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患者,男,62岁。主因喉部疼痛伴声嘶4个月,吞咽及呼吸困难半月于1988月11月28日住院。否认心脏病、高血压等病史。查体:Bp110/70mmHg,一般情况尚可,两肺(一),心界不大,心率60次/分,期前收缩20次/分,各瓣膜区未闻器质性杂音,腹部(-)。左颈上部及甲状软骨下部触诊硬。左颈下可及4×5cm淋巴结,质硬。 11月30日ECG示:窦律,81次/分,P-R0.15″,Q-T0.39″,房早呈三联律。STⅡⅢavF、V_(3-6)水平下降≥0.05mv,T波低平倒置。血K~+3.6mEq/L,Na~+144mEq/L,Cl 111MEq/L。诊断为喉癌,于12月2日上午在全麻下行全喉、食道上段切除术。术中见肿瘤包绕左颈血管鞘,剥离肿瘤时不慎切断左颈交感神经节,在分离及牵拉食道时,心电示波间断出现QT延长,频发室早
Patient, male, 62 years old. Mainly due to laryngeal pain with hoarseness 4 months, swallowing and difficulty breathing half a month in November 28, 1988 hospitalization. Denied heart disease, hypertension and other medical history. Physical examination: Bp110 / 70mmHg, the general situation is acceptable, the two lungs (a), the heart is not big heart rate 60 beats / min, before the contraction of 20 beats / min, the valve area unheard of organic noise, ). Left upper neck and lower thyroid cartilage palpation. Left and neck under and 4 × 5cm lymph nodes, hard. November 30 ECG showed: sinus rhythm, 81 beats / min, P-R0.15 “, Q-T0.39”, as early as triple room law. STⅡⅢavF, V_ (3-6) level decreased ≥ 0.05mv, T wave low level inversion. Blood K ~ + 3.6mEq / L, Na ~ 144mEq / L, Cl 111MEq / L. Diagnosis of laryngeal cancer, on the morning of December 2 under general anesthesia throat, upper esophageal resection. Surgery, see the tumor around the left neck sheath, peel the tumor inadvertently cut off the left cervical sympathetic ganglia, separation and traction in the esophagus, ECG intermittent QT prolongation, frequent room early