[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fGTV0RLbk_go20tomIph3Aq3c4u0QIr-wNmTJy0UgPx4":8,"$fQlKepJ8byKkW35mTi7nCLkppDRucGNxpA5yJ9-84f4o":55,"$fGPh5maZd8YuDuJhX3ODa9Vk3wcn3V3dzTwbXFXv4jQQ":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},52313,870211,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//asknO5BON4ILmaGySngB678AjuK0nT7z.png","杜慧敏","合肥佰惠医院","内科","住院医师",92,0,"食管癌：关键知识与应对措施指南","","https://ystcdn.venuertc.com/venue/AI/a8021239-a28b-4c21-a54e-0d0f60a0af63.jpg","\u003Cdiv class=\"health-esca-container\">\n  \u003Cdiv class=\"health-esca-header\" id=\"material_title\">\n    \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">食管癌：关键知识与应对措施指南\u003C/h2>\n    \u003Cp class=\"health-esca-lead\">日常生活中，如果一次吃火锅时觉得嗓子有点涩，很多时候我们不会在意。但如果这种异样感反复出现，甚至影响到进食，就需要稍微留点心思了。食管癌其实并不遥远，早点了解它，有助于及时发现问题，也会让处理变得更有把握。\u003C/p>\n  \u003C/div>\n\n  \u003C!-- 01 食管癌是什么 -->\n  \u003Csection class=\"health-esca-block esca-bg1\">\n    \u003Ch2 class=\"health-esca-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">01 什么是食管癌？🧐\u003C/h2>\n    \u003Cdiv class=\"health-esca-section\">\n      \u003Cp>食管癌其实就是发生在我们食管（嘴到胃的“通道”）内部的一种恶性肿瘤。食管本来是给食物顺畅通过的“交通要道”，一旦出现异常细胞在这里增殖，可能不断扩展，逐渐影响到进食和身体其他部位的健康。\u003C/p>\n      \u003Cp>大部分食管癌属于“鳞状细胞癌”，也有一部分为腺癌。前者就是食管内层上皮细胞发生了变化。癌细胞容易进一步扩散到临近的组织，甚至通过淋巴、血液往远处转移。\u003C/p>\n      \u003Cp class=\"health-esca-reminder\">别忽视：早期的食管癌并不容易觉察，等到影响明显进食时，肿瘤往往发展到一定阶段了。\u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 02 食管癌的主要症状有哪些 -->\n  \u003Csection class=\"health-esca-block esca-bg2\">\n    \u003Ch2 class=\"health-esca-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">02 哪些症状需警觉？👀\u003C/h2>\n    \u003Cdiv class=\"health-esca-section\">\n      \u003Cul class=\"health-esca-symptom-list\">\n        \u003Cli>\n          \u003Cspan>1. 吞咽不畅：\u003C/span> 开始只是在吃干硬食物时，感觉往下咽不太顺，甚至会反复喝水帮助吞咽。到了后期，连稀软食物和水也变得卡顿，进食量明显减少。\u003C/li>\n        \u003Cli>\n          \u003Cspan>2. 异物感：\u003C/span> 有人觉得嗓子底总有东西堵着，咳嗽或清嗓都赶不走，甚至时好时坏。\u003C/li>\n        \u003Cli>\n          \u003Cspan>3. 体重变轻：\u003C/span> 如果近期没有刻意减肥，体重却突然持续下降，需要当心背后是否有健康问题。\u003C/li>\n        \u003Cli>\n          \u003Cspan>4. 胸骨或背部隐痛：\u003C/span> 进食时胸口偶尔一阵疼，有的像灼伤，有的只是隐隐的不适。\u003C/li>\n        \u003Cli>\n          \u003Cspan>5. 声音嘶哑、咳嗽或呼吸不畅：\u003C/span> 肿瘤增大，可影响附近神经、气道，一些人甚至出现持续性呛咳或喘气费劲。\u003C/li>\n      \u003C/ul>\n      \u003Cp class=\"health-esca-remark\">举个例子：一位85岁的男士，之前已经确诊食管癌。最早是吃饭时觉得哽咽，后来进食后胸口开始疼，检查后发现食管出现占位，需要进一步治疗。这说明即便没有其他慢性病，也可能出现食管癌，尤其是老年人群。\u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 03 食管癌的致病因素是什么 -->\n  \u003Csection class=\"health-esca-block esca-bg3\">\n    \u003Ch2 class=\"health-esca-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">03 食管癌为什么会找上门？