1病例报告患者,男,64岁。因渐进性声嘶半年余,加重伴呼吸困难3d由当地急诊转入我院。入院查体:血压170/120mmHg(1mmHg=0.133kPa),血氧60%;有明显三凹征,伴吸气性呼吸困难,Ⅲ度喉阻塞,喉喘鸣较明显,脸色苍白,脉速,烦躁不安,余生命体征正常。紧急在局部麻醉下行气管切开术、直达喉镜检查+新生物活检术,术中吸除白色覆盖物,发现整个喉腔充满红色圆形新生物,质地较韧, 1 case report patient, male, 64 years old. Due to progressive hysterics more than a half, aggravated with dyspnea 3d by the local emergency department transferred to our hospital. Admission examination: blood pressure 170 / 120mmHg (1mmHg = 0.133kPa), oxygen 60%; there are obvious three concave signs, with inspiratory dyspnea, third degree laryngeal obstruction, throat wheezing more obvious, pale, pulse speed, Irritability, more than normal life signs. Emergency under local anesthesia tracheotomy, direct laryngoscopy + new biopsy, intraoperative aspiration of white cover and found that the entire throat filled with red circular new organisms, the texture is relatively tough,