[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fbLq7XjIzZPEvZfVFy1_K-MFI-nQvDqus8yXGYhDH9uQ":8,"$fkWu6BN-AO0bIjbU4y8pFMwtkjSYTiGKy8Yr_NLWl-FU":55,"$fJ0L2jHtRiIITpUB9zOY8CdBtaJKlqyOATXBTxRKfjeU":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},58052,868989,[],"https://cdn.yishi-tong.com/console/store-unknown/uF7OMd0P_hB1LaAPsAH23kXFsYY6stA4.png","文建华","浙江省医疗健康集团杭州医院","肿瘤科","主治医师",157,0,"了解胰腺癌：风险、识别与应对","","https://ystcdn.venuertc.com/venue/AI/b3e87243-11ca-40d9-befc-8ab56ac6c5cc.jpg","\u003Cdiv class=\"pancreatic_material_wrap\">\n  \u003Ch1 id=\"material_title\" class=\"pancreatic_material_title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">了解胰腺癌：风险、识别与应对\u003C/h1>\n\n  \u003C!-- 开头：自然场景切入 -->\n  \u003Csection class=\"pancreatic_material_intro pancreatic_material_bg\">\n    \u003Cp class=\"pancreatic_material_p\">\n      朋友聚会时，有人提起家里长辈体检发现胰腺有问题，大家一时间议论起来。其实胰腺癌这个词，很多人只在新闻或电视剧里听过，但真碰到时总觉得又遥远又害怕。它不像感冒那样有明显的征兆，却影响着我们的健康。接下来，就来说说胰腺癌，离我们到底有多远，我们该关注些什么，以及怎么科学应对。\n    \u003C/p>\n  \u003C/section>\n\n  \u003C!-- 01 胰腺癌是什么？为何引起重视？ -->\n  \u003Csection class=\"pancreatic_material_section pancreatic_material_bg\">\n    \u003Ch2 class=\"pancreatic_material_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 胰腺癌是什么？为什么值得我们关注？ 🧬\u003C/h2>\n    \u003Cp class=\"pancreatic_material_p\">\n      简单来讲，胰腺癌是起源于胰腺（位于肚子深处，负责消化和血糖调节的器官）的一种恶性肿瘤。它常常“静悄悄”地生长，早期几乎没有特异性的表现，让人很难察觉。更需要留意的是，胰腺癌发展较快，一旦发现通常已处在中晚期，影响身体多个系统。全球数据显示，胰腺癌五年生存率不到10%，属于高度致死性肿瘤（Siegel et al., 2023）。\n    \u003C/p>\n    \u003Cp class=\"pancreatic_material_p\">\n      为什么要特别关注？因为现代生活压力大、饮食习惯等变迁，让胰腺癌发病率逐年上升，且疾病进展很快，很难通过日常症状早期发现。很多人都是在做体检或因为持续不适就医才被诊断出来。生活中，“被动发现”的比例远高于主动筛查，这就是为什么胰腺癌的防治需要我们共同重视。\n    \u003C/p>\n  \u003C/section>\n\n  \u003C!-- 02 胰腺癌的警示症状有哪些？ -->\n  \u003Csection class=\"pancreatic_material_section pancreatic_material_bg pancreatic_material_bg2\">\n    \u003Ch2 class=\"pancreatic_material_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 哪些症状值得警惕？🩺\u003C/h2>\n    \u003Cdiv class=\"pancreatic_material_point_wrap\">\n      \u003Cdiv class=\"pancreatic_material_point\">\n        \u003Cspan class=\"pancreatic_material_emoji\">📉\u003C/span>\n        \u003Cspan>体重明显下降：如果近期没有刻意减肥却体重持续下降，尤其是在短时间内减少了2-3公斤，要考虑是否有消化系统疾病。\u003C/span>\n      \u003C/div>\n      \u003Cdiv class=\"pancreatic_material_point\">\n        \u003Cspan class=\"pancreatic_material_emoji\">😣\u003C/span>\n        \u003Cspan>持续上腹部疼痛：不是偶尔的隐痛，而是食欲减退伴随的刺痛或不适，尤其在饭后加重。\u003C/span>\n      \u003C/div>\n      \u003Cdiv class=\"pancreatic_material_point\">\n        \u003Cspan class=\"pancreatic_material_emoji\">🥱\u003C/span>\n        \u003Cspan>贫血和乏力：血常规异常，长期容易感觉没有精神。\u003C/span>\n      \u003C/div>\n    \u003C/div>\n    \u003Cp class=\"pancreatic_material_p\">\n      有一位60岁的女性，胰腺癌术后两个月，化疗后出现食欲减退和体重下降两公斤。