🔬\u003C/h2>\n    \u003Cdiv class=\"health-esca-section\">\n      \u003Cp>说起来，食管癌的发生涉及生活习惯、环境影响和个人体质等多个环节。这里简单分开说说。\u003C/p>\n      \u003Cdiv class=\"health-esca-factor\">\n        \u003Cspan class=\"health-esca-icon\">👩‍⚕️\u003C/span>\n        \u003Cb>1. 长时间慢性刺激\u003C/b>\n        \u003Cp>食管长期受到高温、过咸、粗糙、刺激性食物的摩擦，会破坏黏膜，细胞不断修复时容易出问题。例如，持续喜欢吃烫食、吃得特别快，食管像反复被轻微\"烫伤\"，久了可能发生细胞异常。\u003C/p>\n      \u003C/div>\n      \u003Cdiv class=\"health-esca-factor\">\n        \u003Cspan class=\"health-esca-icon\">🧬\u003C/span>\n        \u003Cb>2. 遗传及年龄\u003C/b>\n        \u003Cp>部分人家族中有人罹患食管癌，自己患病的几率也会相对高些，尤其是年龄越大，细胞修复能力变差，风险也会上升。流行病学研究发现，60岁以上人群发病率明顯增加（Napier et al., 2014）。\u003C/p>\n      \u003C/div>\n      \u003Cdiv class=\"health-esca-factor\">\n        \u003Cspan class=\"health-esca-icon\">🍶\u003C/span>\n        \u003Cb>3. 过量饮酒、吸烟\u003C/b>\n        \u003Cp>烟草中的致癌物和酒精对食管黏膜都有刺激作用，两者叠加会大大增加患病风险。专家指出，大量饮酒和长期吸烟可使患病率增长3-5倍（Pennathur et al., 2013）。\u003C/p>\n      \u003C/div>\n      \u003Cdiv class=\"health-esca-factor\">\n        \u003Cspan class=\"health-esca-icon\">🌿\u003C/span>\n        \u003Cb>4. 食物摄入单一、营养偏差\u003C/b>\n        \u003Cp>新鲜蔬菜水果摄入过少、维生素摄入不足，同样容易让细胞缺乏抵抗力，为食管癌埋下隐患。\u003C/p>\n      \u003C/div>\n      \u003Cp class=\"health-esca-reminder\">简单来讲，生活习惯和体质都会影响风险。哪怕没有明显不适，健康习惯还是值得重视。\u003C/p>\n      \u003Cp class=\"health-esca-data\">文献引用：Napier, K. J., Jedrych, J., & Abeloff, M. D. (2014). Esophageal cancer: a clinical review. World Journal of Gastroenterology, 20(33), 12378-12385. doi:10.3748/wjg.v20.i33.12378\u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 04 如何诊断食管癌 -->\n  \u003Csection class=\"health-esca-block esca-bg4\">\n    \u003Ch2 class=\"health-esca-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">04 怎么判断是不是食管癌？🔎\u003C/h2>\n    \u003Cdiv class=\"health-esca-section\">\n      \u003Cp>出现疑似症状后，最直接的检查办法是胃镜（内镜）和取样（活检）。简单来说，医生会用一根带有摄像头的软管从口腔送进食管，看里面是否有异常。如果发现疑似病变，会直接取组织送检查。\u003C/p>\n      \u003Col class=\"health-esca-checklist\">\n        \u003Cli>胃镜直视病变区域，筛查肿瘤形状、部位及范围。\u003C/li>\n        \u003Cli>活检将可疑区域的小块组织送实验室，确认是否癌变。\u003C/li>\n        \u003Cli>必要时，医生会建议做CT或核磁，判断肿瘤是否扩散。\u003C/li>\n      \u003C/ol>\n      \u003Cp>其实，这一整套检查流程相对精准，能帮助医生锁定问题。如果你或者家人觉察进食突然变费力，很难喝水，建议第一时间去消化科或者肿瘤科，看专科医生做全面检查。\u003C/p>\n      \u003Cp class=\"health-esca-data\">文献参考：Mulligan, C. R., Brown, J. D., & Yang, J. (2018). Diagnostic approaches for patients with esophageal cancer. Cancer, 124(22), 4271-4277. doi:10.1002/cncr.31650\u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 05 食管癌的治疗方式有哪些 -->\n  \u003Csection class=\"health-esca-block esca-bg5\">\n    \u003Ch2 class=\"health-esca-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">05 治疗怎么选？