首页/ 题库 / [单选题]患者,中年男性,无明显诱因出现声音嘶哑、的答案

患者,中年男性,无明显诱因出现声音嘶哑、咳嗽漏气2~3个月,进食偶呛咳,无其他明显不适,主诉自服抗生素后症状好转,喉镜检查见一侧声带固定于旁正中位,健侧声带内收超越中线靠拢病侧。应诊断为()。

单选题
2021-09-05 06:12
A、喉炎
B、喉关节炎
C、单侧不完全性喉返神经麻痹
D、单侧完全性喉返神经麻痹
E、单侧喉返神经和喉上神经全部麻痹
查看答案

正确答案
D

试题解析
单侧完全性喉返神经麻痹患者患侧声带固定于旁正中位,可出现声嘶、讲话疲劳、咳嗽漏气,偶进食呛咳。发病初期发声时健侧声带闭合到正中位,双侧声带间有裂隙;后期可出现代偿,健侧声带内收超越中线靠拢病侧,发声好转,并非抗生素治疗有效。

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