她还偶尔上腹刺痛，血常规显示贫血。这个例子说明，消化系统肿瘤早期虽不典型，但“持续”、“进展”的症状值得及时关注。如果有多项症状同时出现，最好及早去医院详细检查。\n    \u003C/p>\n  \u003C/section>\n\n  \u003C!-- 03 胰腺癌的成因及其致病机制是什么？ -->\n  \u003Csection class=\"pancreatic_material_section pancreatic_material_bg pancreatic_material_bg3\">\n    \u003Ch2 class=\"pancreatic_material_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 胰腺癌为什么会发生？有哪些危险因素？🌡️\u003C/h2>\n    \u003Cp class=\"pancreatic_material_p\">\n      胰腺癌的发生既有遗传因素，也受环境和生活习惯影响。这里不谈预防，只说成因和机理。\n    \u003C/p>\n    \u003Cdiv class=\"pancreatic_material_point_wrap\">\n      \u003Cdiv class=\"pancreatic_material_point\">\n        \u003Cspan class=\"pancreatic_material_emoji\">👨‍👩‍👧‍👦\u003C/span>\n        \u003Cstrong>遗传易感性\u003C/strong>\n        \u003Cspan>部分人携带某些基因，比如KRAS或TP53突变，这样的异常就像胰腺“保护系统”出了漏洞。家族历史有胰腺癌的，风险会高不少。\u003C/span>\n      \u003C/div>\n      \u003Cdiv class=\"pancreatic_material_point\">\n        \u003Cspan class=\"pancreatic_material_emoji\">🚬\u003C/span>\n        \u003Cstrong>吸烟与饮酒\u003C/strong>\n        \u003Cspan>吸烟会增加胰腺细胞变异，统计发现吸烟者发病风险大幅提升（Iodice et al., 2008），长时间大量饮酒也会加重胰腺损伤。\u003C/span>\n      \u003C/div>\n      \u003Cdiv class=\"pancreatic_material_point\">\n        \u003Cspan class=\"pancreatic_material_emoji\">🍔\u003C/span>\n        \u003Cstrong>高脂、缺乏蔬果饮食\u003C/strong>\n        \u003Cspan>长期缺乏新鲜蔬果，摄入过多高热量食物，胰腺“工作负荷”变重，诱发慢性炎症及细胞功能障碍。\u003C/span>\n      \u003C/div>\n      \u003Cdiv class=\"pancreatic_material_point\">\n        \u003Cspan class=\"pancreatic_material_emoji\">🔬\u003C/span>\n        \u003Cstrong>慢性疾病\u003C/strong>\n        \u003Cspan>慢性胰腺炎、糖尿病等疾病，会让胰腺细胞长期处于异常活跃状态，为肿瘤发生提供土壤。\u003C/span>\n      \u003C/div>\n      \u003Cdiv class=\"pancreatic_material_point\">\n        \u003Cspan class=\"pancreatic_material_emoji\">⏳\u003C/span>\n        \u003Cstrong>年龄相关\u003C/strong>\n        \u003Cspan>40岁以上，发病率明显提升。绝大多数胰腺癌患者都在中老年，和身体细胞的自然老化也有关系。\u003C/span>\n      \u003C/div>\n    \u003C/div>\n    \u003Cp class=\"pancreatic_material_p\">\n      医学研究表明，以上因素交织影响，让一些人胰腺细胞容易发生基因突变，最后不受控制生长，变成胰腺癌。如果有以上一项或多项情况，风险就会升高，需多加注意。\n    \u003C/p>\n  \u003C/section>\n\n  \u003C!-- 04 胰腺癌的有效筛查方法有哪些？ -->\n  \u003Csection class=\"pancreatic_material_section pancreatic_material_bg pancreatic_material_bg4\">\n    \u003Ch2 class=\"pancreatic_material_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 胰腺癌有哪些检查和筛查方法？🔎\u003C/h2>\n    \u003Cp class=\"pancreatic_material_p\">\n      胰腺癌因为深藏在腹腔，早期很难凭症状判断。医学上主要通过以下方式筛查：\n    \u003C/p>\n    \u003Cdiv class=\"pancreatic_material_point_wrap\">\n      \u003Cdiv class=\"pancreatic_material_point\">\n        \u003Cspan class=\"pancreatic_material_emoji\">🖥️\u003C/span>\n        \u003Cstrong>影像学检查\u003C/strong>\n        \u003Cspan>腹部 CT（扫描胰腺图像）、MRI（磁共振），能较准确地发现胰腺的肿块、形态和是否有扩散迹象。