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喉乳头状瘤术后放线菌感染一例

Actinomyces infection in post-operation of laryngeal papilloma: one case report
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摘要 患者女,46岁,因声嘶17年伴呼吸困难1年半于2015年6月入院.1998、1999、2011年先后3次在外院因喉乳头状瘤行手术治疗,前两次为激光手术,后一次行喉裂开术.术后持续声嘶,2014年初出现呼吸困难,同年年底加重,阵发性干咳,伴反酸、呃气.慢性胃炎病史10余年.喉镜下见双侧室带、声带前2/3广泛粘连,杓区黏膜肿胀(图1),以"喉乳头状瘤术后喉腔粘连、反流性喉炎、慢性胃炎"收住院.入院后拟行气管切开、喉腔粘连松解、喉模置入术.因患者不同意行上述手术而在全麻支撑喉镜下行喉腔粘连低温等离子刀切除术(图2).粘连组织病检报告为变性坏死黏膜及纤维组织,内有放线菌生长,周围有大量炎性细胞浸润(图3,4),诊断为喉放线菌病、喉粘连.嘱口服青霉素类药物3个月治疗喉放线菌病,同时治疗反流性喉炎.
出处 《中华耳鼻咽喉头颈外科杂志》 CAS CSCD 北大核心 2016年第3期221-222,共2页 Chinese Journal of Otorhinolaryngology Head and Neck Surgery
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参考文献12

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