[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fWA0VWmNnFs81SDAESUpoefsKO29a-LbxNUYReo9cv60":8,"$fvpXd-GhMLbYnYQzPRq9lgUFoCG4nkOkyCVBZU2jZZk8":54,"$fzWbL0QPY68E92Ga25rDegzXn8u50RvjGrcBl7iXpews":58},{"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":53},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":20,"menus":32,"menuId":34,"type":41,"quality":52,"commentCount":21,"isComment":41},61269,870475,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//QOsxzDBoSaORDC4DS8rtC1TkzMUXcjNf.png","周妍","嘉兴市第一医院","血液内科","主治医师",2,0,"揭开弥漫大B细胞淋巴瘤的真相与应对之道","","https://ystcdn.venuertc.com/venue/AI/f57e1983-73ae-459c-a752-e3776fa5f1b2.jpg","\u003Cdiv class=\"dlbcl-material-container\">\n  \u003Ch1 id=\"material_title\" class=\"dlbcl-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);\">\n    揭开弥漫大B细胞淋巴瘤的真相与应对之道\n  \u003C/h1>\n\n  \u003Cdiv class=\"dlbcl-section\" style=\"background:linear-gradient(90deg,#F2F6FA 70%,#E3E6ED 100%);\">\n    \u003Ch2 class=\"dlbcl-section-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 生活中的变化：如何觉察弥漫大B细胞淋巴瘤的蛛丝马迹？\u003Cspan class=\"dlbcl-emoji\">🔍\u003C/span>\u003C/h2>\n    \u003Cdiv class=\"dlbcl-section-body\">\n      \u003Cp>\n        忙碌的日常里，有些小变化总是容易被忽略——比如，体力好像没以前那么充沛了，有时候轻微乏力，但并不会影响基本的活动；或者偶尔一场小感冒，需要恢复的时间比以往长一点。对于很多中老年朋友，这些细节往往会被当成自然衰老。然而，类似的小信号，有时就隐藏着大问题的苗头。\n      \u003C/p>\n      \u003Cp>\n        弥漫大B细胞淋巴瘤（DLBCL）就是这样一位“不速之客”。初期它对人的日常生活影响有限，有些人甚至会一段时间内毫无察觉。也许只是觉得早晚易疲劳，偶尔夜里盗汗，或短时间内体重轻微下降。这种种变化，单独来看都很不起眼。然而，如果这些“小变化”在短期内持续出现，建议引起足够重视，不妨及时和家医聊一聊。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"dlbcl-section\" style=\"background:linear-gradient(90deg,#FAF4F0 80%,#F5E8E0 100%);\">\n    \u003Ch2 class=\"dlbcl-section-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 明显信号不可忽视：疫情期间如何尽早识别 DLBCL？\u003Cspan class=\"dlbcl-emoji\">🚨\u003C/span>\u003C/h2>\n    \u003Cdiv class=\"dlbcl-section-body\">\n      \u003Cp>\n        在疫情期间，很多人延迟了体检和就诊，这也是现在不少淋巴瘤患者发现时已较为明显的原因之一。弥漫大B细胞淋巴瘤有一些比较容易识别的特征信号，以下几种值得多加留心——\n      \u003C/p>\n      \u003Cul>\n        \u003Cli>\n          \u003Cspan class=\"dlbcl-listmark\">1.\u003C/span>\n          \u003Cspan class=\"dlbcl-bold\">持续性淋巴结肿大：\u003C/span> 颈部、腋下等处突然摸到硬结，有时按压无痛，短期内尺寸扩大。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"dlbcl-listmark\">2.\u003C/span>\n          \u003Cspan class=\"dlbcl-bold\">反复发热：\u003C/span> 未明原因的体温升高，往往用普通药物效果不明显，有时伴随低烧、夜间不自主出汗。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"dlbcl-listmark\">3.\u003C/span>\n          \u003Cspan class=\"dlbcl-bold\">体重明显减轻：\u003C/span> 一两个月内，体重突然下降超过5公斤，无减肥、运动等其他解释。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"dlbcl-listmark\">4.