\u003C/span>\n      \u003C/div>\n      \u003Cdiv class=\"pancreatic_material_point\">\n        \u003Cspan class=\"pancreatic_material_emoji\">⚡\u003C/span>\n        \u003Cstrong>肿瘤标志物检测\u003C/strong>\n        \u003Cspan>查血里的CA19-9等指标，有助于辅助诊断或筛查复发。\u003C/span>\n      \u003C/div>\n      \u003Cdiv class=\"pancreatic_material_point\">\n        \u003Cspan class=\"pancreatic_material_emoji\">🧪\u003C/span>\n        \u003Cstrong>基因和分子生物检测\u003C/strong>\n        \u003Cspan>有家族史或高风险人群，可以考虑血液基因检测（针对KRAS等），发现异常可早期干预。\u003C/span>\n      \u003C/div>\n    \u003C/div>\n    \u003Cp class=\"pancreatic_material_p\">\n      如果出现持续的腹痛或体重快速下降等症状，且有家族或个人高危因素，建议及时就诊，挂消化内科或肿瘤科做全面检查。对于普通人群，40岁后定期体检，体检项目包含腹部彩超，能更早发现异常。\n    \u003C/p>\n  \u003C/section>\n\n  \u003C!-- 05 胰腺癌患者的治疗方案选择？ -->\n  \u003Csection class=\"pancreatic_material_section pancreatic_material_bg pancreatic_material_bg5\">\n    \u003Ch2 class=\"pancreatic_material_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 治疗胰腺癌有哪些选择？🤝\u003C/h2>\n    \u003Cp class=\"pancreatic_material_p\">\n      治疗胰腺癌不是只有一个办法。根据病情分期、身体状况，医疗团队会定制个性化方案。主要有几种途径：\n    \u003C/p>\n    \u003Cdiv class=\"pancreatic_material_point_wrap\">\n      \u003Cdiv class=\"pancreatic_material_point\">\n        \u003Cspan class=\"pancreatic_material_emoji\">🔪\u003C/span>\n        \u003Cstrong>手术切除\u003C/strong>\n        \u003Cspan>早期、肿瘤局限于胰腺，可考虑根治手术（如胰体尾切除）。如果肿瘤已扩散，手术多用于减轻症状。\u003C/span>\n      \u003C/div>\n      \u003Cdiv class=\"pancreatic_material_point\">\n        \u003Cspan class=\"pancreatic_material_emoji\">💉\u003C/span>\n        \u003Cstrong>化疗\u003C/strong>\n        \u003Cspan>中晚期或术后，常用紫杉醇、吉西他滨、伊立替康等药物联合方案，可以延缓进展，控制病情。\u003C/span>\n      \u003C/div>\n      \u003Cdiv class=\"pancreatic_material_point\">\n        \u003Cspan class=\"pancreatic_material_emoji\">🎯\u003C/span>\n        \u003Cstrong>靶向与免疫治疗\u003C/strong>\n        \u003Cspan>部分患者可用免疫检查点抑制剂或针对基因突变的特定药物，争取更好疗效。\u003C/span>\n      \u003C/div>\n      \u003Cdiv class=\"pancreatic_material_point\">\n        \u003Cspan class=\"pancreatic_material_emoji\">🛌\u003C/span>\n        \u003Cstrong>对症支持\u003C/strong>\n        \u003Cspan>包括升白细胞药物、止吐、改善贫血、缓解疼痛等，让患者更舒适地配合治疗。\u003C/span>\n      \u003C/div>\n    \u003C/div>\n    \u003Cp class=\"pancreatic_material_p\">\n      临床治疗选择需要综合考虑疾病分期、身体状况和个人意愿。比如前述女性，手术加联合化疗和免疫治疗，病情虽有肝转移，但多周期治疗能减轻症状、提升生活质量。有疑问时，及时与专科医生交流，根据情况调整方案是最佳选择。\n    \u003C/p>\n  \u003C/section>\n\n  \u003C!-- 06 日常生活中如何降低胰腺癌风险？ -->\n  \u003Csection class=\"pancreatic_material_section pancreatic_material_bg pancreatic_material_bg6\">\n    \u003Ch2 class=\"pancreatic_material_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 日常生活怎样帮自己降低胰腺癌风险？