[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$f7Lv8ORLe6nCaGz2gUfT3tFtTp5fm6twZzCxkWhB8Ikc":8,"$fRAgqxSKT4Q5vagZwhH_wwWzddt5X7Iw2bhF4l2p_E68":55,"$fElimvsvXtrj2MyxrZNl2u_AEPk3mWkFQWRkqOELMAhk":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},66633,868989,[],"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,"十二指肠恶性肿瘤：科学解读与应对策略","","https://ystcdn.venuertc.com/venue/AI/ae6c053c-e87f-4c71-8962-acfe8944909f.jpg","\u003Cdiv class=\"duodenum-article-container\">\n    \u003Ch1 id=\"material_title\" class=\"duodenum-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">十二指肠恶性肿瘤：科学解读与应对策略\u003C/h1>\n    \u003Cdiv class=\"duodenum-intro\">\n        清晨，在早餐桌旁，如果你觉得胃口不佳，偶尔有些腹部不舒服，也许你不会把它当回事。可人体这座“小工厂”，有时也可能因为一些看起来不起眼的部位——比如十二指肠，而悄悄地积累了一些麻烦。十二指肠恶性肿瘤，虽然罕见，却不能忽视。今天我们就来聊聊，这个不常被提起的健康问题，应该怎么看、怎么防，让心里有谱。\n    \u003C/div>\n\n    \u003Csection class=\"duodenum-section duodenum-bg-01\">\n        \u003Ch2 class=\"duodenum-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 什么是十二指肠恶性肿瘤？\u003C/h2>\n        \u003Cdiv class=\"duodenum-section-text\">\n            十二指肠是小肠的第一段，夹在胃与空肠之间。十二指肠恶性肿瘤，指的就是发生在这个部位的恶性肿块，其中最常见的是腺癌。这类疾病并不多见，占消化道肿瘤不到1%\u003Cspan class=\"duodenum-ref\">（参考：Byrne, B. E. et al., 2010）\u003C/span>。不过，一旦得病，对于消化系统乃至全身健康，都有不小的影响。肿瘤生长在十二指肠，就像交通枢纽出现“异常堵塞”，可能影响胆道、胰腺的作用，还会影响食物正常通过，出现各种消化紊乱。轻则影响饮食，重则影响全身营养和代谢平衡，甚至危及生命。\n        \u003C/div>\n        \u003Cdiv class=\"duodenum-section-text\">\n            简单来讲，十二指肠恶性肿瘤是消化系统的“不速之客”，出现时往往已经有了比较麻烦的影响。平时虽有可能默默无闻，但它的危险性不容小觑。\n        \u003C/div>\n    \u003C/section>\n\n    \u003Csection class=\"duodenum-section duodenum-bg-02\">\n        \u003Ch2 class=\"duodenum-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 十二指肠恶性肿瘤有哪些症状？\u003C/h2>\n        \u003Cdiv class=\"duodenum-section-text\">\n            早期症状往往十分隐蔽。例如：\n            \u003Cul class=\"duodenum-list\">\n                \u003Cli>偶尔感到腹部不适或隐痛\u003C/li>\n                \u003Cli>食欲轻微下降，容易被误认为是“肠胃炎”或饮食不规律\u003C/li>\n                \u003Cli>偶有消化不良，没有规律性\u003C/li>\n            \u003C/ul>\n            这些征兆，很多时候不会引起注意，甚至吃点药、休息下就能缓解。\n        \u003C/div>\n        \u003Cdiv class=\"duodenum-section-text\">\n            随着病情进展，症状会变得更明显，例如：\n            \u003Cul class=\"duodenum-list\">\n                \u003Cli>持续、明显的腹部疼痛\u003C/li>\n                \u003Cli>体重不明原因下降\u003C/li>\n                \u003Cli>眼睛或皮肤发黄（黄疸）\u003C/li>\n                \u003Cli>恶心、呕吐\u003C/li>\n                \u003Cli>排便习惯改变、粪便带血\u003C/li>\n                \u003Cli>乏力、贫血\u003C/li>\n            \u003C/ul>\n            有一位51岁男性，就是因为出现了持续的黄疸到医院检查，结果影像发现了十二指肠的病变，被确诊为十二指肠腺癌。对于出现持续严重的消化道症状，及时就医尤为重要。\n        \u003C/div>\n        \u003Cdiv class=\"duodenum-section-text\">\n            说到底，凡是出现持续、反复的消化道不适，特别是合并黄疸、体重骤减或者便中带血，都不应忽视。