\u003C/span>\n          \u003Cspan class=\"dlbcl-bold\">显著乏力：\u003C/span> 一天没做多少事就累，不是小疲劳，而是“怎么都缓不过来”的那种。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        临床中曾有一位76岁男性，原先身体并无大碍，后来因为睾丸无痛性肿块就诊，进一步检查发现为非GCB型弥漫大B细胞淋巴瘤。这个案例提醒我们：平时身体的明显变化，尤其是出现上述几个特征，一定要及时到医院专业科室就诊，争取早一点发现，早一点治疗。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"dlbcl-section\" style=\"background:linear-gradient(90deg,#F2F8F5 75%,#D6E5DF 100%);\">\n    \u003Ch2 class=\"dlbcl-section-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 为什么会得弥漫大B细胞淋巴瘤？科学解析发病机理\u003Cspan class=\"dlbcl-emoji\">🧬\u003C/span>\u003C/h2>\n    \u003Cdiv class=\"dlbcl-section-body\">\n      \u003Cp>\n        很多朋友会疑问，为什么自己或身边人会得这种淋巴瘤？实际上，弥漫大B细胞淋巴瘤是一类源自B淋巴细胞的恶性肿瘤，这些“异常细胞”本该是身体免疫小卫士，却因为遗传、环境等多种因素出现了失控增殖。\n      \u003C/p>\n      \u003Cul>\n        \u003Cli>\n          \u003Cspan class=\"dlbcl-listmark\">1.\u003C/span>\n          \u003Cspan class=\"dlbcl-bold\">年龄\u003C/span>：据统计，DLBCL发病率随着年龄增加明显上升（约一半患者超过60岁）\u003Ca class=\"dlbcl-refmark\" href=\"#dlbcl-ref1\">[1]\u003C/a>。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"dlbcl-listmark\">2.\u003C/span>\n          \u003Cspan class=\"dlbcl-bold\">免疫系统异常\u003C/span>：免疫系统本就薄弱或有长期慢性免疫性疾病的人，患病风险远高于普通人群。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"dlbcl-listmark\">3.\u003C/span>\n          \u003Cspan class=\"dlbcl-bold\">遗传与基因突变\u003C/span>：最新研究揭示DLBCL细胞包含多种基因变异，不同亚型的基因基础差异会影响发病和治疗效果\u003Ca class=\"dlbcl-refmark\" href=\"#dlbcl-ref2\">[2]\u003C/a>。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"dlbcl-listmark\">4.\u003C/span>\n          \u003Cspan class=\"dlbcl-bold\">慢性病毒感染\u003C/span>：比如EB病毒、丙肝病毒等，长期感染状态下，B细胞持续被刺激，也会增加病变概率。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"dlbcl-listmark\">5.\u003C/span>\n          \u003Cspan class=\"dlbcl-bold\">其他慢病影响\u003C/span>：如肝硬化、长期高血压、代谢异常等慢性基础病同样会一定程度增加肿瘤发生风险，有研究显示，慢性炎症参与B细胞异常“转化”过程。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        简单来说，弥漫大B细胞淋巴瘤的发生不是单一诱因。多项科学研究揭示了基因、免疫和环境的共同作用，其实也是提醒日常生活中平衡饮食、规律作息、科学控制基础慢病的重要性。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"dlbcl-section\" style=\"background:linear-gradient(90deg,#F3F0FA 80%,#E3DAF0 100%);\">\n    \u003Ch2 class=\"dlbcl-section-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 诊断流程一次说清：检查怎么做，注意什么？\u003Cspan class=\"dlbcl-emoji\">🩺\u003C/span>\u003C/h2>\n    \u003Cdiv class=\"dlbcl-section-body\">\n      \u003Cp>\n        真正确诊弥漫大B细胞淋巴瘤，需要专业的血液科或肿瘤专科团队多步骤联合完成。整个流程其实没想象中复杂，但每一步都至关重要。我们用简单的顺序梳理以下要点——\n      \u003C/p>\n      \u003Col>\n        \u003Cli>\n          \u003Cspan class=\"dlbcl-bold\">体格检查和问诊：\u003C/span>了解症状，有无肿大淋巴结等体征。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"dlbcl-bold\">淋巴结（或原发区域）活检：\u003C/span>是诊断的核心。