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患儿,女,8岁。因咳嗽5d,突发性呼吸不畅,吞咽困难1h,于1997年7月2日急症收住院。查体:T37.5℃,P98/min,R27/min,BPl0.5/8kPa,神志清,急性病容,Ⅰ度呼吸困难。颈部外观未见异常,双肺可闻及干罗音,心脏、肝、脾未见异常。耳鼻喉科检查:口咽部左侧突出一3cm×3cm 的圆形肿物,表面光滑,色泽与周围粘膜相似,触之囊性感。行 X 线检查,见颈前略偏左有一含气阴影,胸部透视见双肺纹理增多。因囊肿位于咽部致吞咽困难,呼吸不畅,准备穿刺抽气暂缓解症状,当穿刺针刚触及囊肿时,患儿
Children, female, 8 years old. Due to cough 5d, sudden respiratory failure, dysphagia 1h, on July 2, 1997 emergency admission hospital. Physical examination: T37.5 ℃, P98 / min, R27 / min, BPl0.5 / 8kPa, clear consciousness, acute disease, Ⅰ degree of breathing difficulties. No abnormal appearance of the neck, lungs can be heard and dry rales, heart, liver, spleen no abnormalities. ENT examination: the left oropharyngeal prominent 3cm × 3cm round tumor, the surface is smooth, similar to the surrounding mucosa color, touching the capsule sexy. Line X-ray examination, see the left slightly before the neck there is a shadow of gas, the chest see double lungs increased perspective. Due to cysts in the pharynx caused by swallowing difficulties, poor breathing, ready to puncture the air to relieve symptoms, when the puncture needle has just touched the cyst, children