\n        \u003C/div>\n    \u003C/section>\n\n    \u003Csection class=\"duodenum-section duodenum-bg-03\">\n        \u003Ch2 class=\"duodenum-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 致病因素有哪些？\u003C/h2>\n        \u003Cdiv class=\"duodenum-section-text\">\n            十二指肠恶性肿瘤到底怎么看上人的？其实，影响它发生的因素有以下几类：\n            \u003Cul class=\"duodenum-list\">\n                \u003Cli>\n                    \u003Cb>年龄：\u003C/b>发病以中老年人为主，六十岁以上风险显著增加。\n                \u003C/li>\n                \u003Cli>\n                    \u003Cb>遗传倾向：\u003C/b>一些遗传性肠道综合征如家族性腺瘤性息肉病（FAP），会大幅增加十二指肠肿瘤风险。\n                \u003C/li>\n                \u003Cli>\n                    \u003Cb>慢性炎症：\u003C/b>长期存在肠道慢性炎症，如克罗恩病，会让十二指肠内环境持续紊乱，增加异变细胞机会。\n                \u003C/li>\n                \u003Cli>\n                    \u003Cb>生活方式：\u003C/b>研究指出，吸烟和饮酒人群十二指肠癌风险升高\u003Cspan class=\"duodenum-ref\">（Arnold, M. et al., 2020）\u003C/span>。\n                \u003C/li>\n                \u003Cli>\n                    \u003Cb>饮食习惯：\u003C/b>经常摄入高脂、多红肉、重口味（如腌制、熏烤类）食物，是目前发现的高危因素之一。\n                \u003C/li>\n            \u003C/ul>\n            数据显示，在高风险人群中，十二指肠癌的发生率比普通人群高3~7倍左右\u003Cspan class=\"duodenum-ref\">（Overman, M. J., 2010）\u003C/span>。不过，大多数人属于低风险，别被这些数字吓到。\n        \u003C/div>\n        \u003Cdiv class=\"duodenum-section-text\">\n            这些危险因素像是“土壤”，肿瘤就是在特殊的土壤中才容易长出来。本身并不是每个人都会碰上，但认识这些因素，有助于早点警觉。\n        \u003C/div>\n    \u003C/section>\n\n    \u003Csection class=\"duodenum-section duodenum-bg-04\">\n        \u003Ch2 class=\"duodenum-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 诊断流程是怎样的？\u003C/h2>\n        \u003Cdiv class=\"duodenum-section-text\">\n            一旦怀疑十二指肠出现病变，医生会根据症状和体征，安排有针对性的检查：\n            \u003Cul class=\"duodenum-list\">\n                \u003Cli>\n                    \u003Cb>影像学检查：\u003C/b>腹部增强CT或MRI可直观显示十二指肠及周围结构，有助于发现肿块、梗阻、局部浸润等情况。\n                \u003C/li>\n                \u003Cli>\n                    \u003Cb>内镜检查：\u003C/b>通过胃镜、十二指肠镜，可以直接观察肿瘤位置及状态，同时进行活检（取样检测），明确病理性质。\n                \u003C/li>\n                \u003Cli>\n                    \u003Cb>实验室检查：\u003C/b>血常规、肝功能、肿瘤标志物（如CA199等）辅助判断疾病影响范围。例如，有骨髓抑制表现的化疗患者，常需要密切监测血小板、白细胞等指标。\n                \u003C/li>\n            \u003C/ul>\n            部分患者，可能还需要行PET-CT等高精度影像，排除是否有远处转移。\n        \u003C/div>\n        \u003Cdiv class=\"duodenum-section-text\">\n            检查流程虽然繁琐，但每一步都为精确判断和下一步治疗选择提供依据。及时、完整的评估，是获得最佳治疗时机的关键。\n        \u003C/div>\n    \u003C/section>\n\n    \u003Csection class=\"duodenum-section duodenum-bg-05\">\n        \u003Ch2 class=\"duodenum-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 治疗选项与注意事项\u003C/h2>\n        \u003Cdiv class=\"duodenum-section-text\">\n            十二指肠恶性肿瘤治疗以手术为主，化疗或其他综合治疗为辅。有点像修路：堵点必须先疏通，后续养护才有效果。\n            \u003Cul class=\"duodenum-list\">\n                \u003Cli>\n                    \u003Cb>手术切除：\u003C/b>对于局限在十二指肠及其周边区域的病灶，首选“胰十二指肠切除术”。