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患者 ,女 ,72岁。因咽喉部异物感 2个月就诊。纤维喉镜检查见咽喉粘膜慢性充血 ,舌根淋巴滤泡增生。当将纤维喉镜头端退至鼻腔时 ,患者突感憋气 ,继之出现吸气性喘鸣及阻塞性呼吸困难 ,口唇紫绀 ,面色苍白。立即静脉输液 ,内加地塞米松 2 0mg,嘱患者深呼吸 ,并吸氧。约 30 min
Patient, female, 72 years old. Foreign body sensation due to throat 2 months treatment. See laryngeal mucosal fiber laryngoscopy chronic congestion, lymphoid follicular hyperplasia. When the fiber laryngoscope head retreated to the nasal cavity, the patient suddenly felt suffocated, followed by aspiration wheezing and obstructive dyspnea, cyanotic lips, pale. Immediate intravenous infusion, plus dexamethasone 20mg, Zhu Huanzhe deep breath, and oxygen. About 30 min