[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fow-O5sv_us947aBqf2S-GkzUKStLmQmtlcrhQJ2XsV8":8,"$fSKWidpLF2sLxEPIZQyQwvdOi6vkP2HE6CIRX3VjEy3Q":55,"$fa-jnjXebw30mqChUpHl5Cf-KDchDNABM4BOiCEgGSk8":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},65962,870501,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//dJwp5Bht4no85kzrlOpm8ZIcWihTBcIT.png","朱康贝","培训机构杭州市卫生健康委员会","普外科","住院医师",53,0,"肺癌：认识、识别与应对","","https://ystcdn.venuertc.com/venue/AI/e6a0b5d9-d0c5-492f-8c4b-7a3ed85ea0f6.jpg","\u003Cdiv id=\"material_title\" class=\"material-lung-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);\">肺癌：认识、识别与应对\u003C/h2>\n\u003C/div>\n\n\u003Cdiv class=\"material-lung-section lung-section-01\">\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);\">01 什么是肺癌？\u003C/h2>\n  \u003Cdiv class=\"material-lung-bg lung-bg01\">\n    \u003Cp>\n      和家人闲聊身体健康的时候，偶尔会听到“肺癌”这个词。其实，肺癌离我们并不遥远，它已是全球最常见的癌症之一。根据世界卫生组织（WHO, 2023），肺癌在全球癌症死亡中占据首位，仅2020年就造成约180万人死亡（Bray F et al., CA Cancer J Clin, 2018）。\u003Cspan class=\"emoji\">💡\u003C/span>\n    \u003C/p>\n    \u003Cp>\n      肺癌是指肺部的细胞出现异常增生，形成不受控制的肿瘤。这些异常细胞最初可能只是“小麻烦”，但假如发展下去，可能会影响整个呼吸系统，甚至扩散到其它器官。早期癌变通常难以察觉，而晚期往往治疗选择有限。简单来说，肺癌并不是突然降临，而是一个长期、渐进的过程。\n    \u003C/p>\n    \u003Cp class=\"material-lung-tips\">\n      这说明，对肺癌的基础认知其实是帮助自己和家人少走弯路的一步。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"material-lung-section lung-section-02\">\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);\">02 肺癌的明显症状有哪些？\u003C/h2>\n  \u003Cdiv class=\"material-lung-bg lung-bg02\">\n    \u003Cul>\n      \u003Cli>\n        \u003Cspan class=\"emoji\">🔎\u003C/span> \u003Cstrong>持续性咳嗽：\u003C/strong>如果咳嗽超过三周没有缓解，尤其在无感冒时反复出现，别当小感冒处理。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"emoji\">🫁\u003C/span> \u003Cstrong>呼吸困难：\u003C/strong>上下楼开始觉得喘不上气，或普通活动后气短，说明呼吸通道可能有阻碍。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"emoji\">💥\u003C/span> \u003Cstrong>胸痛：\u003C/strong>胸口的闷痛不是偶尔的“刺一下”，而是持续不适或明显加重，尤其是侧睡和深呼吸时更明显。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"emoji\">🥱\u003C/span> \u003Cstrong>极度乏力与持续消瘦：\u003C/strong>突然没精神或不明原因体重减轻，不仅仅是忙碌导致。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"emoji\">🩸\u003C/span> \u003Cstrong>咳血：\u003C/strong>痰中有血丝，这通常是肺部血管被异常细胞侵犯导致。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"emoji\">🔄\u003C/span> \u003Cstrong>反复肺部感染：\u003C/strong>一段时间内频繁出现肺炎或支气管炎，要留心是不是有根本问题没被发现。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cdiv class=\"material-lung-case\">\n      \u003Cp>\n        有位67岁的男性，曾反复出现咳嗽和胸痛，同时逐渐觉得呼吸困难。进一步检查后确诊为中央型肺癌，还合并了淋巴结和脑部转移（病例详情见上）。这个例子提醒，我们千万不能把这些持续症状当做普通感冒或劳累。\n      \u003C/p>\n    \u003C/div>\n    \u003Cp class=\"material-lung-tips\">\n      别忽视长期、明显的不适，真正需要关注的是“持续”和“加重”。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"material-lung-section lung-section-03\">\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);\">03 为什么会得肺癌？主要致病因素分析\u003C/h2>\n  \u003Cdiv class=\"material-lung-bg lung-bg03\">\n    \u003Col>\n      \u003Cli>\n        \u003Cstrong>吸烟：\u003C/strong>这是最主要的致病因素。世卫组织的数据说，约85%的肺癌和吸烟相关（WHO, 2023）。不仅抽烟，二手烟也有影响。焦油和尼古丁长期侵蚀气管，促使异常细胞出现。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>空气污染：\u003C/strong>雾霾、汽车尾气、工厂排放等环境危害，都能带来长期肺部损伤。