一举切除肿瘤所在部位、胆道、部分胰腺，让消化道恢复畅通。不过，这一手术属于大手术，对体能和医生技术要求高。\n                \u003C/li>\n                \u003Cli>\n                    \u003Cb>化疗与免疫治疗：\u003C/b>术后根据分期和病理结果，部分患者需继续化疗，例如使用铂类药物、口服化疗药物等，以预防复发。联合免疫治疗也越来越常见。\n                \u003C/li>\n                \u003Cli>\n                    \u003Cb>靶向治疗、放疗：\u003C/b>特定患者如肿瘤无法手术，或局部复发时可以考虑。有助于延长生存时间，改善生活质量。\n                \u003C/li>\n                \u003Cli>\n                    \u003Cb>辅助支持：\u003C/b>化疗期间可能产生骨髓抑制（血小板减少），需及时调整方案，并做好止吐、护胃、护肝等支持治疗。\n                \u003C/li>\n                \u003Cli>\n                    \u003Cb>中医辅助疗法：\u003C/b>例如穴位贴敷、艾灸等，有助于缓解部分不适，提高体力和耐受力。\n                \u003C/li>\n            \u003C/ul>\n            以那位年约50岁的男性患者为例，在术后接受多轮化疗，期间因血小板下降而调整剂量，同时配合胃肠功能及免疫力保护措施。正是依靠现代医学的多环节管理，才让患者生活质量最大限度得以维持。\n        \u003C/div>\n        \u003Cdiv class=\"duodenum-section-text\">\n            关于能否治愈，取决于肿瘤发现的早晚和扩散程度。早期发现、根治性手术的患者，五年生存率明显提高\u003Cspan class=\"duodenum-ref\">（Koea, J. B., 2014）\u003C/span>。但即使病情较重，综合治疗也能延长寿命、减轻症状。\n        \u003C/div>\n    \u003C/section>\n\n    \u003Csection class=\"duodenum-section duodenum-bg-06\">\n        \u003Ch2 class=\"duodenum-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 日常管理与预防\u003C/h2>\n        \u003Cdiv class=\"duodenum-section-text\">\n            在日常生活里，哪些好习惯有助于降低十二指肠恶性肿瘤的风险？其实，很多办法简简单单就能做到：\n        \u003C/div>\n        \u003Cul class=\"duodenum-list duodenum-list-prevent\">\n            \u003Cli>\n                \u003Cspan class=\"duodenum-emoji\">🥦\u003C/span>\n                \u003Cb>绿色蔬菜——丰富膳食纤维，帮助清理肠道；建议每日餐桌上有一半是深色或十字花科蔬菜，比如西兰花、菠菜及生菜。\u003C/b>\n            \u003C/li>\n            \u003Cli>\n                \u003Cspan class=\"duodenum-emoji\">🐟\u003C/span>\n                \u003Cb>深海鱼类——富含优质蛋白和Omega-3不饱和脂肪酸，有益肠道健康；一周吃2~3次三文鱼、带鱼等为宜。\u003C/b>\n            \u003C/li>\n            \u003Cli>\n                \u003Cspan class=\"duodenum-emoji\">🥛\u003C/span>\n                \u003Cb>低脂奶类制品——补钙且易消化，维护肠道微环境；每天饮用200-300ml牛奶或酸奶。\u003C/b>\n            \u003C/li>\n            \u003Cli>\n                \u003Cspan class=\"duodenum-emoji\">🥚\u003C/span>\n                \u003Cb>鸡蛋——提供必需氨基酸，利于身体修复和免疫力养成；早餐一颗蛋是不错的选择。\u003C/b>\n            \u003C/li>\n            \u003Cli>\n                \u003Cspan class=\"duodenum-emoji\">🍊\u003C/span>\n                \u003Cb>新鲜水果——维生素C和多酚，帮助清除异常代谢产物；建议餐后1~2种水果。\u003C/b>\n            \u003C/li>\n            \u003Cli>\n                \u003Cspan class=\"duodenum-emoji\">🚶‍♂️\u003C/span>\n                \u003Cb>适度运动——促进肠道蠕动，增强整体免疫；每周锻炼3~5次，每次30分钟的快走、游泳或骑车。\u003C/b>\n            \u003C/li>\n        \u003C/ul>\n        \u003Cdiv class=\"duodenum-section-text\">\n            想做好预防，核心还是规律饮食、多样化、动静结合。这些看似普通的生活方式，其实决定了肠道是否保持良好的“生态”。