患者男,35岁,主因颈部外伤后肿胀失音60余小时入院。现病史;患者因突然晕倒颈部撞击椅背上致伤,当即吐出鲜血约20ml,间有气泡沫,立即失音,颈前痛,无咳呛及呼吸困难,即就诊于某院,3天后转来我科。检查:颈部广范围肿胀,皮下气肿漫及上胸部胸骨角区、颈侧部。皮肤无淤血、裂伤。甲状软 Male patient, 35 years old, mainly due to neck injury after aphonia more than 60 hours admitted to hospital. The patient was suddenly fainted neck hit the back of the chair injury, immediately spit blood about 20ml, between the bubble, immediately aphonia, neck pain, no cough and choking and breathing difficulties, that visit a hospital, 3 days later Turn to my department. Check: a wide range of neck swelling, subcutaneous emphysema and diffuse upper chest sternal angle, neck lateral. No congestion of the skin, laceration. A soft-shaped