患者女,68岁,因突发声嘶、吞咽困难而就诊。患者12天前因“高血压”(24/13kPa)短暂意识丧失,呕吐,清醒后出现声嘶、吞咽困难,在当地医院就诊检查,CT、心电图、胸透、血常规均未发现异常,给予青霉素、维生素、补液等治疗无效,转入我院。 查体 一般情况可,神志清,精神差,自主体位,BP:20/11kPa,头颅无异常,咽部有少量钡剂附着(钡餐检查不能吞咽),间接喉镜检查,会厌无异常,双侧梨状窝对 Female patient, 68 years old, due to sudden hoarseness, swallowing difficulties and treatment. Patients 12 days ago due to “hypertension” (24 / 13kPa) short-term loss of consciousness, vomiting, sobbing after awake, dysphagia, examination at a local hospital, CT, ECG, chest X-ray, blood were found no abnormalities, Penicillin, vitamins, rehydration therapy invalid, transferred to our hospital. General physical examination can be, clear consciousness, poor spirit, autonomy, BP: 20 / 11kPa, no abnormal skull, a small amount of barium pharyngeal attachment (barium meal examination can not swallow), indirect laryngoscopy, epiglottis no abnormalities, both sides Pear-shaped nest right