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患者女,61岁,因间断干咳17年,吞咽困难半年于1991年8月29日入院。查体:左叶甲状腺可触及1.0×1.0cm大小结节。胸部X线摄片仅见左上纵隔增宽,断层片示左后上纵隔有一淡密度椭园形阴影。食管吞钡造影示上胸段食管于主动脉弓上缘水平有一弧形压迹,食管向右侧移位。纤维食管镜发现距门齿23cm处食管壁隆起,无搏动,粘膜正常。胸部CT见上纵隔肿
Female patient, 61 years old, 17 years due to intermittent dry cough, difficulty swallowing half a year on August 29, 1991 admitted. Examination: left lobe thyroid can reach 1.0 × 1.0cm size nodules. Chest radiographs only see the left upper mediastinum widening, the left upper posterior mediastinum showed a light density elliptical shadow. Esophageal barium angiography showed upper thoracic esophagus at the level of the aortic arch has an arc-shaped indentation, esophageal shift to the right. Fiber esophagoscopy found incision 23cm at the esophageal wall uplift, no beating, mucosal normal. CT chest see the mediastinum