【摘要】 目的 探讨神经性肌强直症并发急性喉阻塞的诊断及治疗，并结合文献对此病的病因、发病机制、临床表现及诊治进行复习。方法 回顾性分析我科2000年收治的1例神经性肌强直症并发喉阻塞患者的诊治情况。结果 应用苯妥英钠加气管切开可以防治本病。结论 喉阻塞常首诊于耳鼻咽喉-头颈外科，而以神经性肌强直症并发者易造成误诊或误治，因此，保持病人呼吸道通畅，急诊行气管切开是必要的。

    关键词 神经性肌强直症 喉阻塞 气管切开术

    Laryngeal obstruction induced by neuromyotonia

    Zhang Wei，Liu Shuiming，Li Wanrong，et al.

    Department of Otolaryngology-Head and Neck Surgery， the Affiliated Hospital of Luzhou Medical College，Luzhou，646000.

    【Abstract】 Objective To study diagnosis and treatment of patients with acute laryngeal obstruction induced by neuromyotonia in otolaryngology.And to review its causes，mechanism，symptoms，signs and treatments in this article.Methods A case of laryngea1obstruction induced by neuromyotonia was analyzed retrospectively.Results Dilantin and tracheotomy were effective forit.ConclusionPatientswithlaryngea1obstructionusuallyconsultadoctorofotolaryngologyatfirst.Laryngea1obstruction induced by neuromyotonia may be misdiagnosis or mistreatment.It’s necessary to perform tracheotomy to establish the air way.Key words neuromyotonia laryngeal obstruction tracheotomy ......