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患者,男,38岁。1986年12月4日中饭后觉喉痛,无发热、声嘶。当日下午6时50分左右喉痛加剧,赴某医院急诊,诊断为急性会厌炎,用青、链霉素、强的松等药物治灯。青、链霉素,皮试阴性,7时给于注射,约8时回家,因症状愈来愈重,当晚拦车再往医院急诊。9时20分呼吸停止,心跳微弱,紧急气管切开,行人工呼吸抢救等措施无效死亡。尸检所见(冷藏48小时后解剖)尸斑呈暗红色,尸斑浓厚部见散在性点状出血,前臂见1皮试针孔,无红肿。咽喉部粘膜高度充血水肿,上起舌根,下至第三气管软骨环,下咽腔右侧壁充血,会厌披裂和梨状窝粘膜高度充血水肿,两侧假声带、喉室及声带明显肿胀、
Patient, male, 38 years old. December 4, 1986 after eating sore throat, no fever, hoarseness. On the afternoon of 6:50 or so sore throat, went to a hospital emergency, diagnosed as acute epiglottitis, with blue, streptomycin, prednisone and other drugs governance lamp. Green, streptomycin, skin test negative, at 7 o’clock for injection, about 8 o’clock to go home, because the symptoms are getting heavier, the night block further hospital emergency. 9:20 stop breathing, weak heartbeat, emergency tracheotomy, artificial resuscitation and other measures ineffective death. Autopsy seen (48 hours after cryo-autopsy) necrotic spot was dark red, a strong spot in the corpse seen scattered spot punctate bleeding, forearm see a skin test pinholes, no swelling. Throat mucosa highly congestion and edema, from the base of the tongue, down to the third tracheal cartilage ring, the right side wall of the hypopharynx congestion, epiglottis and pyriform femoral mucosa highly congestion and edema, false vocal cord on both sides of the throat and vocal cord was significantly swollen,