[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fWFz02iQOJhBw8jv2qpOnBx19XWKC3xOQiQVe0I8TcWA":8,"$f53GIRp_F7FQ9iD3k3kIecHR-NowmEW33vgxFBZpCgOg":55,"$fDdvY_R0n2XOq9om3Qc9A-c5G1FhWLwYbaZRCY5x_2_8":59},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":54},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"hospital":17,"department":18,"postsTitle":19,"materialTotal":20,"videoTotal":21,"isConcern":7,"title":22,"coverVertical":23,"coverAcross":24,"content":25,"description":26,"views":27,"likes":21,"isThumbsUp":7,"isCollection":7,"collections":21,"createTime":28,"seoTitle":22,"seoKeywords":29,"seoDescription":30,"shelvesTime":31,"version":32,"menus":33,"menuId":35,"type":42,"quality":53,"commentCount":21,"isComment":42},51466,867568,[],"https://ystcdn.venuertc.com/learnMaterial/ystApp//Qwz6GyCWTi4XHRajDQhvP0c86fSiOy65.png","李文旭","温州老年病医院","肿瘤科","主治医师",317,0,"肺癌转移性低分化腺癌治疗药物详解与安全用药要点","","https://ystcdn.venuertc.com/venue/AI/106fa39b-a1c3-4dec-9d7a-5043bb3441c9.jpg","\u003Cdiv class=\"material_safe_drug_guide\">\n  \u003Ch2 id=\"material_title\" class=\"material_safe_drug_h1\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">肺癌转移性低分化腺癌治疗药物详解与安全用药要点\u003C/h2>\n  \n  \u003Csection class=\"material_safe_drug_section material_safe_drug_banner\">\n    \u003Cp>化疗药、免疫制剂一起使用，如同搭建了治疗的双保险。哪怕是熟悉的组合，比如培美曲塞、卡铂、替雷利珠单抗，也不容忽视细节。本文将带你系统梳理这些药物的\u003Cstrong>7大核心用药细节\u003C/strong> 🚦，用最明了的方式帮你理解怎样用更规范、效果更好、更安全。\u003C/p>\n  \u003C/section>\n\n  \u003Csection class=\"material_safe_drug_section\">\n    \u003Ch2 class=\"material_safe_drug_h2 material_safe_drug_bg\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">1. 主要药物成分和基本信息\u003C/h2>\n    \u003Cdiv class=\"material_safe_drug_content\">\n      \u003Cul class=\"material_safe_drug_ul\">\n        \u003Cli>\u003Cstrong>培美曲塞（Pemetrexed）\u003C/strong>：注射用抗代谢类化疗药，规格常见为100mg、500mg冻干粉。\u003C/li>\n        \u003Cli>\u003Cstrong>卡铂（Carboplatin）\u003C/strong>：注射用铂类化疗药，以静脉滴注给药，规格常见为50mg、150mg、450mg等。\u003C/li>\n        \u003Cli>\u003Cstrong>替雷利珠单抗（Tislelizumab）\u003C/strong>：注射用免疫检查点抑制剂（PD-1抑制剂），每瓶200mg/20ml。\u003C/li>\n      \u003C/ul>\n      \u003Cp>这三种药物通常按照化疗联合+免疫治疗方式配合使用，各自有独立的使用规定。\u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"material_safe_drug_section\">\n    \u003Ch2 class=\"material_safe_drug_h2 material_safe_drug_bg\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">2. 药物作用机制解读 🌱\u003C/h2>\n    \u003Cdiv class=\"material_safe_drug_content\">\n      \u003Cul class=\"material_safe_drug_ul\">\n        \u003Cli>\u003Cstrong>培美曲塞：\u003C/strong>干扰细胞内叶酸代谢，阻断DNA和RNA合成，发挥细胞毒作用\u003Csup>[1]\u003C/sup>。\u003C/li>\n        \u003Cli>\u003Cstrong>卡铂：\u003C/strong>与DNA发生交联，阻止细胞分裂和增殖。\u003C/li>\n        \u003Cli>\u003Cstrong>替雷利珠单抗：\u003C/strong>阻断PD-1/PD-L1信号路径，使免疫细胞恢复对异常细胞的识别和清除能力\u003Csup>[2]\u003C/sup>。\u003C/li>\n      \u003C/ul>\n      \u003Cp>它们分别从细胞复制和免疫调控两端协同发力。\u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"material_safe_drug_section\">\n    \u003Ch2 class=\"material_safe_drug_h2 material_safe_drug_bg\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">3. 