\n        \u003C/div>\n        \u003Cdiv class=\"duodenum-section-text\">\n            此外，对于有家族史、高危状况（如患有遗传性肠道疾病、慢性炎症等）人群，定期肠道体检很有必要。特别是40岁以后，建议每2年做一次消化道健康检查，有消化道不适及时就诊，是每个人保护自己的“保险伞”。\n        \u003C/div>\n    \u003C/section>\n\n    \u003Csection class=\"duodenum-section duodenum-bg-07\">\n        \u003Ch2 class=\"duodenum-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);\">结语\u003C/h2>\n        \u003Cdiv class=\"duodenum-section-text\">\n            十二指肠恶性肿瘤虽然罕见，但它提醒我们要关注身体的“小信号”，做好日常管理，远离可能的健康隐患。其实，平常心最重要——不盲目紧张，也不能掉以轻心。许多复杂的疾病背后，往往就是生活习惯的累积。愿你在平凡生活里做健康的选择，让肠道这个“交通要道”始终畅通无阻。\n        \u003C/div>\n    \u003C/section>\n\n    \u003Csection class=\"duodenum-section duodenum-bg-08 duodenum-section-ref\">\n        \u003Ch3 class=\"duodenum-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);\">参考文献\u003C/h3>\n        \u003Col class=\"duodenum-ref-list\">\n            \u003Cli>Byrne, B. E., Chapman, M., & O'Donoghue, D. P. (2010). Cancer of the duodenum: A review of clinical presentation, diagnosis and management. \u003Ci>World Journal of Gastroenterology, 16\u003C/i>(19), 2470-2476.\u003C/li>\n            \u003Cli>Arnold, M., Pandeya, N., Byrnes, G., et al. (2020). Global Burden of Cancer, Risk Factors, and Prevention. \u003Ci>CA: A Cancer Journal for Clinicians, 70\u003C/i>(1), 7-30.\u003C/li>\n            \u003Cli>Overman, M. J. (2010). Recent advances in the management of carcinoma of the duodenum, jejunum, and ileum. \u003Ci>Gastrointestinal Cancer Research, 4\u003C/i>(3), 112-117.\u003C/li>\n            \u003Cli>Koea, J. B. (2014). Tumors of the duodenum. \u003Ci>Surgical Oncology Clinics of North America, 23\u003C/i>(1), 79-89.\u003C/li>\n        \u003C/ol>\n    \u003C/section>\n\u003C/div>\n\n\u003Cstyle>\n.duodenum-article-container {\n    margin: 0 auto;\n    padding: 36px 8% 40px 8%;\n    max-width: 864px;\n    font-family: \"PingFang SC\", \"Microsoft YaHei\", Arial, Helvetica, sans-serif;\n    background: #f7fafc;\n    color: #2d2d2d;\n    font-size: 18px;\n    line-height: 1.85;\n    border-radius: 14px;\n    box-shadow: 0 6px 32px rgba(120,128,165,0.07);\n}\n\n.duodenum-title {\n    margin-bottom: 36px;\n    font-size: 2.1em;\n    font-weight: 700;\n    line-height: 1.2;\n    letter-spacing: 0.02em;\n    color: #2a4d80;\n    background: linear-gradient(90deg, #ddeefd 68%, #ffffff 100%);\n    border-radius: 10px 10px 0 0;\n    padding: 22px 3.5%;\n    box-shadow: 0 2px 8px rgba(133,168,232,0.05);\n    text-align: center;\n}\n\n.duodenum-intro {\n    font-size: 1.15em;\n    color: #606888;\n    padding: 20px 20px 22px 20px;\n    background: linear-gradient(91deg, #f5fafd 60%, #fafdff 100%);\n    margin-bottom: 36px;\n    border-radius: 8px;\n    border-left: 5px solid #acd2f5;\n    min-height: 46px;\n}\n\n.duodenum-section {\n    margin-bottom: 40px;\n    