病历摘要 患者张某,男性,21岁,因气急、气喘,呼吸困难,进食受阻2个月,加重2周于1993年2月9日住院(住院号9303372)。患者咽痛反复发作5年余,曾先后7次因扁桃体周围炎或扁桃体周围脓肿给予抗菌治疗及切开引流。入院前1年起自感咽部有异物,讲话口齿不清,后发现左侧咽部有一蚕豆样大小的肿物,用手将之弄破后,流出黄色分泌物。此后,肿物逐渐增大如鸡蛋样大小,口齿不清更为明显,常感气急,气喘,稍活动即感气憋难忍,特别是平卧时呼吸困难明显加重,半卧位后可缓解。咽部肿物可被随意吐出或咽下,但吐出后即感气憋。由于受肿物的阻挡,患者无法进硬食,曾多次药物治疗,均未见效。 Patient Zhang, male, aged 21, was obstructed for 2 months due to shortness of breath, wheezing, difficulty breathing and was admitted to hospital on February 9, 1993 (hospital number 9303372). Patients with recurrent sore throat more than 5 years, has successively 7 times for peritonsillar inflammation or peritonsillar abscess given antibiotic treatment and incision and drainage. 1 year before admission since the sensation of throat foreign body, speechless mouth, and found that the left side of the throat a broad bean-like tumor mass, broken by hand, the outflow of yellow secretions. Since then, the tumor gradually increased, such as egg-like size, more obvious articulation, often feel irritable, asthma, a little activity that is stifled breathless, especially when breathing significantly worse when lying, semi-recumbent relief . Pharyngeal tumor can be spit or swallow, but after the breath spit it out. Due to the obstruction of the tumor, patients can not get hard food, had multiple drug treatment, were not effective.