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BMJ：吞咽困难-案例报道

2017-05-09 xing.T MedSci原创

吞咽困难强直性脊柱炎骨化
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这是强直性脊柱炎罕见但可识别的并发症，其治疗选择仅限于手术减压。

患者为一名64岁的男性，既往有HLA B27阳性的强直性脊柱炎（如图1左侧所示），出现进行性吞咽困难，先是对固体食物吞咽困难，在随后几个月发展为对液体出现吞咽困难。



在透视图像（如图1右侧所示）上可见C3和C4位置之间一个较大的前方骨赘，由纤维环以及前纵韧带骨化并融合而引起的。这导致了食管后壁受压，从而使患者出现吞咽困难。

这是强直性脊柱炎罕见但可识别的并发症，其治疗选择仅限于手术减压。 

原始出处：

Anam Ahmad, et al. “I’ve got a lump in my throat”.BMJ 2017; http://www.bmj.com/content/357/bmj.j1209

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    2017-11-25 gaoxiaoe

    #BMJ#

    0

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    2017-05-18 收获你的美

    学习了，好文章，长见识

    0

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    2017-05-11 zxl729

    #吞咽困难#

    0

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    2017-05-10 杨利洪

    学习了长了知识

    0

  5. 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    2017-05-10 榄枷檬

    谢谢分享

    0

  6. 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    2017-05-10 1e1b0e77m05(暂无匿称)

    多一个病人，多一份经验

    0

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level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLK1wzJZRTON4gxYUibhUyOypBwMibC4R7SsppicGhz5Ogoy0VVq4CWnqaD2Moeib8RWxI5lOiaVmnxpan/0, createdBy=c53f1730331, createdName=tanxingdoctor, createdTime=Wed May 10 00:32:31 CST 2017, time=2017-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=195940, encodeId=441a1959404c, content=认真拜读了有张见识了，谢谢！, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Tue May 09 23:30:58 CST 2017, time=2017-05-09, status=1, ipAttribution=), 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    2017-05-10 天涯183

    非常好的文章，学习了，很受益

    0

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    2017-05-10 tanxingdoctor

    学习啦谢谢分享

    0

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    2017-05-09 清风拂面

    认真拜读了有张见识了，谢谢！

    0

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    2017-05-09 三生有幸9135

    学习一下谢谢分享

    0

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