[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fWjyTs3Qe_suuz35b3VEkMKuWjIaHuHNTR0fyQd7rkbA":8,"$f-RRocVqRGLf1zhnl_G_A5-bGT2WMMSQ9jHFhXhCb_bI":55,"$f-qeDXvP09bgfOLBxfE7TJysjSPL8HYu5uIhdkYOGFb4":87},{"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},51665,870314,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//qUc4ZvnMYBtAxjOqogl0k51wlRfhbGaZ.png","孙玲珍","苏州市传染病医院","麻醉科","副主任医师",15,0,"肺部真菌感染的专业解读：麻醉领域的视角与管理","","https://ystcdn.venuertc.com/venue/AI/01b4048e-6149-4ef6-abf3-a878278fd360.jpg","\u003Cdiv class=\"fungus-article-container\">\n  \u003Ch1 id=\"material_title\" class=\"fungus-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">肺部真菌感染的专业解读：麻醉领域的视角与管理\u003C/h1>\n\n  \u003C!-- 开头部分 -->\n  \u003Cdiv class=\"fungus-section fungus-intro\">\n    \u003Cp>\n      近几年，身边不少人会看到老年亲属因为肺部感染住院，听医院医生偶尔提到“真菌感染”时，常觉得陌生又有点担心。尤其有亲戚朋友准备做手术，更会问：这种肺里长“真菌”的感染到底是怎么回事？手术麻醉时会不会有危险？其实，真菌感染在胸部疾病、慢性基础病人群中并不罕见，只不过平时很容易被大家忽视。今天我们就换个视角，聊聊麻醉医生眼中的肺部真菌感染——以及，这跟每个人围手术期的安全到底有关联什么？🌿\n    \u003C/p>\n  \u003C/div>\n\n  \u003C!-- 01 子标题 -->\n  \u003Cdiv class=\"fungus-section\" style=\"background: linear-gradient(90deg, #f8f8fc 70%, #e2f1f7 100%);\">\n    \u003Ch2 class=\"fungus-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">01 麻醉医生如何看待肺部真菌感染？\u003C/h2>\n    \u003Cdiv class=\"fungus-emoji-title\">🩺\u003C/div>\n    \u003Cp>\n      麻醉医生的工作，其实不仅是“打麻醉药”这么简单。每当碰到肺部真菌感染患者，需要比平常更加警觉。真菌感染就像肺这个“交通枢纽”里突然闯入的不速之客，可能“堵住”呼吸道，影响氧气和二氧化碳的交换。\n    \u003C/p>\n    \u003Cp>\n      麻醉医生必须在术前充分了解患者的呼吸功能、心脏情况、血压状况，因肺部真菌这种特殊的感染，容易让患者术中氧合变差，增加麻醉风险。这时，麻醉医生要和外科、呼吸科密切配合，提前沟通方案，真正实现“团队保驾护航”。\n    \u003C/p>\n    \u003Cdiv class=\"fungus-reminder\">别忽视：肺部真菌感染患者尤其在术前需更细致评估，避免麻醉环节出现突发状况。\u003C/div>\n  \u003C/div>\n\n  \u003C!-- 02 子标题 -->\n  \u003Cdiv class=\"fungus-section\" style=\"background: linear-gradient(90deg, #f9f6fa 50%, #e0fbe9 100%);\">\n    \u003Ch2 class=\"fungus-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">02 肺部真菌感染对围术期有哪些影响？\u003C/h2>\n    \u003Cdiv class=\"fungus-emoji-title\">🌬️\u003C/div>\n    \u003Cul class=\"fungus-list\">\n      \u003Cli>\n        \u003Cstrong>1. 呼吸功能可能急转直下：\u003C/strong>\n        轻度感染时，有人只是偶尔咳嗽或气短。可如果真菌感染加重，氧气进不来、二氧化碳排不出去，术中很容易突然呼吸不畅。这种突变，对麻醉医生就是一次“应急考验”。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>2. 血流动力相对不稳定：\u003C/strong>\n        肺部感染带来的慢性炎症，有时候让人的血压、脉搏变得难以预测。术中如果感染波及血管，甚至会引起“侵袭性”形式的曲霉病，表现为低氧、咯血，甚至休克。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>3. 药物代谢可能发生变化：\u003C/strong>\n        部分真菌感染影响肝、肾功能，手术期间用药（比如麻醉药、抗生素）要选择更安全的种类，并密切监控效应。例如，一位70岁男性，全麻手术前有高血压和支气管扩张咯血，发现合并肺部真菌感染——就要格外注意麻醉深度调控及术中补氧措施。