border-radius: 12px;\n    box-shadow: 0 3px 12px rgba(192,204,232,0.06);\n    padding: 32px 5.5% 26px 5.5%;\n    position: relative;\n    overflow: hidden;\n}\n\n.duodenum-section-title {\n    font-size: 1.32em;\n    font-weight: 600;\n    color: #245d8c;\n    margin-bottom: 18px;\n    letter-spacing: 0.025em;\n    padding-left: 10px;\n    border-left: 5px solid #63b4ce;\n    background: rgba(239,247,255,0.28);\n    border-radius: 7px;\n    line-height: 1.3;\n}\n\n.duodenum-section-text {\n    color: #323b47;\n    font-size: 1em;\n    margin: 12px 0 16px 0;\n    padding: 0 10px;\n    letter-spacing: 0.01em;\n}\n\n.duodenum-list {\n    margin: 14px 0 8px 20px;\n    padding-left: 0;\n    font-size: 0.99em;\n}\n.duodenum-list li {\n    padding: 6px 0 6px 4px;\n    list-style: disc inside;\n    line-height: 1.7;\n}\n\n.duodenum-list-prevent {\n    background: linear-gradient(92deg, #eaf4e4 68%, #f3fced 100%);\n    border-radius: 7px;\n    margin-top: 22px;\n    margin-bottom: 13px;\n    padding: 14px 20px 14px 22px;\n}\n\n.duodenum-emoji {\n    font-size: 1.18em;\n    margin-right: 10px;\n    vertical-align: middle;\n}\n\n.duodenum-ref {\n    font-size: 0.94em;\n    color: #729dd4;\n    font-style: italic;\n    margin-left: 6px;\n}\n\n.duodenum-section-ref {\n    background: linear-gradient(99deg, #ecf7fd 60%, #f9eef8 100%);\n}\n\n.duodenum-ref-list {\n    font-size: 0.97em;\n    color: #3c4d75;\n    margin-left: 22px;\n    padding-right: 14px;\n}\n\n.duodenum-bg-01 {background: linear-gradient(96deg, #e9f5fa 61%, #ffffff 100%);}\n.duodenum-bg-02 {background: linear-gradient(90deg, #eef4fd 70%, #f6faf9 100%);}\n.duodenum-bg-03 {background: linear-gradient(91deg, #e9f8ec 65%, #f9faf8 100%);}\n.duodenum-bg-04 {background: linear-gradient(92deg, #f8f3f5 60%, #f8fefd 100%);}\n.duodenum-bg-05 {background: linear-gradient(94deg, #eaf1f5 55%, #f7fdff 100%);}\n.duodenum-bg-06 {background: linear-gradient(96deg, #efece6 70%, #f2fbf8 100%);}\n.duodenum-bg-07 {background: linear-gradient(98deg, #eaf8ed 61%, #f9fafc 100%);}\n.duodenum-bg-08 {background: linear-gradient(95deg, #f4f7f6 65%, #f9eef8 100%);}\n\n@media (max-width: 640px) {\n    .duodenum-article-container {padding: 10px 2% 22px 2%;}\n    .duodenum-section {padding: 16px 5% 15px 5%;}\n    .duodenum-intro {font-size: 1em; padding: 12px 10px;}\n    .duodenum-title {font-size: 1.15em; padding: 12px 2%;}\n    .duodenum-section-title {font-size: 1.0em; padding-left: 6px;}\n}\n\n\u003C/style>\n","\u003Cdiv class=\"duodenum-article-container\">\n    \u003Ch1 id=\"material_title\" class=\"duodenum-title\" style=\"c",403,"2025-09-17 14:50:31","十二指肠恶性肿瘤, 腺癌, 消化道健康, 疼痛, 预防, 治疗, 饮食习惯, 高危因素","了解十二指肠恶性肿瘤的症状、致病因素与治疗选项，掌握预防和日常管理技巧，关注健康，及早识别问题。","2025-10-01 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},[],[]]