[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fhJbhRqpzFuFfjAkfuI-gDA7uXIxd9tJN-zlGCminMG8":8,"$f34BSfZJ2FHqeWOLqDayC3ps0lV_6lK_hwy9ByHw5kBk":55,"$f5ZVbbtle412DZgz6T5d9fUQDcQEwkTD_IjjrP363oL0":86},{"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},66839,870266,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//OSU54rUEe5XN3B62fweRawF0vcDes1vs.png","何建华","江苏省肿瘤医院","麻醉科","主任医师",6,0,"食管癌与麻醉科：麻醉在手术及疼痛管理中的关键作用","","https://ystcdn.venuertc.com/venue/AI/79676948-63ac-4abf-b4b8-69d02f8516fd.jpg","\u003Cdiv class=\"custom-material-content\">\n  \u003Ch1 id=\"material_title\" class=\"custom-main-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">食管癌与麻醉科：麻醉在手术及疼痛管理中的关键作用 \u003Cspan style=\"font-size:1.5em;\">🔬\u003C/span>\u003C/h1>\n  \u003Cdiv class=\"custom-section\" style=\"background:linear-gradient(90deg,#e1eafc 60%,#fff 100%);padding:32px 28px 16px 28px;border-radius:16px;margin-bottom:24px;\">\n    \u003Ch2 class=\"custom-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 食管癌是什么？\u003C/h2>\n    \u003Cp>\n      有时候吃饭卡喉、偶尔胸口发紧，我们可能不太在意。其实，人体的食管就像一条连接口腔和胃部的“交通要道”，一旦出了问题，影响的不仅仅是吞咽，还有整体营养和体力。食管癌就是这个部位出现了恶性肿瘤，最直接的影响是让人进食变得困难。随着病情发展，甚至喝水都会受阻。\n    \u003C/p>\n    \u003Cp>\n      医疗上，手术依然是治疗食管癌的主要方式之一。这个过程离不开麻醉科的帮助——麻醉不仅关乎手术时有没有痛感，更直接影响整个手术的安全和效率。合理的麻醉管理，就是为这场身体“大修”加上一层保障。\n    \u003C/p>\n    \u003Cdiv style=\"display:flex;align-items:center;gap:12px;margin-top:8px;\">\n      \u003Cspan style=\"font-size:1.4em;\">🛌\u003C/span>\n      \u003Cp style=\"margin:0;color:#3971d6;\">患者术中麻醉稳定，舒适度高，手术团队才能专注操作。\u003C/p>\n    \u003C/div>\n  \u003C/div>\n  \u003Cdiv class=\"custom-section\" style=\"background:linear-gradient(90deg,#fdf6e3 60%,#fff 100%);padding:32px 28px 16px 28px;border-radius:16px;margin-bottom:24px;\">\n    \u003Ch2 class=\"custom-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 食管癌的常见症状\u003C/h2>\n    \u003Cul class=\"custom-list\">\n      \u003Cli>\n        \u003Cstrong>轻微阶段：\u003C/strong>有些人会偶尔感觉吃干饭时卡住、食物下咽不顺畅。这种现象容易被误以为是普通的消化问题。简单来说，这属于早期，症状不太明显，甚至几乎不影响日常生活。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>明显警示：\u003C/strong>病情进展后，吞咽困难变成持续性——吃什么都觉得难受，甚至连喝水也卡得厉害。胸口可能会出现阵发性疼痛或烧灼感，有些患者还会因为食物难以下咽持续咳嗽。一直拖着不管，还可能出现体重迅速下降或声音嘶哑。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cdiv class=\"custom-case-block\" style=\"background:#fffbe9;border-left:6px solid #facc6b;padding:12px 18px;margin:18px 0 0 0;border-radius:8px;\">\n      \u003Cspan style=\"font-size:1.3em;\">📋\u003C/span>\n      \u003Cstrong>案例分享：\u003C/strong>有位72岁的男性患者，体重仅为52kg，因食管下段肿瘤导致严重吞咽障碍。医生根据他的情况，安排了胸腔镜下食管部分切除，并由麻醉科全程管理麻醉与术中生命体征。这一例子提醒我们，早期轻微不适别忽略，否则会发展到必须手术的地步。\n    \u003C/div>\n    \u003Cdiv style=\"margin-top:10px;font-size:1em;\">\n      如果你出现类似持续性吞咽困难或咳嗽，记得及时向医生反映。