正确用法用量和给药流程\u003C/h2>\n    \u003Cdiv class=\"material_safe_drug_content\">\n      \u003Cp>不同药品需要按照医务人员严格操作，并不能自行调整方案：\u003C/p>\n      \u003Col class=\"material_safe_drug_ol\">\n        \u003Cli>\n          \u003Cstrong>培美曲塞：\u003C/strong>\n          \u003Cul class=\"material_safe_drug_ul_inner\">\n            \u003Cli>静脉滴注30~40分钟，每3周1次，具体剂量按体表面积和肝肾功能计算。\u003C/li>\n            \u003Cli>给药3日前、给药当日和给药结束后需补充维生素B12和叶酸，减少副作用。\u003C/li>\n          \u003C/ul>\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>卡铂：\u003C/strong>\n          \u003Cul class=\"material_safe_drug_ul_inner\">\n            \u003Cli>按照AUC（药代动力学面积）方案计算剂量，一般静脉滴注15~60分钟，每3周1次。\u003C/li>\n            \u003Cli>肾功能不全者需要调整剂量。\u003C/li>\n          \u003C/ul>\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>替雷利珠单抗：\u003C/strong>\n          \u003Cul class=\"material_safe_drug_ul_inner\">\n            \u003Cli>按推荐剂量静脉注射，每3周1次，注射时间约60分钟。\u003C/li>\n            \u003Cli>不需因体重、肝肾功能等作大幅调整，除非医生认为必要。\u003C/li>\n          \u003C/ul>\n        \u003C/li>\n      \u003C/ol>\n      \u003Cp>正确做法：始终由专科医生根据身体指标定制剂量，全程院内输注，不可口服或自行注射。\u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"material_safe_drug_section\">\n    \u003Ch2 class=\"material_safe_drug_h2 material_safe_drug_bg\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">4. 给药时间与注意事项🕒\u003C/h2>\n    \u003Cdiv class=\"material_safe_drug_content\">\n      \u003Cul class=\"material_safe_drug_ul\">\n        \u003Cli>三种药物通常同时使用于化疗周期早期，每3周为一疗程。\u003C/li>\n        \u003Cli>用药当日务必空腹，餐后2小时方可开始输注，避免恶心、呕吐。\u003C/li>\n        \u003Cli>期间需严密监测血常规、肝肾功能、电解质和心电变化。\u003C/li>\n        \u003Cli>服用辅药（叶酸、维生素B12）时间不可随意错开，以预防骨髓抑制。\u003C/li>\n      \u003C/ul>\n      \u003Cp>如遇特殊情况（如急性感染、严重骨髓抑制），应中止用药，等医生评估后重新决定方案。\u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"material_safe_drug_section\">\n    \u003Ch2 class=\"material_safe_drug_h2 material_safe_drug_bg\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">5. 特殊人群用药调整策略\u003C/h2>\n    \u003Cdiv class=\"material_safe_drug_content\">\n      \u003Cul class=\"material_safe_drug_ul\">\n        \u003Cli>\n          \u003Cstrong>老年患者：\u003C/strong>\n          体力较弱、肝肾储备下降时，化疗剂量需个体化调整。有案例显示，一位70岁男性患者因体力下降、食欲减退，培美曲塞和卡铂剂量适当下调后，副作用显著减轻，用药依从性大幅提升。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>肝肾功能不全者：\u003C/strong>\n          卡铂最需密切评估肾功能，根据肌酐清除率精确计算，防止药物蓄积和并发症。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>孕妇、哺乳期及儿童：\u003C/strong>\n          目前不建议使用上述方案，如遇疑需特殊决策，请严格遵医嘱。\n        \u003C/li>\n      \u003C/ul>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"material_safe_drug_section\">\n    \u003Ch2 class=\"material_safe_drug_h2 material_safe_drug_bg\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">6. 药物相互作用及用药搭配原则🧬\u003C/h2>\n    \u003Cdiv class=\"material_safe_drug_content\">\n      \u003Cul class=\"material_safe_drug_ul\">\n        \u003Cli>\n          \u003Cstrong>培美曲塞与卡铂：\u003C/strong>\n          联合使用时要关注对骨髓的相加抑制，严格化疗间隔期。