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患者男,20岁,战士,因声音嘶哑1a(年)余,于1985—11—12入院。患者1a前无何诱因有咽痛和声嘶,咳痰中偶带血丝,未介意。1984—11训练新兵时加重,先后咯血三次,每次咯血约70～80ml,咯血后声嘶减轻,每次1wk左右而自行止血。无呼吸困难。经消炎治疗未奏效。近日来声嘶明显,活动后轻度呼吸困难,来我院就诊。检查:全身及耳鼻咽无异常。间接喉镜检查见左声带前2/3声门缘有一个约1.0×1.0cm大小的暗紫色肿物,表面光滑,基底部较广,质软,随发音上下活动,左声带略充血,运动尚可。会厌和假声带及右声带均正常。胸透
Male patient, 20 years old, warrior, due to hoarseness 1a (years) I, admitted on 1985-11-12. Patient 1a without any incentive to sore throat and hoarseness, sputum even with bloodshot eyes, did not mind. 1984-11 increased training recruits, has hemoptysis three times, each hemoptysis about 70 ~ 80ml, hemoptysis after hoarseness reduce, each about 1wk and stop bleeding on their own. No breathing difficulties. Anti-inflammatory treatment did not work. In recent days hoarse obviously, mild dyspnea after activity, come to our hospital. Check: no abnormalities in the whole body and ear and nasopharynx. Indirect laryngoscopy see the left vocal cord before the 2/3 of the verge of a 1.0 × 1.0cm size of the dark purple tumor, the surface is smooth, the base of the wider, soft, with the sound up and down activity, the left vocal cord slightly hyperemia, sports can. Epigrany and falsetto and right vocal cords are normal. Chest throat