研究曾发现，每升高10μg/m³ PM2.5（细颗粒物），肺癌风险提高了约15%（Hamra GB et al., Environ Health Perspect, 2014）。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>职业危害：\u003C/strong>接触石棉、氡气等有害物质的工人，肺癌患病率显著高于普通人群。长年吸入刺激性细粉尘，是隐形的风险。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>遗传和家族因素：\u003C/strong>有些人天生易感，家族中有肺癌史的人风险略高。某些基因突变（如EGFR）与部分肺癌类型关系密切。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>慢性肺部疾病：\u003C/strong>曾患慢性支气管炎、肺结核、长期哮喘等疾病，肺组织变得脆弱，更容易遭受异常增生困扰。\n      \u003C/li>\n    \u003C/ol>\n    \u003Cp class=\"material-lung-tips\">\n      这些因素不是单一决定的，生活习惯和环境多重作用，形成肺癌的“温床”，尤其需要小心的是累计风险。\n    \u003C/p>\n    \u003Cp class=\"material-lung-reference\">\n      引用文献：\u003Cbr>\n      - World Health Organization. (2023). Lung Cancer: Key Facts. \u003Cbr>\n      - Bray, F., Ferlay, J., Soerjomataram, I., Siegel, R. L., Torre, L. A., & Jemal, A. (2018). Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 68(6), 394-424.\u003Cbr>\n      - Hamra, G. B., Guha, N., et al. (2014). Outdoor particulate matter exposure and lung cancer: a systematic review and meta-analysis. Environmental Health Perspectives, 122(9), 906-911.\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"material-lung-section lung-section-04\">\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);\">04 肺癌检查与诊断流程\u003C/h2>\n  \u003Cdiv class=\"material-lung-bg lung-bg04\">\n    \u003Cp>\n      当有可疑症状出现时，医院会根据实际情况安排不同的检查。以下是常见的步骤：\n    \u003C/p>\n    \u003Col>\n      \u003Cli>\n        \u003Cstrong>胸部影像学检查：\u003C/strong>轻微症状出现后，通常首选低剂量CT或增强CT。CT能清楚显示肺部的肿块、淋巴结肿大或者有无阻塞（参考病例里的多次CT和MRI检查）。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>组织活检：\u003C/strong>如发现肺部可疑肿块，医生通过支气管镜或针吸方式，取一些细胞做显微镜检，判断性质和类型。结果能区分常见的非小细胞癌与小细胞癌，有助于治疗规划。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>分子病理检测：\u003C/strong>进一步分析肿瘤细胞中特定基因，对是否能用靶向药物、免疫治疗有决定作用。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>其它辅助检查：\u003C/strong>包括PET-CT（检测全身有无转移）、血液肿瘤标志物检测等，有助于癌症分期和疗效评估。\n      \u003C/li>\n    \u003C/ol>\n    \u003Cp class=\"material-lung-tips\">\n      简单来说，结合症状和多种检查结果，才能做出准确诊断。如果初步筛查发现异常，别怕“被查出”，及时完成后续流程。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"material-lung-section lung-section-05\">\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);\">05 治疗有哪些选择？方案解析\u003C/h2>\n  \u003Cdiv class=\"material-lung-bg lung-bg05\">\n    \u003Cp>\n      肺癌治疗就像修复复杂的管道系统，不同阶段、类型的癌症，对应不同的“修理”方法。从现实看，常见治疗主要分为以下几种：\n    \u003C/p>\n    \u003Cul>\n      \u003Cli>\n        \u003Cspan class=\"emoji\">🔪\u003C/span>\u003Cstrong>手术切除：\u003C/strong>适用于早期局限型肺癌。医生会切除肿瘤和周围一部分组织，保留正常肺功能。术前常用新辅助化疗缩小肿瘤，术后辅助治疗减复发风险。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"emoji\">💊\u003C/span>\u003Cstrong>化疗：\u003C/strong>用药物杀死或控制异常细胞。早期多和手术、放疗结合使用，晚期则作为主要治疗方式。化疗药物方案需结合具体病理和耐受性调整，如实际病例中依托泊苷+卡铂。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"emoji\">📡\u003C/span>\u003Cstrong>放疗：\u003C/strong>用高能射线杀灭肿瘤细胞，适合不能手术或癌症已转移的情况。也可针对脑部、骨骼等局部转移灶施行精准治疗。剂量和次数需医生严密把关。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"emoji\">🎯\u003C/span>\u003Cstrong>靶向与免疫治疗：\u003C/strong>有特殊基因突变的患者可选用靶向药物，直接阻断异常信号。免疫治疗能激活人体防御系统，帮助清除癌细胞。近年来，靶向和免疫成为晚期肺癌的重要选择。