🍎🏃‍♂️\u003C/h2>\n    \u003Cp class=\"pancreatic_material_p\">\n      咱们要说说正面的生活习惯建议。预防胰腺癌，关键在日常点滴中养成。下面这些方法简单易行，对整体健康都有好处：\n    \u003C/p>\n    \u003Cdiv class=\"pancreatic_material_point_wrap\">\n      \u003Cdiv class=\"pancreatic_material_point pancreatic_material_good\">\n        \u003Cspan class=\"pancreatic_material_emoji\">🥗\u003C/span>\n        新鲜蔬果 + 增强抗氧化能力 + 每天保证一盘绿叶菜\n      \u003C/div>\n      \u003Cdiv class=\"pancreatic_material_point pancreatic_material_good\">\n        \u003Cspan class=\"pancreatic_material_emoji\">🐟\u003C/span>\n        优质蛋白（如鱼、豆制品） + 维护胰腺功能 + 主食搭配瘦肉、鱼类\n      \u003C/div>\n      \u003Cdiv class=\"pancreatic_material_point pancreatic_material_good\">\n        \u003Cspan class=\"pancreatic_material_emoji\">💧\u003C/span>\n        足够饮水 + 促进代谢 + 每天喝足1500-2000ml水\n      \u003C/div>\n      \u003Cdiv class=\"pancreatic_material_point pancreatic_material_good\">\n        \u003Cspan class=\"pancreatic_material_emoji\">🚶‍♂️\u003C/span>\n        规律运动 + 调节体重和胰岛素水平 + 每周快走三次，每次30分钟\n      \u003C/div>\n      \u003Cdiv class=\"pancreatic_material_point pancreatic_material_good\">\n        \u003Cspan class=\"pancreatic_material_emoji\">🛏️\u003C/span>\n        好睡眠 + 修复身体 + 每晚7-8小时高质量睡眠\n      \u003C/div>\n    \u003C/div>\n    \u003Cp class=\"pancreatic_material_p\">\n      这些习惯，任何年龄都能开始，不用追求完美，只要日常逐步做到。特别提一点，体检和健康咨询是把握风险的“安全网”。40岁以后建议每两年做一次腹部超声，有家族肿瘤史的可提前咨询专科医生，制定个性化健康管理计划。\n    \u003C/p>\n    \u003Cp class=\"pancreatic_material_p\">\n      胰腺癌不是一夜之间发生的“猛兽”，而是需要我们长期关注的小隐患。选择科学生活方式，就是给自己和家人加上一道稳妥的防线。\n    \u003C/p>\n  \u003C/section>\n\n  \u003C!-- 文献引用列表 -->\n  \u003Csection class=\"pancreatic_material_section\">\n    \u003Ch3 class=\"pancreatic_material_reference_title\" 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    \u003Cul class=\"pancreatic_material_reference_list\">\n      \u003Cli>\n        Siegel, R. L., Miller, K. D., Fuchs, H. E., & Jemal, A. (2023). Cancer Statistics, 2023. \u003Ci>CA: A Cancer Journal for Clinicians\u003C/i>, 73(1), 17-48. https://doi.org/10.3322/caac.21763\n      \u003C/li>\n      \u003Cli>\n        Iodice, S., Gandini, S., Maisonneuve, P., & Lowenfels, A. B. (2008). Tobacco and the risk of pancreatic cancer: a review and meta-analysis. \u003Ci>Lancet Oncology\u003C/i>, 9(7),  621-628. https://doi.org/10.1016/S1470-2045(08)70107-6\n      \u003C/li>\n    \u003C/ul>\n  \u003C/section>\n\u003C/div>\n\n\u003Cstyle>\n.pancreatic_material_wrap {\n  max-width: 830px;\n  margin: 28px auto;\n  padding: 36px 32px 50px 32px;\n  background: #f5f7fb;\n  border-radius: 22px;\n  box-shadow: 0 2px 18px 0 rgba(180, 190, 220, 0.12);\n  font-family: 'PingFang SC', 'Arial', sans-serif;\n}\n\n.pancreatic_material_title {\n  font-size: 36px;\n  color: #093c59;\n  text-align: center;\n  margin-bottom: 40px;\n  letter-spacing: 1px;\n  font-weight: 700;\n}\n\n.pancreatic_material_intro {\n  padding: 23px;\n  background: linear-gradient(90deg, #eaf4fa 0%, #f6fbfd 100%);\n  border-radius: 14px;\n  box-shadow: 0 0px 10px 0 rgba(164,180,195,0.05);\n  margin-bottom: 36px;\n}\n\n.pancreatic_material_section {\n  margin-bottom: 38px;\n  border-radius: 14px;\n  box-shadow: 0 0px 10px 0 rgba(164,180,195,0.06);\n  padding: 23px 24px 18px 24px;\n  background: #fff;\n  position: relative;\n}\n\n.pancreatic_material_bg {\n  background: linear-gradient(100deg, #f5faf5 80%, #e7eef9 100%);\n}\n\n.pancreatic_material_bg2 {\n  background: linear-gradient(80deg, #f9f5fa 80%, #eaf4fa 100%);\n}\n\n.pancreatic_material_bg3 {\n  background: linear-gradient(90deg, #fbf9f6 60%, #f4f9e7 100%);\n}\n\n.pancreatic_material_bg4 {\n  background: linear-gradient(85deg, #f7f7fc 90%, #e7f9f4 100%);\n}\n\n.pancreatic_material_bg5 {\n  background: linear-gradient(87deg, #f8f9f5 88%, #f9eaf7 100%);\n}\n\n.pancreatic_material_bg6 {\n  background: linear-gradient(90deg, #f7fbe6 80%, #f6f5fa 100%);\n}\n\n.pancreatic_material_subtitle {\n  font-size: 26px;\n  color: #165077;\n  margin: 0 0 16px 0;\n  font-weight: 600;\n  letter-spacing: 0.5px;\n}\n\n.pancreatic_material_p {\n  font-size: 19px;\n  color: #253749;\n  margin-bottom: 16px;\n  line-height: 1.87;\n}\n\n.pancreatic_material_point_wrap {\n  margin: 14px 0 6px 0;\n}\n\n.pancreatic_material_point {\n  padding: 13px 11px 13px 16px;\n  margin-bottom: 10px;\n  background: rgba(232, 244, 255, 0.29);\n  border-radius: 11px;\n  font-size: 18px;\n  color: #19567c;\n  display: flex;\n  align-items: flex-start;\n  gap: 13px;\n  line-height: 1.7;\n}\n\n.pancreatic_material_good {\n  background: rgba(226, 247, 225, 0.41);\n  color: #277239;\n  font-weight: 500;\n}\n\n.pancreatic_material_emoji {\n  font-size: 23px;\n  margin-right: 8px;\n  align-self: flex-start;\n}\n\n.pancreatic_material_reference_title {\n  font-size: 20px;\n  border-left: 5px solid #417dd2;\n  padding-left: 10px;\n  margin-top: 13px;\n  margin-bottom: 8px;\n  color: #156194;\n  font-weight: 600;\n}\n\n.pancreatic_material_reference_list {\n  list-style: disc inside;\n  color: #1c3b4d;\n  font-size: 15px;\n  padding-left: 6px;\n  letter-spacing: 0.2px;\n}\n\u003C/style>\n\n","\u003Cdiv class=\"pancreatic_material_wrap\">\n  \u003Ch1 id=\"material_title\" class=\"pancreatic_material_title\" s",515,"2025-08-11 11:33:08","胰腺癌, 胰腺癌症状, 风险因素, 治疗方法, 健康生活习惯","胰腺癌早期症状不明显，但现代生活习惯让发病率上升。本文介绍胰腺癌的风险、识别方法及应对措施，为你提供专业建议，助你健康生活。","2025-08-15 19:32:00",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},[],[]]