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1案例资料1.1病历资料某男,19岁。因“鳃裂瘘管切除术后2年,颈部红肿6天”入院,诊断为鳃裂瘘管术后复发并感染,颈部并咽部脓肿。当晚全麻下行颈部脓肿切开引流术,术中血压骤降至80/50mm Hg,行紧急气管切开术,见气道内有大量脓性物及血性物涌出,血氧饱和度进行性下降,经抢救无效死亡。1.2法医学检验解剖检验舌根左侧背下方见0.9cm×0.3cm小脓肿形成。第3~6气管软骨前壁正中见1.0cm纵行切口,部分支气管内血液吸入。颈左前皮肤及肌肉
1 case information 1.1 medical records a man, 19 years old. Due to “2 years after the branchial fistula resection, neck swelling 6 days ” admitted, diagnosed as branchial fistula recurrence and infection after surgery, neck and pharyngeal abscess. Night neck abscess incision and drainage under general anesthesia, intraoperative blood pressure dropped to 80 / 50mm Hg, the line of emergency tracheotomy, see a large number of airway purulent and bloody objects were discharged, oxygen saturation Decline, died after rescue invalid. 1.2 forensic test anatomical test Tongue left below the back see 0.9cm × 0.3cm small abscess formation. 3 ~ 6 tracheal cartilage in the middle of the anterior see 1.0cm longitudinal incision, part of the bronchial blood inhalation. Neck left front skin and muscle