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患者,男性,4岁。生后不久发现左颈前有一肿块,之后逐渐增大,平素无明显不适,无声嘶,哭闹时有轻度增大。体检:左侧甲状腺部位可扪及5×4×3cm~3大小质软肿块,表面光滑,无压痛,按压不能缩小,肿块可随吞咽动作上、下移动。拟诊甲状腺肿块,在氯胺酮麻醉下行手术;见气管左侧有一囊肿,约7×4×4cm~3大小,有蒂在甲状软骨后与食管相通,切除囊肿后好现食管左前壁有一直径2cm的缺损;遂行横向缝合修补食管缺损。术中放置胃管,术后鼻饲,7天后进流汁,第10天痊愈出院。病理诊断:食管憩室。
Patient, male, 4 years old. Shortly after birth, there was a lump in front of the left neck, then gradually increased, usually no obvious discomfort, silent hoarseness, mild increase when crying. Physical examination: the left thyroid site palpable mass soft mass 5 × 4 × 3cm ~ 3, smooth surface, no tenderness, the pressure can not be reduced, the tumor can swallow up and down movement. The thyroid mass to be treated is treated under ketamine anesthesia; see a cyst on the left side of the trachea, about 7 × 4 × 4cm ~ 3 in size. The pedicle is connected to the esophagus after the thyroid cartilage. After the cyst is removed, the left anterior esophagus has a diameter of 2cm Of the defect; horizontal suture repair esophageal defect. Intraoperative gastric tube placement, nasal feeding after 7 days into the flow of juice, the first 10 days cured. Pathological diagnosis: esophageal diverticulum.