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"emoji\">🚑\u003C/span>\u003Cstrong>支持治疗：\u003C/strong>用于缓解症状、减轻痛苦，包括营养支持、心理疏导和对症处理。帮助患者度过治疗期间的各种不适，提高生活质量。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"material-lung-tips\">\n      治疗并非单选题，医生会根据病人身体状况、癌症分期、基因特征等个性化制定方案，避免“一刀切”。和专业团队沟通，对方案有清楚理解，才能做出最佳决策。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"material-lung-section lung-section-06\">\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);\">06 如何帮助肺癌患者科学生活管理？\u003C/h2>\n  \u003Cdiv class=\"material-lung-bg lung-bg06\">\n    \u003Cp>\n      治疗只是第一步，日常生活的调整更能为患者带来持续性的改善。这里有几条切实可行的建议：\n    \u003C/p>\n    \u003Cul>\n      \u003Cli>\n        \u003Cspan class=\"emoji\">🥗\u003C/span> \u003Cstrong>均衡饮食：\u003C/strong>优先选择富含维生素和膳食纤维的蔬菜（如西兰花、胡萝卜）、新鲜水果（例如蓝莓、苹果），以及适量的瘦肉和豆制品（帮助修复组织）。总体原则是多样搭配，避免只吃一类食品。有些研究指出高纤维饮食能帮助降低炎症，提高机体免疫反应（Aune D et al., BMJ, 2016）。\n        \u003Cbr>建议：一日两次蔬果，每餐适量粗粮。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"emoji\">🚶\u003C/span> \u003Cstrong>适度活动：\u003C/strong>根据身体状况，每天散步30分钟、做轻松伸展或呼吸练习，可以帮助减轻疲惫感，改善情绪。\n        \u003Cbr>建议：与医生沟通后，设定个人运动目标，不强求强度，贵在坚持。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"emoji\">📅\u003C/span> \u003Cstrong>定期随访：\u003C/strong>每隔3-6个月到医院复查一次，跟踪治疗效果和身体变化，方便及时调整方案。\n        \u003Cbr>建议：建立健康档案，保存检查报告，便于医生全面了解状况。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"emoji\">🧠\u003C/span> \u003Cstrong>心理支持：\u003C/strong>面对疾病，心情难免波动。不妨找家人、朋友沟通，必要时寻求心理专家辅导。有数据显示，情绪管理能明显提高生活质量，减少孤独感（Chambers SK et al., Psycho-Oncology, 2012）。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"emoji\">☕\u003C/span> \u003Cstrong>规律生活：\u003C/strong>保证充足睡眠，不熬夜作息，规律进食和休息，让身体有恢复的时间。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cdiv class=\"material-lung-case\">\n      \u003Cp>\n        这个管理思路，不仅对患者本人有益，对所有关注肺部健康的人都适用。其实，持续的生活调整和积极的心态，是长期健康的良方。\n      \u003C/p>\n    \u003C/div>\n    \u003Cp class=\"material-lung-tips\">\n      和医生保持沟通，拒绝盲目跟风网络偏方，坚持科学管理，才有真正的健康保障。\n    \u003C/p>\n    \u003Cp class=\"material-lung-reference\">\n      引用文献：\u003Cbr>\n      - Aune, D., Giovannucci, E., et al. (2016). Dietary fibre intake and risk of lung cancer: a systematic review and meta-analysis of prospective cohort studies. BMJ, 355, i5362.\u003Cbr>\n      - Chambers, S. K., et al. (2012). Psychological distress and quality of life in lung cancer patients and carers: The influence of compassion, avoidance and family support. Psycho-Oncology, 21(7), 709-716.\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"material-lung-section lung-section-07\">\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);\">07 行动建议与温和总结\u003C/h2>\n  \u003Cdiv class=\"material-lung-bg lung-bg07\">\n    \u003Cp>\n      肺癌虽然可怕，但科学认知、规律管理能大幅度降低其影响。别把“肺癌”这个词当绝症来看待，更要关注日常中的小症状和改变。平时合理饮食、适度运动、主动检查，以及轻松的心态，都是对健康负责的表现。不妨把这些内容分享给家人朋友，让关爱从预防开始。如果遇到不适症状，早些就医咨询，比抱着侥幸心理拖延更靠谱。\n    \u003C/p>\n    \u003Cp class=\"material-lung-reference\">\n      参考文献可在PubMed/Google Scholar 检索：\u003Cbr>\n      - World Health Organization. Lung Cancer - Key Facts, 2023\u003Cbr>\n      - Bray F et al. Global cancer statistics 2018: GLOBOCAN estimates..., CA Cancer J Clin, 2018.\u003Cbr>\n      - Hamra GB et al. Outdoor particulate ..., Environ Health Perspect, 2014.