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cdiv class=\"fungus-reminder\">小心：真菌感染时，术中呼吸、循环和药物反应都可能和普通病人不一样。\u003C/div>\n  \u003C/div>\n\n  \u003C!-- 03 子标题 -->\n  \u003Cdiv class=\"fungus-section\" style=\"background: linear-gradient(90deg, #f8ede5 50%, #e3eafc 100%);\">\n    \u003Ch2 class=\"fungus-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">03 怎样识别肺部真菌感染高风险？\u003C/h2>\n    \u003Cdiv class=\"fungus-emoji-title\">📋\u003C/div>\n    \u003Cp>\n      想理解哪些人容易出现肺部真菌感染，得先弄清背后的原因。\n      \u003C/p>\u003Cul class=\"fungus-list\">\n        \u003Cli>\n          \u003Cstrong>年龄和基础病：\u003C/strong>\n          随着年龄增长，特别是60岁以上，免疫力相对下降。例如慢性阻塞性肺病、糖尿病、血液肿瘤的患者，是“高发区”。这也能解释，许多重症曲霉病都会发生在年长的慢病人群（Kauffman CA, \"Diagnosis of Invasive Aspergillosis\", UpToDate, 2020）。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>免疫抑制相关：\u003C/strong>\n          像器官移植后或长期激素治疗、化疗的人，因为免疫细胞处于“休眠”，抵抗力明显弱，曲霉病等侵袭性真菌病发病率随之增加（Patterson TF et al., \"Practice guidelines for the diagnosis and management of aspergillosis: 2016 update\", Clin Infect Dis, 2016）。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>肺结构异常：\u003C/strong>\n          慢性支气管扩张及肺结核遗留“空洞”患者，也更易成为真菌滋生的“温床”。如果吸入曲霉孢子，可能在肺里长成“曲霉球”，堵住小气道，严重甚至咯血。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>合并既往感染史：\u003C/strong>\n          患有囊性纤维化、反复肺炎、疗程长的抗生素使用史，本身对肺环境已经是一种“挑战”。\n        \u003C/li>\n      \u003C/ul>\n    \u003Cp>\u003C/p>\n    \u003Cp>\n      研究显示，免疫力低下和肺部病史叠加时，术中肺部并发症风险成倍增加（Denning DW et al., \"Clinical manifestations and diagnosis of chronic pulmonary aspergillosis\", UpToDate, 2020）。所以每次术前问诊，麻醉科医生都会仔细追问这些“老底子”病史。\n    \u003C/p>\n    \u003Cdiv class=\"fungus-reminder\">要留心：有以上基础病或用过免疫抑制药物的人，建议就诊时主动告知麻醉科。\u003C/div>\n  \u003C/div>\n\n  \u003C!-- 04 子标题 -->\n  \u003Cdiv class=\"fungus-section\" style=\"background: linear-gradient(90deg, #e8fce3 70%, #e2e7f7 100%);\">\n    \u003Ch2 class=\"fungus-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">04 麻醉中应采取哪些管理策略？\u003C/h2>\n    \u003Cdiv class=\"fungus-emoji-title\">⚙️\u003C/div>\n    \u003Cp>\n      麻醉科面对肺部真菌感染患者，通常会根据评估情况，设计更细致的管理流程。\n      \u003C/p>\u003Cul class=\"fungus-list\">\n        \u003Cli>\n          \u003Cstrong>合理选择麻醉方式：\u003C/strong>\n          如果条件允许，部分小型手术可选择区域麻醉，但复杂肺功能损伤还是更偏向全身麻醉+气管插管，以便随时保障气道通畅。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>专项呼吸道管理：\u003C/strong>\n          气管内有粘稠分泌物或“曲霉球”，术前应加强痰液清理。术中常规吸氧，但要防止插管时出血、堵塞等风险。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>生命体征实时监控：\u003C/strong>\n          术中配备多参数监护可发现早期“低氧”预警，一旦呼吸骤变，能主动调整麻醉剂量或急诊处理。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>药物选择更谨慎：\u003C/strong>\n          防止镇痛药、肌松剂因肝肾功能不佳引发积蓄效应，按患者实际耐受度灵活用药。