论文部分内容阅读
患者,男,31岁。因声嘶、呼吸困难1月余,明显加剧5天急诊入院。1月前因有机磷中毒于当地医院行气管插管5昼夜,拔管后即声嘶、呼吸困难,肢体运动障碍,住院20余天症状无明显改善。出院后5天患感冒,呼吸困难加重转入我院。入院时喉梗阻明显,否认外伤及传染病接触史。体检:一般情况差,神志清楚,四肢肌力Ⅳ级,肌张力轻度亢进,活动受限。口唇轻度紫绀,声嘶明显,喘鸣音响亮,呼吸困难Ⅲ°,气管居中,颈静脉轻度怒张。咽粘膜轻度充血,扁桃体Ⅰ°肿大,会厌无特殊,杓部中度充血伴水肿,
Patient, male, 31 years old. Due to hoarseness, dyspnea more than 1 month, significantly exacerbated the 5-day emergency admission. 1 month ago due to organophosphate poisoning in the local hospital tracheal intubation 5 days and nights, hoarseness after extubation, dyspnea, limb movement disorders, hospitalized more than 20 days no significant improvement in symptoms. 5 days after discharge from a cold, dyspnea increased into our hospital. On admission, laryngeal obstruction evident, deny trauma and infectious disease exposure history. Physical examination: the general situation is poor, conscious, limb muscle strength Ⅳ, mild muscle tone hyperthyroidism, limited mobility. Lips mild cyanosis, hoarseness significantly, wheezing loud, breathing difficulty Ⅲ °, tracheal center, mild jugular vein engorgement. Pharyngeal mucosa mild hyperemia, tonsil I ° enlargement, epiglottis no special, moderate congestion with edema,