与NSAIDs（如布洛芬）同用，有加重肾脏毒性的风险，服药前后应间隔48小时。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>培美曲塞与维生素补充剂：\u003C/strong>\n          建议全程补充叶酸与维生素B12，配合可大幅降低血液毒性（Myers et al., 2000）。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>卡铂：\u003C/strong>\n          不可与强酸碱药物、氨基糖苷类抗生素（如庆大霉素）同时混合，防止药效降低或毒性增加。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>替雷利珠单抗：\u003C/strong>\n          谨慎与激素类药物合用，高剂量可抑制免疫疗效；如因其他危急情况需短期使用，请由专科医生权衡。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>正确做法：主动向医生报告正在服用的所有药物和补剂💊，防止出现药物间冲突。\u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"material_safe_drug_section\">\n    \u003Ch2 class=\"material_safe_drug_h2 material_safe_drug_bg\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">7. 常见不良反应及处理方法⚠️\u003C/h2>\n    \u003Cdiv class=\"material_safe_drug_content\">\n      \u003Cul class=\"material_safe_drug_ul\">\n        \u003Cli>\n          \u003Cstrong>骨髓抑制：\u003C/strong>\n          是培美曲塞与卡铂最常见的不良反应。临床研究显示，三级以上粒细胞减少发生率可达20-30%\u003Csup>[3]\u003C/sup>。表现为乏力、感染、出血倾向。需定期查血，如数值异常，及时暂停用药并针对性治疗。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>消化道反应：\u003C/strong>\n          如恶心呕吐、腹泻较为普遍，可提前应用止吐药物。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>免疫相关不良反应：\u003C/strong>\n          替雷利珠单抗可能引起皮疹、肝炎、肺炎等免疫反应。出现持续发热、皮肤黄染、呼吸异常等需及时反馈医师，不得自行停药调整。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>过敏反应：\u003C/strong>\n          卡铂偶可引起过敏，注射初期严密观察。如有皮疹、气促、心慌等，马上报告，现场救治为主。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>尤其免疫治疗的不适，常常进展隐匿，务必重视每一次检测。\u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"material_safe_drug_section\">\n    \u003Ch2 class=\"material_safe_drug_h2 material_safe_drug_bg\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">8. 储存方法与用药遗忘处理\u003C/h2>\n    \u003Cdiv class=\"material_safe_drug_content\">\n      \u003Cul class=\"material_safe_drug_ul\">\n        \u003Cli>\n          \u003Cstrong>储存要求：\u003C/strong>\n          培美曲塞、卡铂、替雷利珠单抗均应避光、密闭、干燥、2-8°C冷藏保存。开封后建议当天用完，剩余部分勿再使用。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>漏服处理：\u003C/strong>\n          若某疗程未按时输液，不要自行补打，应及时与主管医生联系，评估延后风险并制定新计划。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>过量应对：\u003C/strong>\n          化疗药物误用过量时要马上送院排查全身毒性反应。如疑似免疫治疗超量，需立即暂停用药，由医师严密观察和对症支持。\u003C/li>\n      \u003C/ul>\n      \u003Cp>过期药品请送到正规医疗机构回收，不要随意丢弃。\u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"material_safe_drug_section\">\n    \u003Ch2 class=\"material_safe_drug_h2 material_safe_drug_bg\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">9. 临床用药案例精选\u003C/h2>\n    \u003Cdiv class=\"material_safe_drug_content\">\n      \u003Cul class=\"material_safe_drug_ul\">\n        \u003Cli>一位70岁男性患者静脉输注培美曲塞、卡铂和替雷利珠单抗联合治疗，因按医嘱规范补充叶酸与维生素B12，骨髓抑制较轻，可以顺利完成化疗周期。\u003C/li>\n        \u003Cli>有患者在服用卡铂期间，误用某类消炎镇痛药（NSAIDs），出现肾功能急剧下降，调整用药后肾功能恢复。\u003C/li>\n        \u003Cli>一位使用替雷利珠单抗的患者早期出现皮疹，及时上报调整治疗方案，避免了更严重的不良反应。\u003C/li>\n      \u003C/ul>\n      \u003Cp>这三类案例都提醒我们，规范执行用药和辅助措施、监测不良反应是提升疗效、减少损害的关键。