有什么要了解的？💉\u003C/h2>\n    \u003Cdiv class=\"health-esca-section\">\n      \u003Cp>具体治疗方案会综合肿瘤分期、体质和个人意愿来制定。常见的治疗方式有：\u003C/p>\n      \u003Cul class=\"health-esca-treatment-list\">\n        \u003Cli>\n          \u003Cspan class=\"health-esca-emoji\">✂️\u003C/span>\n          \u003Cb>手术切除\u003C/b>：适合局部早期、身体状态较好的患者。医生会去除病变部分，有时还会移除周围部分组织防止复发。\u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"health-esca-emoji\">📡\u003C/span>\n          \u003Cb>放射治疗\u003C/b>：用高能束直接杀伤异常细胞，通常用于中晚期或身体条件不能手术的人群。\u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"health-esca-emoji\">💊\u003C/span>\n          \u003Cb>化学治疗\u003C/b>：全身给药，阻断癌细胞分裂。适用于肿瘤扩散或配合买其他治疗。\u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"health-esca-emoji\">🤝\u003C/span>\n          \u003Cb>支持治疗\u003C/b>：如营养补充、缓解并发症等，帮助身体更好地承受治疗过程。\u003C/li>\n      \u003C/ul>\n      \u003Cp>比如前面那位85岁男士，因体质较弱未能手术，接受了SOX方案化疗，后采用支持治疗来提升舒适度。这种多学科综合调整，是不少高龄或复杂病例的常见策略。\u003C/p>\n      \u003Cp>专家指出：不同分期和身体状况，治疗方式差别较大，和医生充分沟通后制定个体化方案更重要。\u003C/p>\n      \u003Cp class=\"health-esca-data\">参考文献：Pennathur, A., Gibson, M.K., Jobe, B.A., & Luketich, J.D. (2013). Oesophageal carcinoma. Lancet, 381(9864), 400-412. doi:10.1016/S0140-6736(12)60643-6\u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 06 如何关注和维护消化健康 -->\n  \u003Csection class=\"health-esca-block esca-bg6\">\n    \u003Ch2 class=\"health-esca-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">06 日常怎么做，帮助减少风险？🌱\u003C/h2>\n    \u003Cdiv class=\"health-esca-section\">\n      \u003Cul class=\"health-esca-prevent-list\">\n        \u003Cli>\n          \u003Cspan class=\"health-esca-emoji\">🥦\u003C/span>\n          \u003Cb>多吃新鲜蔬果\u003C/b>：丰富的膳食纤维和维生素，有利于抵御细胞异常，每天保证800g多样化蔬果，颜色越丰富越好。\n          \u003Cbr>\u003Cspan class=\"health-esca-tip\">举例：多吃菠菜、胡萝卜、橙子，对食管上皮有保护作用。\u003C/span>\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"health-esca-emoji\">🐟\u003C/span>\n          \u003Cb>合理摄入优质蛋白\u003C/b>：蛋类、鱼肉、奶制品含优质蛋白，修复组织、增强免疫。\n          \u003Cbr>\u003Cspan class=\"health-esca-tip\">建议：搭配主食一同进食，均衡比单一更有益。\u003C/span>\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"health-esca-emoji\">🤸‍♂️\u003C/span>\n          \u003Cb>控制体重，适度锻炼\u003C/b>：必赢靠的是持续性，而不是激进减肥或突击运动，日常快走、拉伸、轻量运动都能帮助提高身体修复力。\u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"health-esca-emoji\">🛏️\u003C/span>\n          \u003Cb>保持规律作息\u003C/b>：合理睡眠有助于细胞自我修复，研究发现深睡眠会激活身体的抗肿瘤机制。\u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"health-esca-emoji\">📝\u003C/span>\n          \u003Cb>定期体检，听从医生建议\u003C/b>：特别是40岁以后，有家族史或者生活在高发地区的人群建议每两年做一次胃镜等检查，这可以让癌变早期有机会被发现。\u003C/li>\n      \u003C/ul>\n      \u003Cp>如果平时出现反复吞咽不适，不要一直“忍”，尽快就医。