医生会取一小片异常组织作病理分析，判别肿瘤类型及亚型。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"dlbcl-bold\">血液及免疫学检查：\u003C/span>比如全血细胞计数、肝肾功能、免疫细胞（CD3、CD20等）比例，有助于了解患者整体健康状态。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"dlbcl-bold\">影像学检查：\u003C/span>PET-CT或CT有助于判别肿瘤涉及范围、分期及转移可能。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"dlbcl-bold\">特殊基因分析：\u003C/span>某些患者还会进一步做基因测序，用于亚型分辨和指导后续个体化治疗\u003Ca class=\"dlbcl-refmark\" href=\"#dlbcl-ref2\">[2]\u003C/a>。\n        \u003C/li>\n      \u003C/ol>\n      \u003Cp>\n        检查期间，如遇既往肝、肾、或造血功能异常，及时告知医生，可根据自身情况合理调整方案。这有助于规避治疗期间的不良反应，让诊疗更安全。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"dlbcl-section\" style=\"background:linear-gradient(90deg,#FDF8F0 80%,#F4ECDD 100%);\">\n    \u003Ch2 class=\"dlbcl-section-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 治疗路径与预期效果分析：DLBCL怎么治？效果如何？\u003Cspan class=\"dlbcl-emoji\">💊\u003C/span>\u003C/h2>\n    \u003Cdiv class=\"dlbcl-section-body\">\n      \u003Cp>\n        目前弥漫大B细胞淋巴瘤的标准治疗方案，是由多种药物联合的“R-CHOP”方案。这里涉及“利妥昔单抗”（靶向免疫药物）、化疗药物（环磷酰胺、阿霉素/多柔比星、长春新碱）以及激素泼尼松。整个方案按周分期进行，一般至少接受6个周期。部分特殊亚型或高危患者，医生会据具体情况个性化调整用药。\n      \u003C/p>\n      \u003Cp>\n        公开研究数据显示，只要在正规医院接受规范治疗，大多数DLBCL患者5年生存率能达到60%以上\u003Csup>\u003Ca class=\"dlbcl-refmark\" href=\"#dlbcl-ref3\">[3]\u003C/a>\u003C/sup>。如果是对一线治疗不敏感，后续还有干细胞移植、CAR-T细胞免疫疗法等新手段。仅以临床案例为例：76岁男性患者完成R-CHOP方案多个周期，合并肝硬化、胆结石等多种基础病，在专科医生全程管理下，临床病情获得明显缓解。\n      \u003C/p>\n      \u003Cp>\n        不过，疗效虽可观，仍需按医嘱定期回门诊复查血常规、肝肾功能及相关影像。发生新的不适，尤其如突发高热、持续无力，建议必要时提前复诊排查。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"dlbcl-section\" style=\"background:linear-gradient(90deg,#EDF7F6 80%,#DFF2F2 100%);\">\n    \u003Ch2 class=\"dlbcl-section-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 日常生活管理建议：怎么和DLBCL“和平共处”？\u003Cspan class=\"dlbcl-emoji\">🌱\u003C/span>\u003C/h2>\n    \u003Cdiv class=\"dlbcl-section-body\">\n      \u003Cp>\n        除了医院里的治疗，日常自我管理也很重要。这里不是让人苛刻自律，而是像呵护家中老小一样，让身体环境更适宜修养和恢复——\n      \u003C/p>\n      \u003Cul>\n        \u003Cli>\n          \u003Cspan class=\"dlbcl-bold\">均衡饮食：\u003C/span>\n          \u003Cspan>日常多选择新鲜蔬菜、水果、优质蛋白（如鱼、瘦肉、豆类），帮助身体保持良好免疫状态。每餐适量，尽量搭配，减少暴饮暴食。\u003C/span>\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"dlbcl-bold\">适度体育活动：\u003C/span>\n          \u003Cspan>有体力时做一些慢步走、伸展拉伸运动，有助于呼吸循环和情绪调节。以不感疲乏为宜，不追求运动量。\u003C/span>\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"dlbcl-bold\">注意规律作息：\u003C/span>\n          \u003Cspan>保持良好睡眠，有助于免疫细胞调整状态，夜间休息尤其重要。\u003C/span>\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"dlbcl-bold\">定期医学随访：\u003C/span>\n          \u003Cspan>按照医生建议时间，回医院复查血常规和影像。出现异常情况（发热、持续无力、肿块变化）及时就医。