bloody sputum, no obvious hoarseness. At the same time the incidence of chest and back skin scattered blisters, broken pain worse. Check: body temperature 36.8 ℃, Pulse Bo 80 times / min, blood 120 / 80mmHg. Back and waist skin scattered bayberry thin-walled soft blisters, blister week normal skin. Eyelid conjunctiva and oral mucosa normal. ENT examination: pharyngeal wall 4 × 2cm ulcer, soft palate from the plane, down to the epiglottis margin plane, covered with white pseudomembranous, coughing hard to see bleeding ulcers. Indirect laryngoscopy see the tongue root, epiglottis space and epiglottis also have pseudomembranous throat. Fibrolaryngoscope is seen arytenoid cartilage, vocal cord, ventricular zone and subglottic mucosa