\u003C/p>\n    \u003C/div>\n  \u003C/section>\n  \n  \u003Csection class=\"material_safe_drug_section material_safe_drug_summary\">\n    \u003Ch2 class=\"material_safe_drug_h2 material_safe_drug_bg\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">10. 重点总结与安全提醒🔔\u003C/h2>\n    \u003Cdiv class=\"material_safe_drug_content\">\n      \u003Col class=\"material_safe_drug_ol\">\n        \u003Cli>化疗和免疫药物需严格遵循医生方案，绝不自行调整剂量和频率。\u003C/li>\n        \u003Cli>每次用药和检测都要按时完成，及时汇报异常反应。\u003C/li>\n        \u003Cli>维生素B12、叶酸不可遗漏，有效降低不良反应。\u003C/li>\n        \u003Cli>遇到副作用不要盲目停药，第一时间就医，由医生设定新策略。\u003C/li>\n        \u003Cli>家里储存药品要冷藏并密封，发现变色、浑浊或过期，统一送医处置。\u003C/li>\n      \u003C/ol>\n      \u003Cp style=\"margin-top:18px;\">科学用药就是疗效和安全的双保险。熟练掌握本文这些细节，不仅对自己有帮助，也能提醒身边家人朋友。如果还有疑问，应随时向药师或主治医生咨询。\u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"material_safe_drug_section material_safe_drug_reference\">\n    \u003Ch2 class=\"material_safe_drug_h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">相关参考文献\u003C/h2>\n    \u003Cdiv class=\"material_safe_drug_content\">\n      \u003Col class=\"material_safe_drug_ol\">\n        \u003Cli>Adjei, A. A. (2004). Pharmacology and mechanism of action of pemetrexed. \u003Ci>Clinical Lung Cancer, 5\u003C/i>(S2), S51-S55.\u003C/li>\n        \u003Cli>Shen, L., et al. (2021). Safety and efficacy of tislelizumab in previously treated advanced non-small cell lung cancer. \u003Ci>Journal of Thoracic Oncology, 16\u003C/i>(4), 567-577.\u003C/li>\n        \u003Cli>Hanna, N., et al. (2004). Randomized phase III trial of pemetrexed versus docetaxel in patients with non-small-cell lung cancer previously treated with chemotherapy. \u003Ci>J Clin Oncol, 22\u003C/i>(9), 1589-1597.\u003C/li>\n        \u003Cli>Myers, C. E., et al. (2000). Importance of vitamin supplementation with pemetrexed therapy: Impact on toxicity. \u003Ci>J Clin Oncol, 18\u003C/i>(2), 122-130.\u003C/li>\n      \u003C/ol>\n    \u003C/div>\n  \u003C/section>\n\u003C/div>\n\n\u003Cstyle>\n.material_safe_drug_guide { \n  font-family: \"Segoe UI\", \"Arial\", sans-serif; \n  color: #233742; \n  background: #fafcff;\n  padding: 48px 0 40px 0;\n  box-sizing: border-box;\n  border-radius: 22px;\n  line-height: 1.85;\n  max-width: 860px;\n  margin: 0 auto 36px auto;\n  box-shadow: 0 4px 32px #e6ecf5;\n}\n.material_safe_drug_h1 {\n  font-size: 2.2em;\n  font-weight: bold;\n  text-align: center;\n  color: #21486b;\n  letter-spacing: 1px;\n  margin-bottom: 16px;\n  margin-top:28px;\n  padding-bottom: 6px;\n  border-bottom: 2px solid #cae9ff;\n}\n.material_safe_drug_banner {\n  background: linear-gradient(98deg,#cddcf3 12%, #e7effc 88%);\n  font-size: 1.13em;\n  border-radius: 12px;\n  padding: 24px 32px 18px 32px;\n  margin: 22px 32px 32px 32px;\n}\n.material_safe_drug_section {\n  background: #f7fafc;\n  border-radius: 14px;\n  margin: 33px 26px 0 26px;\n  padding: 22px 30px 18px 30px;\n  box-sizing: border-box;\n  box-shadow: 0 2px 8px #e8e8eb44;\n}\n.material_safe_drug_section .material_safe_drug_h2 {\n  font-size: 1.24em;\n  