试题与答案

男,55岁。因进食哽噎感4个月入院。患者4个月前不明原因出现进食哽噎感,症状逐渐加重

题型:单项选择题 A3/A4型题

题目:

男,55岁。因进食哽噎感4个月入院。患者4个月前不明原因出现进食哽噎感,症状逐渐加重,近3周只能进全流质,体重下降5公斤。体检:T36.2℃,P83次/分,BP145/88mmHg。消瘦体型,双侧锁骨上淋巴结未触及,气管居中,双肺呼吸音正常。

提示:超声胃镜示距门齿23~28cm处食管新生物,病变侵及食管全层,纵隔淋巴结肿大;电子胃镜检查示食管新生物,黏膜有破坏,小溃疡形成;病理诊断为食管鳞癌。患者的最终诊断是()

A.食管腐蚀性狭窄

B.贲门失弛缓症

C.食管癌伴纵隔淋巴结肿大

D.反流性食管炎

E.食管痉挛

F.食管平滑肌瘤

答案:

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