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患者男,64岁,因声嘶1月余,加重15d,于1987年12月9日在某医院做纤维镜检查,示左侧声带突出,肿胀、活动差,影响声门闭合。当即取出米粒大小的灰白色软组织数块,病理检查为:“慢性炎细胞浸润”。用氨苄青霉素、地塞米松及中药治疗无效。1周后在表面麻醉下再次行直接喉镜检查,发现左侧声带前下方有一息肉样物突出,基底广,呈灰白色,予以手术摘除(病理报告为:“淀粉样变”)。术后即感发音改善。出
Male patient, aged 64, due to hoarseness more than 1 month, increased 15d, on December 9, 1987 in a hospital as a fiberoptic examination, showed prominent left vocal cord, swelling, poor activity, affecting the glottis closure. Immediately remove the size of the grain of soft white gray number of blocks, pathological examination: “chronic inflammatory infiltration ”. With ampicillin, dexamethasone and Chinese medicine treatment is invalid. One week later, under direct anesthesia, direct laryngoscopy was performed again to find that there was a polyp sample protruding in front of the left vocal fold. The basal area was broad and gray-white and was surgically removed (pathological report: “Amyloidosis”). Postoperative sense of hearing improvement. Out