\u003Cbr>\n      - Aune D et al. Dietary fibre intake..., BMJ, 2016.\u003Cbr>\n      - Chambers SK et al. Psychological distress..., Psycho-Oncology, 2012.\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n.material-lung-title {\n  background: linear-gradient(90deg, #e0ecf7 0%, #c7e5ed 100%);\n  padding: 30px 20px 10px 30px;\n  border-radius: 18px;\n  margin: 42px 0 32px 0;\n  text-align: center;\n  font-size: 38px;\n  font-weight: bold;\n  letter-spacing: 2px;\n}\n.material-lung-section {\n  margin-bottom: 50px;\n  border-radius: 14px;\n  box-shadow: 0px 6px 24px 0px rgba(92,134,157,0.07);\n  overflow: hidden;\n}\n.material-lung-section h2 {\n  background: linear-gradient(90deg, #c6e2f3 0%, #d7ede6 100%);\n  padding: 18px 26px;\n  font-size: 26px;\n  font-weight: 600;\n  border-radius: 8px 8px 0 0;\n  margin: 0;\n  letter-spacing: 1.5px;\n}\n.material-lung-bg {\n  padding: 30px 26px;\n  font-size: 20px;\n  line-height: 2.1em;\n  background-repeat: no-repeat;\n  background-size: cover;\n  background-position: right top;\n}\n.lung-bg01 { background: linear-gradient(105deg, #f2f6f8 70%, #daeaf0 100%);}\n.lung-bg02 { background: linear-gradient(100deg, #f8f9fa 80%, #d3e7f1 100%);}\n.lung-bg03 { background: linear-gradient(98deg, #f6f8f3 70%, #e2f2df 100%);}\n.lung-bg04 { background: linear-gradient(105deg, #f4f7fa 80%, #cfe5e8 100%);}\n.lung-bg05 { background: linear-gradient(95deg, #f3f9f7 75%, #e6ece8 100%);}\n.lung-bg06 { background: linear-gradient(105deg, #f8f9fa 90%, #dde9d9 100%);}\n.lung-bg07 { background: linear-gradient(97deg, #f4f8fd 72%, #d6e7f5 100%);}\n.material-lung-section ul, .material-lung-section ol {\n  margin-top: 12px;\n  margin-bottom: 12px;\n  padding-left: 40px;\n}\n.material-lung-section ul .emoji {\n  font-size:24px;\n  margin-right: 6px;\n}\n.material-lung-case {\n  background: #e8f2f8;\n  border-radius: 8px;\n  padding: 15px;\n  margin: 16px 0 20px 0;\n  font-size: 18px;\n  color: #4c677e;\n  box-shadow: 0px 2px 12px 0px rgba(89,119,150,0.05);\n}\n.material-lung-tips {\n  margin-top: 14px;\n  padding: 12px 18px;\n  background: #e5f7ea;\n  border-left: 6px solid #98bdae;\n  border-radius: 6px;\n  font-size: 18px;\n  color: #466865;\n}\n.material-lung-reference {\n  margin-top: 20px;\n  padding: 13px 15px 10px 15px;\n  background: #f8fafb;\n  border-left: 6px solid #b8cadd;\n  border-radius: 6px;\n  font-size: 17px;\n  color: #467796;\n  font-family: 'Arial', sans-serif;\n  word-break: break-all;\n}\n@media (max-width: 990px) {\n  .material-lung-title {font-size: 23px;}\n  .material-lung-section h2 {font-size: 18px;}\n  .material-lung-bg {font-size: 15px; padding:18px 10px;}\n  .material-lung-case {font-size:14px;}\n  .material-lung-tips {font-size:14px;}\n  .material-lung-reference {font-size:13px;}\n}\n\u003C/style>\n\n","\u003Cdiv id=\"material_title\" class=\"material-lung-title\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1",519,"2025-09-10 16:04:14","肺癌, 肺癌症状, 肺癌治疗, 吸烟, 空气污染, 呼吸困难, 咳血, 家族史, 定期检查","了解肺癌的症状、致病因素及治疗方案，帮助您和家人科学预防与管理。掌握关键知识，及时就医，提升健康保障！","2025-09-11 22:30:00",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},[],[]]