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喉(包括会厌)囊肿虽属良性,但当妨碍呼吸时可危及生命,故应重视。作者报告1例阻塞气道的巨大会厌囊肿经抢救后用CO_2激光治愈的病例。患者男性,43岁。因咽痛、吞燕困难伴进行性喘鸣3天就诊。患者语声含糊,有双相喘鸣。检查见一巨大水肿的会厌充塞口咽部,距咽后壁仅数毫米,肿物随呼吸而活动。CT相示巨大团块侵及会厌谷、会厌及左侧杓会厌襞,气道明显受阻。次日经口腔插管失败而作气管切开术。喉直达镜检查见有1.5×1.5cm团块填充左侧会厌谷,亦与会厌舌面囊肿相连接。活检时团块破裂,流出约5ml黄绿色脓液。住院6天后,戴管出院。
Throat (including epiglottis) although cyst is benign, but when the obstruction of breathing can be life-threatening, it should be valued. The authors report a case of a giant epigastric cyst obstructing the airway that was cured with CO2 laser after rescue. Male patient, 43 years old. Due to sore throat, swallow Yan difficulties with progressive wheezing 3 days treatment. Patients vague vague, bipolar wheezing. Check see a huge edema of the epiglottis stuffed oropharynx, only a few millimeters from the posterior pharyngeal wall, the tumor moves with the breathing. CT showed a huge mass invasion of epiglottis Valley, epiglottis and the left side of the skull epiglottis, airway obstruction was significantly. The next day after oral intubation failed for tracheotomy. Laryngeal direct mirror examination revealed 1.5 × 1.5cm lumps on the left epiglottis Valley, also connected with the epiglottis surface cyst. Biopsy mass rupture, out of about 5ml yellow-green pus. Six days after hospitalization, he was discharged.