消化内科和肿瘤科都是可以首诊的科室。\u003C/p>\n      \u003Cp class=\"health-esca-reminder\">其实，健康管理说难不难，重在持续和细节，远比临时抱佛脚管用。\u003C/p>\n      \u003Cp class=\"health-esca-data\">更多参考：Kamangar, F., Dores, G. M., & Anderson, W.F. (2006). Patterns of cancer incidence, mortality, and prevalence across five continents: defining priorities to reduce cancer disparities in different geographic regions of the world. Journal of Clinical Oncology, 24(14), 2137-2150. doi:10.1200/JCO.2005.05.2308\u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 结尾自然收束 -->\n  \u003Csection class=\"health-esca-block esca-bg7\">\n    \u003Cdiv class=\"health-esca-section health-esca-outro\">\n      \u003Cp>总之，食管癌并非遥不可及。偶尔进食有异样，大多数时候没什么，但当警示信号持续出现，别放任不管。关注饮食、体检和身体微妙变化，对减少发病率也有大用处。分享这些实用建议，愿你和家人远离这种消化道“小麻烦”。\u003C/p>\n    \u003C/div>\n  \u003C/section>\n\u003C/div>\n\n\u003Cstyle>\n/* 独立样式全局隔离 */\n.health-esca-container {\n  max-width: 820px;\n  margin: 32px auto;\n  background: #fafbfc;\n  border-radius: 16px;\n  font-family: \"Helvetica Neue\", Helvetica, Arial, \"PingFang SC\", \"Microsoft Yahei\", sans-serif;\n  color: #25333c;\n  box-shadow: 0 8px 32px rgba(180,198,210,0.12), 0 1.5px 10px rgba(190,216,220,0.06);\n  padding: 32px 24px 52px 24px;\n  line-height: 1.85;\n}\n.health-esca-header {\n  border-bottom: 1.5px solid #d1dce5;\n  margin-bottom: 30px;\n  padding-bottom: 14px;\n}\n.health-esca-header h1 {\n  margin-top: 0;\n  font-size: 2.15em;\n  font-weight: 800;\n  letter-spacing: 2px;\n  color: #103960;\n  margin-bottom: 14px;\n}\n.health-esca-lead {\n  font-size: 1.1em;\n  color: #59687a;\n  padding: 6px 0 0 0;\n}\n\n.health-esca-title {\n  font-size: 1.35em;\n  font-weight: 700;\n  color: #1a4372;\n  margin-bottom: 10px;\n  margin-top: 0;\n  letter-spacing: 1.5px;\n}\n\n/* 子标题淡雅背景区块 */\n.health-esca-block {\n  border-radius: 14px;\n  margin-bottom: 34px;\n  padding: 26px 22px 22px 22px;\n  box-sizing: border-box;\n  background-repeat: repeat-x;\n  background-position: left top;\n  background-size: contain;\n}\n.esca-bg1 {background: linear-gradient(92deg,#e9f5ff 0%,#f8fcff 100%);}\n.esca-bg2 {background: linear-gradient(100deg,#f8f7fc 0%,#f4fbfe 100%);}\n.esca-bg3 {background: linear-gradient(92deg,#eef8ee 0%,#f8fcff 100%);}\n.esca-bg4 {background: linear-gradient(95deg,#fdfae5 0%,#f3fbfb 100%);}\n.esca-bg5 {background: linear-gradient(92deg,#f8f4fd 0%,#fafbf6 100%);}\n.esca-bg6 {background: linear-gradient(96deg,#ecf5f1 0%,#f8fafc 100%);}\n.esca-bg7 {background: linear-gradient(100deg,#f5fafa 0%,#f8f9fc 100%);}\n \n.health-esca-section {\n  font-size: 1.08em;\n  font-weight: 400;\n  letter-spacing: 0.2px;\n}\n.health-esca-reminder, .health-esca-remark {\n  background: #f0f3fc;\n  border-left: 4px solid #8a9ab2;\n  padding: 7px 14px;\n  border-radius: 0 9px 9px 0;\n  margin-top: 16px;\n  margin-bottom: 4px;\n  color: #54647f;\n  font-size: 1em;\n}\n.health-esca-remark {\n  background: #f8eadd;\n  border-left: 4px solid #d48730;\n  color: #9b6c1d;\n}\n\n/* 列表样式 */\n.health-esca-symptom-list, .health-esca-treatment-list, .health-esca-prevent-list {\n  margin: 13px 0 8px 19px;\n  padding-left: 0;\n  list-style: none;\n}\n.health-esca-symptom-list li {\n  margin: 0 0 10px 0;\n  padding-left: 0;\n  font-size: 1.04em;\n  position: relative;\n}\n.health-esca-symptom-list li span {\n  color: #205184;\n  font-weight: 500;\n}\n.health-esca-prevent-list li, .health-esca-treatment-list li {\n  margin: 0 0 14px 0;\n  padding-left: 0;\n}\n.health-esca-treatment-list li span.health-esca-emoji,\n.health-esca-prevent-list li span.health-esca-emoji{\n  margin-right: 8px;\n  font-size: 1.12em;\n}\n\n.health-esca-prevent-list li .health-esca-tip {\n  display: block;\n  font-size: 0.96em;\n  color: #578b4e;\n  margin-top: 2px;\n  margin-bottom: 2px;\n  background: #f3fdf6;\n  border-left: 3px solid #81b76a;\n  border-radius: 0 7px 7px 0;\n  padding: 4px 10px;\n}\n\n/* 风险因素样式 */\n.health-esca-factor {\n  margin: 13px 0 11px 0;\n  display: flex;\n  align-items: flex-start;\n}\n.health-esca-factor .health-esca-icon {\n  font-size: 1.21em;\n  margin-right: 6px;\n  margin-top: 2.5px;\n  color: #267d70;\n}\n.health-esca-factor b {\n  color: #205a82;\n  margin-bottom: 3px;\n  font-weight: 600;\n  font-size: 1.07em;\n}\n\n/* 检查列表 */\n.health-esca-checklist {\n  padding-left: 22px;\n  margin: 9px 0 14px 0;\n  font-size: 1em;\n}\n.health-esca-checklist li {\n  margin-bottom: 8px;\n  padding-left: 0;\n}\n\n/* 注意事项和数据引用字体 */\n.health-esca-data{\n  margin-top: 12px;\n  font-size: 0.97em;\n  color: #4282b3;\n}\n\n.health-esca-outro {\n  font-size: 1.11em;\n  color: #336754;\n  margin-top: 12px;\n  border-left: 5px solid #b0e1cd;\n  background: #eafaf2;\n  padding: 12px 20px;\n  border-radius: 0 12px 12px 0;\n}\n@media (max-width: 520px) {\n  .health-esca-container { padding: 12px 2.5vw 32px 2.5vw; }\n  .health-esca-header h1 { font-size: 1.33em;}\n  .health-esca-title {font-size: 1.12em;}\n}\n\u003C/style>\n\n","\u003Cdiv class=\"health-esca-container\">\n  \u003Cdiv class=\"health-esca-header\" id=\"material_title\">\n    \u003Ch2 s",543,"2025-07-25 11:00:16","食管癌, 早期症状, 治疗方式, 预防, 消化健康, 胸骨疼痛, 吞咽困难, 营养补充","了解食管癌的症状、致病因素、诊断和治疗方式，掌握早期发现与预防的有效措施，保护您和家人的消化健康。","2025-07-26 10:48:00",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","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},[],[]]