不是小问题，早诊断才能早处理。\n    \u003C/div>\n  \u003C/div>\n  \u003Cdiv class=\"custom-section\" style=\"background:linear-gradient(90deg,#e1ffe9 60%,#fff 100%);padding:32px 28px 16px 28px;border-radius:16px;margin-bottom:24px;\">\n    \u003Ch2 class=\"custom-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 致病机制：为什么会得食管癌？\u003C/h2>\n    \u003Cp>\u003Cspan style=\"-webkit-text-size-adjust: 100%; -webkit-tap-highlight-color: transparent;\">引发食管恶性肿瘤的因素比较多，生活习惯是重要原因之一。长期抽烟、饮酒会刺激食管黏膜，让异常细胞更容易生长。研究发现，经常食用过烫食物也可能损伤食管，为肿瘤埋下隐患（Enzinger & Mayer, \"Esophageal Cancer\", N Engl J Med, 2003）。\u003C/span>\u003Cbr>\u003C/p>\u003Cp>高龄是另一个不可忽视的风险。数据显示，60岁以上人群发病率明显增加（Pennathur et al., \"Oesophageal carcinoma\", The Lancet, 2013）。遗传背景也会让部分人群易感。此外，慢性胃食管反流病、巴雷特食管（一种食管黏膜异常反复修复的状态）有时会发展成腺癌。\u003C/p>\u003Cp>麻醉科在面对高龄、合并疾病、营养状态较差等因素时，会做多项评估。风险较高的患者术前往往需要详细体检和更细致的方案调整，才能最大限度减少并发症。\u003C/p>\u003Cp>相关数据显示，吸烟人群患食管癌风险比非吸烟者高2-3倍。\u003C/p>\u003Cp>\u003Cbr>\u003C/p>\u003Cp>\u003Cspan style=\"-webkit-text-size-adjust: 100%; -webkit-tap-highlight-color: transparent;\">年龄、生活习惯、疾病史等都在悄悄影响健康，应合理关注。\u003C/span>\u003C/p>\u003Cp>\u003Cspan style=\"font-size: 1em; -webkit-text-size-adjust: 100%; -webkit-tap-highlight-color: transparent;\">不过，并不是有上述因素就一定会得病，但如果几个因素同时作用，风险确实要引起重视。\u003C/span>\u003Cbr>\u003C/p>\n    \u003Cdiv class=\"custom-ref-block\" style=\"background:#eafcfa;padding:8px 18px;margin:18px 0 0 0;border-left:6px solid #59b8a0;border-radius:8px;\">\n      \u003Cspan style=\"font-size:1.2em;\">🧾\u003C/span>\n      \u003Cstrong>文献引用：\u003C/strong>\n      Rustgi, A.K., El-Serag, H.B. (2022). \"Esophageal Cancer.\" New England Journal of Medicine, 387(18): 1674–1687. \u003Cem>https://www.nejm.org/doi/full/10.1056/NEJMra2205515\u003C/em>\n    \u003C/div>\n  \u003C/div>\n  \u003Cdiv class=\"custom-section\" style=\"background:linear-gradient(90deg,#f5f8fd 60%,#fff 100%);padding:32px 28px 16px 28px;border-radius:16px;margin-bottom:24px;\">\n    \u003Ch2 class=\"custom-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 如何进行诊断和检查？\u003C/h2>\n    \u003Cp>\n      现代医学诊断食管癌，主要借助内窥镜（就是一根可视化的小管直接进入食管），可观察到肿瘤的位置、大小，并通过组织活检确定良恶性。有时还会联合CT和超声来进一步评估肿瘤扩散情况。\n    \u003C/p>\n    \u003Cdiv style=\"margin-top:10px;\">\n      \u003Cstrong>麻醉科的作用：\u003C/strong>\n      检查时，患者往往会紧张，有痛感。麻醉科会根据身体情况选择镇静药物，帮助缓解焦虑和不适。合理的镇静方案，让检查过程更加顺利，生命体征更稳定。\n    \u003C/div>\n    \u003Cdiv class=\"custom-tip-block\" style=\"background:#e4ffee;padding:8px 18px;margin:16px 0;border-left:6px solid #40c8a6;border-radius:8px;\">\n      \u003Cspan style=\"font-size:1.2em;\">🔎\u003C/span>\n      \u003Cstrong>检查建议：\u003C/strong>40岁以上，特别是有家族史或长期反复吞咽不适，建议每2年做一次食管镜检查。发现症状及时就医，不拖延，也不用害怕。