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1病例资料患者,男,57岁,因“声音嘶哑伴咳嗽2个月”入院。患者于2017年3月开始无明显诱因出现声音嘶哑,伴发作性咳嗽,无明显咳痰,无咽喉部肿痛,无饮水呛咳,无胸闷心悸,无胸背部撕裂样疼痛,无腹痛腹胀等不适。在当地医院多次到呼吸科就诊,胸部CT检查示纵隔增宽,未见肺部实质性病灶,给予抗感染、止咳药物治疗,症状无明显好转。后到当地医院耳鼻喉科行喉镜检查示:左声带固定,余未见明显异常,给予口服喉片治疗1周。患者症
1 case data patients, male, 57 years old, due to “hoarseness with cough 2 months ” admission. Patients with no obvious incentive to start hoarseness in March 2017, with episodes of cough, no obvious sputum, no throat soreness, no watery cough, no chest tightness and heart palpitations, no thoracic and dural tear-like pain, no abdominal distension Discomfort. Many times to the local hospital respiratory clinic, chest CT showed mediastinal widened, no substantial lung lesions, given anti-infective, cough medication, no significant improvement in symptoms. After the local hospital otolaryngology line laryngoscopy showed: the left vocal cord fixed, I no obvious abnormalities, given oral treatment of laryngeal for 1 week. Patient symptoms