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>多学科协作：\u003C/strong>\n          麻醉科与外科、呼吸科、感染科密切沟通，遇到侵袭性感染时，术中可协请感染科随时支持抗真菌治疗调整。\n        \u003C/li>\n      \u003C/ul>\n    \u003Cp>\u003C/p>\n    \u003Cdiv class=\"fungus-reminder\">这提醒我们：麻醉“流程”不只是药和机器，更要注重早期风险识别和团队合作。\u003C/div>\n  \u003C/div>\n\n  \u003C!-- 05 子标题 -->\n  \u003Cdiv class=\"fungus-section\" style=\"background: linear-gradient(90deg, #f1faea 70%, #f0eafe 100%);\">\n    \u003Ch2 class=\"fungus-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">05 术后恢复如何优化？\u003C/h2>\n    \u003Cdiv class=\"fungus-emoji-title\">🔄\u003C/div>\n    \u003Cp>\n      真菌感染患者手术后恢复相对较难。如何帮助他们安全平稳度过？关键要做好以下几个方面：\n      \u003C/p>\u003Cul class=\"fungus-list\">\n        \u003Cli>\n          \u003Cstrong>持续呼吸监测：\u003C/strong>\n          多用脉氧仪、心电监护，早期发现呼吸波动及二氧化碳排出异常。检查收工后，常规吸氧、按时清痰。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>科学疼痛管理：\u003C/strong>\n          采用多模式止痛，“不疼，不硬扛”，但也不让止痛药影响呼吸，防止术后昏睡加重缺氧。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>加强抗真菌治疗配合：\u003C/strong>\n          配合同步抗真菌药物治疗，并监测肝肾功能，预防药物副作用。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>辅助呼吸锻炼：\u003C/strong>\n          麻醉科鼓励患者做深呼吸训练，加快肺泡复张，减少并发症风险。像70岁那位合并支气管扩张的男性术后，重点采用“鼓励咳痰法”，促进分泌物排出，效果确实好很多。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>定期影像检查：\u003C/strong>\n          部分侵袭性感染术后进展快，根据医生判断做胸部CT，动态掌握恢复进度。\n        \u003C/li>\n      \u003C/ul>\n    \u003Cp>\u003C/p>\n    \u003Cdiv class=\"fungus-reminder\">别忘记：术后主动报出现咳血、呼吸困难等变化，有助于医生及时干预，减少危险发生。\u003C/div>\n  \u003C/div>\n\n  \u003C!-- 06 子标题 -->\n  \u003Cdiv class=\"fungus-section\" style=\"background: linear-gradient(90deg, #e7f3fb 80%, #f2f9ef 100%);\">\n    \u003Ch2 class=\"fungus-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">06 麻醉医生如何帮助预防和长期管理？\u003C/h2>\n    \u003Cdiv class=\"fungus-emoji-title\">🌱\u003C/div>\n    \u003Cul class=\"fungus-list\">\n      \u003Cli>\n        \u003Cstrong>健康教育先行：\u003C/strong>\n        麻醉医生会告知高风险患者，平时尽量“接触新鲜空气、住室通风”，减少呆在尘土、霉变环境里。例如患有慢性呼吸病或免疫力弱的人，在装修工地、堆肥区戴口罩效果不错（Centers for Disease Control and Prevention, 2020）。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>强化免疫支持：\u003C/strong>\n        增强身体抵抗力始终是关键。饮食方面，建议多选择橙子、猕猴桃这类富含维生素C的水果，有助于提升免疫细胞活力；蛋类和瘦肉含有高质量蛋白，有利于身体修复。用餐时可稍微增加新鲜蔬菜，补充全面营养，帮助机体抗击外侵病原。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>个性化术前准备：\u003C/strong>\n        在患者准备进行大手术时，麻醉医生会建议增加肺部体检频率。如果有疑似症状，主动就医咨询，比单靠“拖一拖再看看”更安全。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>定期随访，发现早期预警：\u003C/strong>\n        对于既往真菌感染史的病人，术后半年内定期门诊随访，有助于防止慢性反复和早期发现肺功能变化。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>心理疏导同样重要：\u003C/strong>\n        长期慢性疾病容易“折磨”患者的心情。