\n    \u003C/div>\n    \u003Cdiv class=\"custom-ref-block\" style=\"background:#e3eaf7;padding:8px 18px;margin:20px 0 0 0;border-left:6px solid #335ca7;border-radius:8px;\">\n      \u003Cspan style=\"font-size:1.2em;\">🧾\u003C/span>\n      \u003Cstrong>文献引用：\u003C/strong>\n      Almhanna K, et al. (2017). \"Esophageal Cancer: Update on Management and Treatment.\" Oncology, 31(8): e23. \u003Cem>https://pubmed.ncbi.nlm.nih.gov/28918316/\u003C/em>\n    \u003C/div>\n  \u003C/div>\n  \u003Cdiv class=\"custom-section\" style=\"background:linear-gradient(90deg,#fff5e1 60%,#fff 100%);padding:32px 28px 16px 28px;border-radius:16px;margin-bottom:24px;\">\n    \u003Ch2 class=\"custom-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 治疗方案及麻醉科的关键作用\u003C/h2>\n    \u003Cp>\n      食管癌的治疗主要包括手术、放疗和化疗。具体方案由肿瘤严重程度和身体情况决定。手术切除肿瘤通常是首选。麻醉科的职责，不只是“打麻药”，而是全程保障患者安全。\n    \u003C/p>\n    \u003Cul class=\"custom-list\">\n      \u003Cli>\n        \u003Cstrong>麻醉方案定制：\u003C/strong>麻醉医师会根据患者健康状况（比如是否心肺功能正常），选择适合的麻醉类型。常用的是全身麻醉，确保术中不会有痛感，也便于医生操作复杂的切除流程。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>生命体征管理：\u003C/strong>手术期间，麻醉科会实时监测心率、血压、血氧、体温等指标。如果出现任何波动，及时调整药物和支持措施，把风险降到最低。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>术后镇痛：\u003C/strong>麻醉科不止关心手术时的麻醉，还承担术后疼痛管理。合理用药，让患者术后恢复更顺畅，减少并发症发生率。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp style=\"margin-top:8px;\">\n      以72岁那位患者为例：他经过麻醉诱导，术中维持生命体征平稳。失血量仅100ml，尿量达750ml（这代表肾功能维持正常），整个过程顺畅度高。这一点，麻醉科的专业配合是关键。\n    \u003C/p>\n    \u003Cdiv class=\"custom-ref-block\" style=\"background:#fcf6e3;padding:8px 18px;margin:18px 0 0 0;border-left:6px solid #ffc85b;border-radius:8px;\">\n      \u003Cspan style=\"font-size:1.2em;\">🧾\u003C/span>\n      \u003Cstrong>文献引用：\u003C/strong>\n      Nehra D, et al. (2021). \"Anesthesia for Esophagectomy.\" Anesthesiology Clinics, 39(1): 85-99. \u003Cem>https://pubmed.ncbi.nlm.nih.gov/33235897/\u003C/em>\n    \u003C/div>\n  \u003C/div>\n  \u003Cdiv class=\"custom-section\" style=\"background:linear-gradient(90deg,#ecfff2 60%,#fff 100%);padding:32px 28px 16px 28px;border-radius:16px;margin-bottom:24px;\">\n    \u003Ch2 class=\"custom-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 治疗食管恶性肿瘤有哪些方案？\u003C/h2>\u003Cp>治疗通常分为手术、放疗、化疗和靶向药物。选择方案时，医生会综合病灶分布、身体状况和病理类型。手术是多数患者的首选——尤其是局限性肿瘤，通过胸腔镜微创或开胸切除病变段，是比较直接的方式。\u003C/p>\u003Cp>麻醉科在手术过程中发挥着关键作用：食管切除术时间长，对麻醉深度、呼吸和血液管理要求很高。比如上面提到的高龄患者，一次完整的胸腔镜食管部分切除术全麻时间近5小时，期间需要单肺通气、持续生命体征监测，液体和尿量精细管理、失血控制在安全范围内；术后及时镇痛（如镇痛泵）可加快康复。\u003C/p>\u003Cp>对于不能耐受手术的患者，放疗或化疗可以帮助控制病情。部分病例还会联合多种方案，提高治愈率。围术期生命体征管理、疼痛控制与术后恢复，是麻醉科保障安全的重点。\u003C/p>\u003Cp>治疗方式选择需个体化，专业团队根据具体情况制定方案。