喉癌长期误诊一例报告

1病例资料男，55岁。因反复咳嗽、咳痰30余年，加重伴气促、憋喘、胸闷3d就诊。患者30年前无明显诱因开始反复咳嗽、咳痰，未诊治。1年前出现不明原因进行性声音嘶哑，就诊当地医院及本院内科诊断为上呼吸道感染、慢性阻塞性肺疾病，给予相应治疗未见明显好转。

高渗盐水普米克令舒治疗慢性鼻窦炎、鼻息肉FESS术后复发

目的：评价3％的高渗盐水普米克令舒溶液治疗伴有变应性鼻炎的慢性鼻窦炎、鼻息肉功能性内镜鼻窦手术（ FESS）术后复发的疗效。方法对伴有变应性鼻炎的慢性鼻窦炎、鼻息肉FESS术后复发患者给予3％的高渗盐水普米克令舒溶液鼻腔灌洗3～5周，每日1次，比较治疗前后CT、鼻内镜检查结果及症状改善情况。结果治疗组30例，治愈20例，好转8例，无效2例。对照组20例，治愈4例，好转8例，无效8例。结论3％的高渗盐水普米克令舒溶液治疗伴有变应性鼻炎的慢性鼻窦炎、鼻息肉FESS术后复发安全、有效。

鼻中隔混合瘤1例

The clinical data of two adolescents with unilateral nasal cavity neoplasm were analyzed.Both were male,one was 14-year-old and the other was 17.Both complained of unilateral nasal obstruction and nasal discharge.The course of disease of the former was one month,and that of the latter was three month.Neoformation was found in unilateral nasal cavity in medical examination in both cases.Occupying lesion in unilateral nasal cavity and sinus were demonstrated in CT scan of two cases.Endoscopic surgery were performed in both cases,Caldwell-Luc incision was added in the latter.Pathology of the former was capillary hemangioma and the latter was rhabdomyosarcoma.No finding indicates any recurrence in two cases under 6 months follow-up.Recognition at nasal cavity and paranasal sinus neoplasm in adolescent is essential so that proper management can be initiated.

喉错构瘤1例

1 资料与方法 1.1 一般资料患者女,62岁,2008年10月6日因＂声嘶进行性加重1年＂入院。询诊获悉,其1年前不明原因出现声音嘶哑,呈间歇性,禁声休息后无明显缓解。之后声音嘶哑持续进行性加重,无疼痛及呼吸困难,无咳嗽、咯血等不适。查体生命体征平稳,间接喉镜检查：见会厌抬举可,梨状窝存在,双侧声带轻度充血，表面光滑，左侧声门下可见一肿物，大小约1．2cm×1．0cm，表面光滑，轻度充血，似囊性，声门闭合可，室带无充血。喉部CT检查后诊断为：喉腔肿物。