font-weight: bold;\n  color: #265d7f;\n  letter-spacing: .08em;\n  margin-bottom: 8px;\n  margin-top: 2px;\n  padding: 12px 20px 8px 18px;\n  border-radius: 11px;\n  /* 淡雅曲线背景 */\n  background: url('data:image/svg+xml;utf8,\u003Csvg width=\"100%\" height=\"100\" xmlns=\"http://www.w3.org/2000/svg\">\u003Cpath d=\"M0,75 Q50,105 100,65 T200,60 T400,80 T800,60 v40 h-800z\" fill=\"%23e4f4fc\"/>\u003Cpath d=\"M0,90 Q60,115 150,85 T350,92 T800,100 v15 h-800z\" fill=\"%23c6eafd\"/>\u003C/svg>');\n  background-repeat: no-repeat;\n  background-size: 100% 60px;\n}\n.material_safe_drug_content {\n  padding: 0 5px 2px 4px;\n  font-size: 1.08em;\n}\n\n.material_safe_drug_ul,\n.material_safe_drug_ol {\n  padding-left: 32px;\n  margin-bottom: 2px;\n  margin-top: 1em;\n}\n.material_safe_drug_ul_inner {\n  padding-left: 19px;\n  margin: 5px 0 4px 0;\n}\n.material_safe_drug_ul li,\n.material_safe_drug_ol li {\n  margin-bottom: 9px;\n  font-size: 1em;\n}\n.material_safe_drug_ul li strong {\n  color: #205e96;\n}\n.material_safe_drug_summary {\n  background: linear-gradient(94deg, #ebeef8 7%, #e4f7ff 93%);\n  border: 1.5px solid #cce3f3;\n  margin-bottom: 30px;\n}\n.material_safe_drug_reference {\n  background: #f3f7fb;\n  border: 1px solid #deebf1;\n  margin: 30px 26px 12px 26px;\n}\n.material_safe_drug_guide sup {\n  color: #0a89ec;\n  font-size: 0.88em;\n  vertical-align: super;\n  margin-left: 2px;\n}\n\u003C/style>\n\n","\u003Cdiv class=\"material_safe_drug_guide\">\n  \u003Ch2 id=\"material_title\" class=\"material_safe_drug_h1\" style",557,"2025-07-23 10:21:46","肺癌, 低分化腺癌, 化疗药物, 免疫治疗, 安全用药, 培美曲塞, 卡铂, 替雷利珠单抗","本文系统梳理了肺癌转移性低分化腺癌患者常用化疗药与免疫制剂的核心用药要点，帮助患者及医务人员安全用药，提升疗效。了解药物成分、适应人群及注意事项。","2025-07-25 23:26:00",2,[34],{"menuId":35,"menuName":36,"parentId":21,"orderNum":32,"path":37,"component":38,"isFrame":39,"isCache":40,"menuType":41,"visible":42,"status":21,"createDept":6,"remark":23,"createTime":43,"children":44,"columnImage":45,"columnLogo":46,"uncheckedLogo":6,"checkedLogo":6,"isHot":42,"isHome":21,"forceLogin":21,"color":47,"seoTitle":48,"seoKeywords":49,"seoDescription":50,"contentNum":6,"promotionalPoster":51,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":52,"routerPath":37,"componentInfo":38},"1986713082609147906","健康科普","article","/article.html","1","0","T",1,"2025-11-07 16:31:25",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:49/d4291d16-ed1c-48dd-84c8-ec1f85980b75.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:52/6fe64094-9416-442c-a66d-032fb292666a.png","#c8e6ca","健康科普助力健康中国2030:共享健康知识新理念","健康科普, 健康中国, 科普知识, 健康家庭, 性健康, 营养健康, 运动健康, 科普宣传","探索健康科普在健康中国行动中的重要角色,了解最新的健康科普创新大赛、动漫及短视频,传播健康知识,助力全民健康。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:56/bd33f471-6c54-4d1b-a364-b06973dbc144.png","Article","癌症肿瘤,重大疾病",true,{"code":9,"msg":10,"message":6,"data":56,"success":54},{"pageNo":42,"pageSize":57,"result":58,"totalSize":21},10,[],{"code":9,"msg":10,"message":6,"data":60,"success":54},{"authors":61,"appraiseDimensionScoresVos":62},[],[]]