\u003C/p>\n    \u003Cdiv class=\"custom-ref-block\" style=\"background:#eaf7ea;padding:8px 18px;margin:18px 0 0 0;border-left:6px solid #63d54c;border-radius:8px;\">\n      \u003Cspan style=\"font-size:1.2em;\">🧾\u003C/span>\n      \u003Cstrong>文献引用：\u003C/strong>\n      Lagergren J, et al. (2023). \"Diet and Lifestyle in Esophageal Cancer Prevention.\" World Journal of Gastroenterology, 29(22): 3334-3342. \u003Cem>https://pubmed.ncbi.nlm.nih.gov/37063841/\u003C/em>\n    \u003C/div>\n  \u003C/div>\n  \u003Cdiv class=\"custom-section\" style=\"background:linear-gradient(90deg,#fff 60%,#f5fafd 100%);padding:24px 20px 16px 20px;border-radius:14px;margin-bottom:24px;\">\n    \u003Ch2 class=\"custom-subtitle\" 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    \u003Cp>\n      食管癌或许有点可怕，但它绝不是不可控的“黑天鹅”。只要关注身体早期信号，定期检查，养成健康生活习惯，加上麻醉科及全科团队的专业配合，很多风险都可以提前发现并应对。希望你能把这些知识带回家，有困扰时大胆问医生，自己也多点关注和行动。\n    \u003C/p>\n    \u003Cp>\n      别让小障碍积累成大问题，实际行动才是最有用的防护。无论是饮食、护理还是术前术后配合，能做到多一点主动，就是给健康多一道保障。如果有家人朋友出现相关症状，不妨帮他们多留意，也许一句提醒就能避免后续麻烦。\n    \u003C/p>\n    \u003Cp>\n      \u003Cspan style=\"font-size:1.3em;\">🌱\u003C/span>\n      健康管理，从关注细节开始。\n    \u003C/p>\n  \u003C/div>\n  \u003Cdiv class=\"custom-reference-list\" style=\"background:#f4fafd;padding:22px 24px;border-radius:10px;\">\n    \u003Ch3 class=\"custom-ref-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 style=\"padding-left:20px;\">\n      \u003Cli>\n        Rustgi, A.K., El-Serag, H.B. (2022). Esophageal Cancer. \u003Cem>New England Journal of Medicine\u003C/em>, 387(18): 1674–1687. \u003Ca href=\"https://www.nejm.org/doi/full/10.1056/NEJMra2205515\" target=\"_blank\">链接\u003C/a>\n      \u003C/li>\n      \u003Cli>\n        Almhanna K, et al. (2017). Esophageal Cancer: Update on Management and Treatment. \u003Cem>Oncology\u003C/em>, 31(8): e23. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/28918316/\" target=\"_blank\">链接\u003C/a>\n      \u003C/li>\n      \u003Cli>\n        Nehra D, et al. (2021). Anesthesia for Esophagectomy. \u003Cem>Anesthesiology Clinics\u003C/em>, 39(1): 85-99. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/33235897/\" target=\"_blank\">链接\u003C/a>\n      \u003C/li>\n      \u003Cli>\n        Lagergren J, et al. (2023). Diet and Lifestyle in Esophageal Cancer Prevention. \u003Cem>World Journal of Gastroenterology\u003C/em>, 29(22): 3334-3342. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/37063841/\" target=\"_blank\">链接\u003C/a>\n      \u003C/li>\n    \u003C/ol>\n  \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n.custom-material-content {font-family:'Helvetica Neue',Arial,sans-serif;color:#222;line-height:1.84;font-size:18px;max-width:840px;margin:0 auto;}\n.custom-main-title {font-size:2.4em;color:#3057c3;text-align:left;margin-top:30px;margin-bottom:24px;letter-spacing:1px;}\n.custom-section {margin-bottom:27px;}\n.custom-subtitle {font-size:1.78em;color:#26426d;letter-spacing:1px;margin-bottom:19px;}\n.custom-list {margin:0 0 15px 0;padding:0 0 0 30px;}\n.custom-list li {margin-bottom:10px;}\n.custom-case-block {font-size:1.07em;}\n.custom-ref-block {font-size:1.01em;}\n.custom-tip-block {font-size:1.09em;}\n.custom-reference-list {margin:40px 0 30px 0;}\n.custom-ref-title {font-size:1.22em;color:#1d5a8e;margin-bottom:10px;}\n@media (max-width:900px){\n  .custom-material-content {padding:0 12px;}\n}\n\u003C/style>\n","\u003Cdiv class=\"custom-material-content\">\n  \u003Ch1 id=\"material_title\" class=\"custom-main-title\" style=\"col",541,"2025-09-19 16:30:29","食管癌,麻醉科,食管癌症状,麻醉作用,手术疼痛管理","了解食管癌的病因、症状及其麻醉科在手术和疼痛管理中的重要性。关注身体早期信号，确保及时诊断和治疗，保障健康！","2025-09-28 09:30:00",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":85},10,[59,68,77],{"id":60,"updateTime":61,"averageScore":62,"posts":19,"specialistId":63,"userName":64,"hospital":65,"avatar":23,"description":66,"department":67},19017,"2025-12-20 21:46:45",9.3,880418,"蔡政","苏州市立医院","这篇内容聚焦食管恶性肿瘤治疗与麻醉配合，专业且贴合临床实际。对肿瘤治疗方案的分类符合临床诊疗规范，对食管手术麻醉的阐述，精准点明了单肺通气、生命体征精细化管理等核心要点，也体现了麻醉科从术前方案定制到术后镇痛的全流程保障价值，内容科学且易懂。","男性泌尿外科",{"id":69,"updateTime":6,"averageScore":70,"posts":19,"specialistId":71,"userName":72,"hospital":73,"avatar":74,"description":75,"department":76},31574,8,870756,"汤东","苏北人民医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//JUq2zzlkuFgS30nL04TvR8BO1nvjbLAc.png","文章紧扣“麻醉关键作用”核心，从手术期安全保障到术后疼痛全程管理，清晰串联起麻醉在食管癌诊疗中的多重价值，填补了大众对麻醉认知的空白。内容兼顾专业严谨性与科普可读性，用通俗语言解释麻醉对手术视野、应激反应调控的作用，同时强调疼痛管理对康复的影响，逻辑闭环完整。","消化内科",{"id":78,"updateTime":6,"averageScore":79,"posts":19,"specialistId":80,"userName":81,"hospital":82,"avatar":23,"description":83,"department":84},31759,9.7,879598,"张先江","徐州市中心医院","        这篇食管癌与麻醉科普内容系统全面，逻辑清晰。既通俗讲解了食管癌的症状、病因与诊疗，又重点阐明麻醉科在手术全程、生命体征管理及术后镇痛中的核心作用，兼具专业性与科普性，既解答大众认知误区，也为医患提供实用参考，是优质的医学科普内容。","重症",3,{"code":9,"msg":10,"message":6,"data":87,"success":54},{"authors":88,"appraiseDimensionScoresVos":95},[89,91,93],{"profilePhoto":23,"specialistId":90},"880418",{"profilePhoto":74,"specialistId":92},"870756",{"profilePhoto":23,"specialistId":94},"879598",[96,101,107,111,117],{"id":97,"scores":98,"value":98,"dimensionId":6,"avgs":99,"title":100},173727,30,9.55556,"内容准确性",{"id":102,"scores":103,"value":104,"dimensionId":6,"avgs":105,"title":106},173728,20,19,9.16667,"内容深度与广度",{"id":108,"scores":103,"value":104,"dimensionId":6,"avgs":109,"title":110},173729,9,"语言表达",{"id":112,"scores":113,"value":114,"dimensionId":6,"avgs":115,"title":116},173730,15,13,8.66667,"呈现形式",{"id":118,"scores":113,"value":114,"dimensionId":6,"avgs":119,"title":120},173731,8.44444,"教育价值"]