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患者男,75岁,1987年9月29日因打架颅脑冲击伤,急诊住院观察。检查神志清楚,头部无伤痕迹象,瞳孔等大等圆,对光反应敏捷,颈无抵抗,心肺正常,生理反射存在,病理反射未引出,脑膜刺激征阴性。自诉头晕,发呕,吐出物为少量胃内容,有时口腔内吐出一杏核大之肉状物。询问病人既往情况,不肯讲出。第二天晚输液后,病人突感全身发冷、颤抖,查无特殊,以液体反应给肌注苯海拉明20mg,非那根20mg,吃药时病人发生呕吐,口中吐出一肉状物至唇,并出现窒息感,病人烦燥不安,其家属急用手欲行还纳,突然呼吸停止,紧急抢救,气管刺入粗针头,人工呼吸,继心跳停止,抢救30分钟心跳、呼吸未恢复。对尸体进行解剖,见喉口咽部堵塞着一块息肉。其息肉长于距喉口下2.5cm处,全长21cm,其蒂长3cm,息
Male patient, 75 years old, September 29, 1987 due to fight brain injury, emergency hospitalization. Check consciousness, no signs of head injuries, pupils and other large circle, agile response to light, cervical non-resistance, normal heart and lungs, the presence of physiological reflex, pathological reflex did not lead to negative meningeal irritation. Private prosecution dizziness, nausea, vomit for a small amount of stomach content, sometimes spit out an almond nuclear large meat. Asked the patient’s past situation, refused to say. The next day after infusion, the patient suddenly felt whole body chills, trembling, no special investigation to intramuscular injection of diphenhydramine 20mg, phenanthrene 20mg, taking medicine vomiting occurred in the mouth, spit out a meaty mouth To the lips, and apnea, the patient irritable, his family urgently needed to return, suddenly stopped breathing, emergency rescue, tracheal needle penetration, artificial respiration, following the heartbeat stopped, rescue the heartbeat for 30 minutes, breathing is not restored . Anatomy of the body, see the throat blocked with a piece of polyps. Its polyp longer than 2.5cm away from the throat, full length 21cm, its pedicle length 3cm, interest