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婴幼儿喉毛细血管瘤是一种少见的良性肿瘤,我科收治一例,现报告如下:陈××,女性,2岁,住院号52530。因阵发性剧咳二月,以夜间明显,伴声嘶,呼吸困难十天,于82年3月16日下午3时入院。入院前曾因上述症状,在当地医院诊断为“百日咳”,经抗感染及镇咳治疗(药名及剂量不详)症状未缓解。十天来咳嗽加剧,出现声嘶,呼吸困难,平卧对加剧。多次在当地医院治疗无效,于3月16日来我院门诊,以“急性喉炎,喉阻塞Ⅱ°(呼吸道异物?)收住院。发病前患儿无明显异物吸入史。体查:体温36.9℃,脉搏166次/分,呼吸28次/分。发育正常,营养中等,神志清楚,躁动不安、鼻翼煽动,唇指不发绀,可见明显四凹症,扁桃体Ⅱ°肿大,咽后壁无肿胀隆起。声嘶,呈吸气性喘鸣。间
Infantile laryngeal capillary hemangiomas are rare benign tumors. One case in our department is treated as follows: Chen X×, female, 2 years old, hospital number 52530. Because of the paroxysmal coughing in February, it was evident at night, accompanied by hoarseness, and dyspnea for ten days. He was admitted to hospital at 3 pm on March 16, 82. Before admission, he had been diagnosed as “pertussis” in the local hospital because of the above symptoms. The symptoms of antibiotics and antitussive treatment (drug name and dose unknown) were not alleviated. Cough has worsened in ten days, with hoarseness, difficulty in breathing, and aggravation of lying and lying. Repeated treatment in the local hospital was ineffective. He came to our hospital on March 16 and admitted to hospital with “acute laryngitis and obstruction of the throat II° (respiratory foreign body?). There was no history of significant foreign body inhalation before onset. Physical examination: body temperature 36.9°C, Pulse 166 beats/min, Breathing 28 beats/min.Normal development, moderate nutrition, conscious, restless, alar swaying, lip finger cyanosis, visible quadri-concave, enlarged tonsil II, posterior pharyngeal wall No swelling, uplift, sonar, inspiratory wheezing.