麻醉医生常会建议家属给予情绪支持，同时，积极的心态可以间接帮助免疫力的提升。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cdiv class=\"fungus-reminder\">小结：持续关注身体信号，再配合健康饮食和环境管理，能大大降低肺部真菌感染风险。\u003C/div>\n  \u003C/div>\n\n  \u003C!-- 结语部分 -->\n  \u003Cdiv class=\"fungus-section fungus-conclusion\">\n    \u003Cp>\n      总结来看，肺部真菌感染对麻醉和整个手术的影响，实际远超许多人想象。面对高龄、有基础呼吸病的患者，无论是术前、术中还是术后管理，麻醉医生的细致评估和团体协作，都成了保证安全的关键。对于大多数家有老人或慢性病患者的家庭来说，关键在于早发现、勤复查、主动沟通，不要畏惧也不要轻视。毕竟，生活中很多医学问题，只要多一份重视和了解，就会多一份健康和安心。\n    \u003C/p>\n  \u003C/div>\n\n  \u003C!-- 参考文献 -->\n  \u003Cdiv class=\"fungus-section fungus-references\">\n    \u003Ch3 class=\"fungus-reftitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">参考文献\u003C/h3>\n    \u003Col>\n      \u003Cli>Kauffman CA. Diagnosis of Invasive Aspergillosis. UpToDate. 2020.\u003C/li>\n      \u003Cli>Patterson TF, Thompson GR, Denning DW, et al. Practice guidelines for the diagnosis and management of aspergillosis: 2016 update by the Infectious Diseases Society of America. Clinical Infectious Diseases. 2016;63(4):e1-e60. doi:10.1093/cid/ciw326.\u003C/li>\n      \u003Cli>Denning DW, Cadranel J, Beigelman-Aubry C, et al. Chronic pulmonary aspergillosis: clinical characteristics, diagnostic criteria and management. European Respiratory Journal. 2016;47(1):45-68. doi:10.1183/13993003.00583-2015.\u003C/li>\n      \u003Cli>Centers for Disease Control and Prevention. Aspergillosis. 2020. \u003Ca href=\"https://www.cdc.gov/fungal/diseases/aspergillosis/index.html\" target=\"_blank\">https://www.cdc.gov/fungal/diseases/aspergillosis/index.html\u003C/a>\u003C/li>\n    \u003C/ol>\n  \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n.fungus-article-container {\n  font-family: 'PingFang SC', 'Helvetica Neue', Arial, 'Microsoft YaHei', sans-serif;\n  color: #303543;\n  max-width: 820px;\n  margin: 0 auto;\n  background: #fdfdfb;\n  border-radius: 10px;\n  box-shadow: 0 6px 24px rgba(120,150,180,0.10);\n  padding: 38px 26px 46px 26px;\n  box-sizing: border-box;\n}\n\n.fungus-title {\n  font-size: 2.3rem;\n  color: #23518c;\n  text-align: center;\n  font-weight: 700;\n  letter-spacing: 1.2px;\n  margin-bottom: 28px;\n  margin-top: 0;\n}\n\n.fungus-section {\n  padding: 34px 32px 24px 32px;\n  margin-bottom: 34px;\n  border-radius: 10px;\n  background: #f5f8fb;\n  box-shadow: 0 2px 10px rgba(120,160,170,0.07);\n  position: relative;\n}\n\n.fungus-intro {\n  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1.11rem;\n}\n\n.fungus-section.fungus-conclusion {\n  background: #f6f7fd;\n  color: #263041;\n  padding-bottom: 18px;\n  box-shadow: none;\n  font-size: 1.06em;\n  margin-top: 24px;\n}\n\u003C/style>\n\n","\u003Cdiv class=\"fungus-article-container\">\n  \u003Ch1 id=\"material_title\" class=\"fungus-title\" style=\"color: ",552,"2025-07-23 14:59:16","肺部真菌感染, 麻醉管理, 术中风险, 老年患者, 呼吸功能","本文深入探讨肺部真菌感染对麻醉管理的影响，揭示其对呼吸功能、药物代谢的挑战，并提供预防和恢复策略，帮助患者安全度过手术期。","2025-07-25 07:48:00",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","慢性病",true,{"code":9,"msg":10,"message":6,"data":56,"success":54},{"pageNo":42,"pageSize":57,"result":58,"totalSize":86},10,[59,69,78],{"id":60,"updateTime":61,"averageScore":62,"posts":19,"specialistId":63,"userName":64,"hospital":65,"avatar":66,"description":67,"department":68},30720,"2026-04-11 20:40:25",8.8,870988,"孔金丹","苏州大学附属第一医院","https://ystcdn.venuertc.com/venue/app/33780/2025-11-10/5b639fa8-a24b-4017-8a0d-184df324cb6d.png","文章立足传染病专科麻醉实践，肺部真菌感染与麻醉管理的交叉解析严谨规范，病原体特性与气道处理的关联阐述精准；深度剖析感染程度对呼吸功能的影响及个体化麻醉策略，突破常规认知边界；语言简练专业，显著提升高危人群对特殊麻醉风险的认知，推动围术期感染防控意识提升。作品以专科深度赋能科普，在专业性与可及性间精准平衡，既彰显麻醉学科在感染控制中的关键角色，又为特殊人群安全麻醉提供科学指引。","重症监护",{"id":70,"updateTime":6,"averageScore":71,"posts":19,"specialistId":72,"userName":73,"hospital":74,"avatar":75,"description":76,"department":77},29985,9.1,870229,"汪有锦","江苏省中医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//KDOvwObZcr3VWORhVkLMGYJxQwmPy4rH.png","该内容立足麻醉科临床视角，系统剖析肺部真菌感染对围术期呼吸、循环及药物代谢的影响，精准识别高龄、基础病等高危因素，并构建术前评估、术中管理、术后优化的全流程策略，引用权威文献支撑，兼具临床指导性与实用价值。","医学影像科",{"id":79,"updateTime":6,"averageScore":80,"posts":19,"specialistId":81,"userName":82,"hospital":83,"avatar":84,"description":85,"department":18},31634,8.9,871212,"陈佳","泰州市中西医结合医院","https://ystcdn.venuertc.com/venue/app/32353/2025-11-10/c582e4c4-8077-4f40-9b01-402540995124.png","本文从麻醉专科视角切入肺部真菌感染，填补了围术期感染管理的知识盲区。文章强调了术前影像与微生物学评估对麻醉方案制定的关键影响，并点出术中气道管理、呼吸机参数设置及抗真菌药物与麻醉药的相互作用等实操要点，专业性突出。若能增加典型病例分析和术后转归数据，对临床麻醉医师的指导价值会更强。整体内容针对性强，为高危患者麻醉安全提供了有益参考。",3,{"code":9,"msg":10,"message":6,"data":88,"success":54},{"authors":89,"appraiseDimensionScoresVos":96},[90,92,94],{"profilePhoto":75,"specialistId":91},"870229",{"profilePhoto":66,"specialistId":93},"870988",{"profilePhoto":84,"specialistId":95},"871212",[97,103,109,113,117],{"id":98,"scores":99,"value":100,"dimensionId":6,"avgs":101,"title":102},278331,30,27,9.06667,"内容准确性",{"id":104,"scores":105,"value":106,"dimensionId":6,"avgs":107,"title":108},278332,20,18,8.7,"内容深度与广度",{"id":110,"scores":105,"value":106,"dimensionId":6,"avgs":111,"title":112},278333,9,"语言表达",{"id":114,"scores":20,"value":115,"dimensionId":6,"avgs":62,"title":116},278334,14,"呈现形式",{"id":118,"scores":20,"value":115,"dimensionId":6,"avgs":62,"title":119},278335,"教育价值"]