\u003C/span>\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"dlbcl-bold\">情绪和社会支持：\u003C/span>\n          \u003Cspan>家人和朋友的理解非常难得。必要时可寻求专业心理疏导，分担压力，有助于整体恢复。\u003C/span>\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        当然，每个人的体质不同，生活措施需要结合个体状况做调整。和医生多沟通，敢于表达自己的疑问和需求，是让疾病管理变得更加温和、有效的关键。说起来，战胜疾病或许不容易，但好心情、好习惯每天积累的点滴进步，也许正是驱赶“病魔”的最好力量。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"dlbcl-section\" style=\"background:linear-gradient(90deg,#F6F8FA 80%,#DFE6F2 100%);\">\n    \u003Ch2 class=\"dlbcl-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">07 参考文献与延伸阅读\u003Cspan class=\"dlbcl-emoji\">📚\u003C/span>\u003C/h2>\n    \u003Cdiv class=\"dlbcl-section-body\">\n      \u003Col class=\"dlbcl-ref-list\">\n        \u003Cli id=\"dlbcl-ref1\">\n          \u003Cspan class=\"dlbcl-bold\">Armand, P.\u003C/span> (2024). Essentials of diffuse large B-cell lymphoma. \u003Cem>Dana-Farber Cancer Institute\u003C/em>. \n          \u003Cspan class=\"dlbcl-refmark\">[Available: https://blog.dana-farber.org/insight/2024/04/essentials-of-diffuse-large-b-cell-lymphoma]\u003C/span>\n        \u003C/li>\n        \u003Cli id=\"dlbcl-ref2\">\n          \u003Cspan class=\"dlbcl-bold\">Shipp, M. A., & et al.\u003C/span> (2018). Genetic subtypes of diffuse large B-cell lymphoma revealed by comprehensive molecular profiling. \u003Cem>New England Journal of Medicine\u003C/em>, 378(15), 1396-1407. https://doi.org/10.1056/NEJMoa1801445\n        \u003C/li>\n        \u003Cli id=\"dlbcl-ref3\">\n          \u003Cspan class=\"dlbcl-bold\">Coiffier, B., & et al.\u003C/span> (2010). Long-term outcome of patients in the LNH-98.5 trial, the first randomized study comparing rituximab-CHOP to standard CHOP chemotherapy in DLBCL patients: A study by the GELA group. \u003Cem>Blood\u003C/em>, 116(12), 2040-2045. https://doi.org/10.1182/blood-2010-03-276246\n        \u003C/li>\n      \u003C/ol>\n      \u003Cp>\n        \u003Cspan class=\"dlbcl-bold\">说明：\u003C/span> 本文部分数据来自权威科研和临床平台，内容经医学团队校核，仅供健康科普之用。如有疑问请咨询专业医生。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n.dlbcl-material-container {\n  font-family: \"PingFang SC\", \"Microsoft YaHei\", Arial, Helvetica, sans-serif;\n  color: #2D3250;\n  max-width: 880px;\n  margin: 32px auto 40px auto;\n  padding: 32px 30px;\n  background: #FCFCFF;\n  border-radius: 18px;\n  box-shadow: 0 2px 15px rgba(190,200,222,0.10);\n  font-size: 18px;\n  line-height: 1.85;\n}\n\n.dlbcl-material-title {\n  font-size: 2.3em;\n  color: #1D2453;\n  font-weight: 700;\n  letter-spacing: 2px;\n  line-height: 1.18;\n  margin-bottom: 16px;\n  text-align: center;\n  padding-bottom: 8px;\n  border-bottom: 2px solid #CBD2EE;\n}\n\n.dlbcl-section {\n  margin-top: 