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A female patient of 56 years old had hoarseness that seems worse after talking excessively,which occasionally associated with slightly sore throat and pharyngeal foreign body sensation. The symptoms are not associated with sore throat, fever, night sweats, not drinking cough, breathing and swallowing difficulties, but no cough, bloody sputum. Neck ultrasound can be showed: goiter and real echo uneven thickening, increased blood supply pan; the right thyroid lobe multiple cysts pan. Enhanced CT shows occupying lesions were found out in the right side of the supraglottic larynx gap and the right lobe of the thyroid, nature to be determined. Full thyroid function showed: thyroid microsomal antibodies 278.2 u / ml, the rest of the indicators in the normal range. Oth- er routine preoperative examinations were normal. Immunohistochemistry: CD45 ( + + ) CD68 ( + ) CD99 ( + + ) EMA( -- ) CK 广谱 ( -- ) Sclc( -- ) TTF-1 ( -- ) CgA( -- ) SY( -- ) NSE( -- ) S-100( -- ) ESA ( -- ). Supported by immuno- histochemistry, hyperplasia organizations was diffuse lymphoid tissue. Through expert consultation by superior hospital the pathology showed: Hashimoto's thyroiditis with thyroid papillary carcinoma(lesions of the right thyroid) ; Lesion on the right side of the throat gene rearrangement results show: B lymphocyte clonal consider mueosa-associated extranodal marginal zone B-cell lymphoma the gene rearrangement that the right side of the throat disease is: B lymphocyte clonal,be considerd mucosa-associated extranodal marginal zone Prcell lymphoma. Diagnosis., throat B-cell lymphoma; thyroid papillary carcinoma (right side) ;Hashimoto's thyroiditis(right side). 相似文献
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鼻腔水蛭是耳鼻咽喉科临床常见病之一,如何快速、有效地取出鼻腔水蛭是临床医生努力的方向。2006-07-2012-07期间笔者根据工作经验采用自制可控式吸引管吸取鼻腔水蛭取得满意疗效,现报告如下。1资料与方法1.1临床资料本组120例患者,男76例,女44例;年龄4~70岁,其中4~14岁90例,〉14~40岁15例,〉40~55岁5例,〉55~65岁10例。1.2方法1.2.1可控式吸引管制作采用临床常用的一次性橡胶可控式吸痰管,根据患者年龄、鼻腔腔隙情况而制作。长度以患者耳垂至鼻尖部为宜,儿童采用8~12号管,一般不超过12号;成人采用12号以上吸引管,最大不超过18号。 相似文献
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目的 探讨微动敏感床垫式睡眠监测系统(MSMSMS)的临床应用价值。方法 用MSMSMS对233例疑似睡眠障碍患者进行监测与分析。结果 233例中失眠者71例(30.5%);按呼吸暂停低通气指数(AHI)分度,31例正常(13.3%),202例为OSAHS患者(86.7%),未监测出中枢型及其他类型的睡眠呼吸暂停。结论 微动敏感床垫式睡眠监测系统能敏感判断睡眠呼吸事件,准确率高, 可实时监测心律及血氧饱和度变化,具有低生理、心理负荷指数,被监测者失眠率低,易被患者接受,临床运用广泛。 相似文献
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