枕骨大孔旁异物一例

男,28岁。1981年11月1日用自制鸟枪射击时子弹爆炸,炸伤右侧面部,流血不止。右鼻孔流血较多,左侧颞部跳动性剧痛,无恶心呕吐及昏迷,当日13时急诊入院。检查:神志清楚;右侧鼻旁有“Y”形伤口,通入上颌窦;鼻中隔后段及鼻咽左侧壁有创面,左侧软腭粘膜下淤血,软腭活动受限;左耳下方肿胀较硬,压痛明显。神经系检查:右侧鼻唇沟变浅,右上唇麻痒,伸舌偏向左侧,活动失灵。头颅侧位及颅底X线片示枕骨大孔左侧、寰椎横突旁有一约2.1×1.5×1.0cm~3金属异物,右侧上颌窦积液(图略)。诊断:①颅     

TREATMENT OF XENOPHONIA IN MALE YOUTHS BY EXTRALARYNGEAL MASSAGE AND LANGUAGE TRAINING

Xenophonia in male youths is a vocalabnormality during and after the sound va-riation stage.The main symptoms are hightone,low voice,short breath and unstablesound control,which are usually a function-al variation,a habitual vocal defect.Thedisease cannot be cured,though a few pa-