34px;\n  border-radius: 15px;\n  padding: 30px 26px 24px 26px;\n  background-size: 140% auto;\n  box-sizing: border-box;\n  box-shadow: 0 1px 10px rgba(220,220,250,0.06);\n}\n\n.dlbcl-section-title {\n  font-size: 1.55em;\n  font-weight: 600;\n  letter-spacing: 1px;\n  margin-bottom: 18px;\n  color: #342374;\n  padding-left: 7px;\n  position: relative;\n}\n\n.dlbcl-emoji {\n  font-size: 1.06em;\n  margin-left: 8px;\n  vertical-align: middle;\n}\n\n.dlbcl-section-body p {\n  margin-bottom: 15px;\n  font-size: 1.01em;\n}\n\n.dlbcl-bold {\n  font-weight: 600;\n}\n\n.dlbcl-listmark {\n  color: #90ABC2;\n  font-size: 1em;\n  margin-right: 5px;\n}\n\n.dlbcl-section-body ul,\n.dlbcl-section-body ol {\n  padding-left: 1.7em;\n  margin-bottom: 16px;\n}\n\n.dlbcl-section-body li {\n  margin-bottom: 11px;\n}\n\n.dlbcl-section-body li:last-child {\n  margin-bottom: 0;\n}\n\n.dlbcl-refmark {\n  color: #9265EA;\n  font-size: 0.99em;\n  text-decoration: underline;\n  cursor: pointer;\n  margin: 0 4px;\n}\n.dlbcl-section-body a.dlbcl-refmark {\n  text-decoration: underline dotted;\n  color:#8791BE;\n}\n\n.dlbcl-ref-list {\n  margin-top: 6px;\n  font-size: 0.97em;\n  color: #485080;\n  padding-left: 2em;\n}\n\n.dlbcl-section-body sup {\n  font-size: 0.92em;\n}\n@media screen and (max-width: 700px) {\n  .dlbcl-material-container {\n    max-width: 97%;\n    padding: 15px 5% 20px 5%;\n    font-size: 16px;\n  }\n  .dlbcl-section {\n    padding: 18px 6% 14px 6%;\n  }\n  .dlbcl-material-title {\n    font-size: 1.4em;\n    padding-bottom: 3px;\n    margin-bottom: 8px;\n  }\n}\n\n\u003C/style>\n","\u003Cdiv class=\"dlbcl-material-container\">\n  \u003Ch1 id=\"material_title\" class=\"dlbcl-material-title\" style=",526,"2025-08-20 17:31:23","弥漫大B细胞淋巴瘤, DLBCL 症状, 大B细胞淋巴瘤治疗, 早期识别, 健康管理, 中老年疾病, 免疫系统问题, 生活方式调整","本文深入分析弥漫大B细胞淋巴瘤(DLBCL)的症状、发病机制及治疗方案，帮助读者识别早期信号，促进健康管理与及时就医。了解如何有效应对DLBCL。","2025-08-21 17:50:00",[33],{"menuId":34,"menuName":35,"parentId":21,"orderNum":20,"path":36,"component":37,"isFrame":38,"isCache":39,"menuType":40,"visible":41,"status":21,"createDept":6,"remark":23,"createTime":42,"children":43,"columnImage":44,"columnLogo":45,"uncheckedLogo":6,"checkedLogo":6,"isHot":41,"isHome":21,"forceLogin":21,"color":46,"seoTitle":47,"seoKeywords":48,"seoDescription":49,"contentNum":6,"promotionalPoster":50,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":51,"routerPath":36,"componentInfo":37},"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":55,"success":53},{"pageNo":41,"pageSize":56,"result":57,"totalSize":21},10,[],{"code":9,"msg":10,"message":6,"data":59,"success":53},{"authors":60,"appraiseDimensionScoresVos":61},[],[]]