声门下Wegner肉芽肿致喉梗阻1例并文献复习

史丽丽; 甄宏韬

doi:10.13201/j.issn.1001-1781.2018.12.018

声门下Wegner肉芽肿致喉梗阻1例并文献复习

史丽丽,
甄宏韬^,

- 华中科技大学同济医院耳鼻咽喉头颈外科(武汉, 430030)
基金项目:
青年科学基金（No：81500777）

详细信息

通讯作者: 甄宏韬,E-mail:zhtlancet@163.com

中图分类号: R767.4

收稿日期: 2017-08-03

Wegner's granulomatosis of hypolarynx in a patient with laryngemphraxis: case report and review of literature

SHI Lili,
ZHEN Hongtao^,

More Information

Corresponding author: ZHEN Hongtao, E-mail: zhtlancet@163.com

Received Date: 03 August 2017

摘要

- 声门 /
- Wegner肉芽肿 /
- 喉梗阻
Abstract: A patient suffered from progressive dyspnea and even laryngeal obstruction visited our department in May, 2017 and received emergency tracheotomy for assistance in breathing. There was no dysphagia, sore throat, fever, cough, hemoptysis and hematuresis. The pathological signs including facies dolorosa, three depressions sign, perforation of nasal septum. The laboratory examination showed that there were hematuresis and albuminuria. The urine bilirubin levels were elevated, antineutrophil cytoplasmic antibody (ANCA) was positive and antiproteinase 3 antibody was elevated. The electronic laryngoscope revealed the swelling of infraglottic region and laryngeal CT showed the subglottic area occupation and stenosis. The pulmonary CT showed the irregular mass shadow in lower lobe of right lung which was considered benign pathological changes. Finally, the diagnosis was subglottic Wegner's granulomatosis and result in laryngeal obstruction and need the first aid in clinic.
- glottis /
- Wegner's granulomatosis /
- obstruction of larynx

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参考文献(20)

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