[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fQwTYOaTMSCjr256LtHC8tRMuMPPD0qp46kq2GaLZtww":8,"$fEUhRbzSC12swfOwjKHDeZx5rz8QhoQ_N2Xwyd_KmfSA":55,"$fyrxBdhkz2t095cXLN9AJooW4Ctzp9QoudxfSS8RGbQw":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},66983,867271,[],"https://ystcdn.venuertc.com/medical/ystApp/1KNmXQDnP2XagGmzBK1qyfRfTWA6Qk1r.png","李浩齐","缙云县新建镇中心卫生院","全科医疗","住院医师",516,0,"右肺小细胞癌的认识与应对","","https://ystcdn.venuertc.com/venue/AI/1f0d0f27-a85b-4fb8-93a8-5609dff8acd6.jpg","\u003Cdiv class=\"rightlungcancer_material\">\n  \u003Ch2 id=\"material_title\" class=\"rightlungcancer_title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">右肺小细胞癌的认识与应对\u003C/h2>\n\n  \u003Cdiv class=\"rightlungcancer_section rightlungcancer_bg01\">\n    \u003Ch2 class=\"rightlungcancer_heading\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">01 右肺小细胞癌是什么？🌿\u003C/h2>\n    \u003Cdiv class=\"rightlungcancer_content\">\n      \u003Cp>想象一下人体的肺部，是我们每天都在用的“天然过滤器”和空气工厂。右肺小细胞癌是肺部肿瘤的一种特殊类型，它和多数肺癌不同，细胞看起来比较小且增殖快，像不速之客迅速扩散开来。\u003Cbr>\n      这种类型的肺癌在吸烟人群中较常见，尤其是男性和老年人更容易患病。小细胞癌的病理特点是神经内分泌标志物往往呈阳性，肿瘤细胞生长得快，早期就可能通过血液或淋巴转移到其他部位，因此预后相对较差，治疗难度也大一些。\u003Cbr>\n      简单来说，右肺小细胞癌不是普通的“咳嗽问题”，而是一个需要警惕与重视的疾病类型。了解它的基础特性，可以帮助大家认清风险，做出及时的应对。\u003C/p>\n      \u003Cp>从医学角度看，小细胞癌占全部肺癌的10%-15%，但恶性程度高，扩散快。对于高龄、长期吸烟的人群，确实需要多留意肺部健康变化。\u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"rightlungcancer_section rightlungcancer_bg02\">\n    \u003Ch2 class=\"rightlungcancer_heading\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">02 右肺小细胞癌的警示信号有哪些？💡\u003C/h2>\n    \u003Cdiv class=\"rightlungcancer_content\">\n      \u003Cp>其实，右肺小细胞癌早期更像是一些轻微的不舒服，容易被大家忽视。比如偶尔咳嗽、轻微胸闷，有时喘气不太顺畅，类似于感冒后的小麻烦。\u003C/p>\n      \u003Cul class=\"rightlungcancer_list\">\n        \u003Cli>\n          \u003Cspan class=\"rightlungcancer_list_emoji\">🔸\u003C/span>\n          \u003Cstrong>\u003Cspan style=\"font-weight: bolder;\">持续性咳嗽\u003C/span>\u003Cspan style=\"font-weight: 400;\">：如果发现自己的咳嗽不像以前那样只是天气变化时偶尔发作，而是持续时间长，药物也不太有效，就需要多注意了。\u003C/span>\u003C/strong>\u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"rightlungcancer_list_emoji\">🔸\u003C/span>\n          \u003Cstrong>\u003Cspan style=\"font-weight: bolder;\">胸痛与胸闷\u003C/span>\u003Cspan style=\"font-weight: 400;\">：有些患者会出现胸口隐隐作痛，尤其深呼吸或咳嗽时更明显。生活中如果运动稍微剧烈就感到胸部有异样，别一味以为是累了。\u003C/span>\u003C/strong>\u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"rightlungcancer_list_emoji\">🔸\u003C/span>\n          \u003Cstrong>\u003Cspan style=\"font-weight: bolder;\">呼吸困难\u003C/span>\u003Cspan style=\"font-weight: 400;\">：一部分人还会发现走路或爬楼梯时气短变严重，以前轻松完成的事现在变得吃力。\u003C/span>\u003C/strong>\u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"rightlungcancer_list_emoji\">🔸\u003C/span>\n          \u003Cstrong>\u003Cspan style=\"font-weight: bolder;\">反复肺部感染\u003C/span>\u003Cspan style=\"font-weight: 400;\">：假如身体常常因为感冒就咳嗽，甚至有痰伴血，要尝试寻求医生帮助。\u003C/span>\u003C/strong>\u003C/li>\n      \u003C/ul>\n      \u003Cp>案例参考：曾有位70岁男性，确诊时已出现持续性咳嗽，并伴胸痛，后续检查才发现是右肺小细胞癌。这提醒我们，平时的胸部不适，若长期不缓解，务必及时就诊。\u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"rightlungcancer_section rightlungcancer_bg03\">\n    \u003Ch2 class=\"rightlungcancer_heading\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">03 右肺小细胞癌的形成机制是什么？💭\u003C/h2>\n    \u003Cdiv class=\"rightlungcancer_content\">\n      \u003Cp>小细胞癌的出现不是偶然，其中吸烟是最重要的诱因。数据显示，全球超过80%的小细胞肺癌患者有明确吸烟史，烟草中的致癌物会引发肺部细胞的基因突变（Govindan et al., 2006）。\u003C/p>\n      \u003Cul class=\"rightlungcancer_list\">\n        \u003Cli>\n          \u003Cspan class=\"rightlungcancer_list_emoji\">🚬\u003C/span>\n          \u003Cstrong>\u003Cspan style=\"font-weight: bolder;\">吸烟\u003C/span>\u003Cspan style=\"font-weight: 400;\">：长期香烟暴露，肺细胞反复受损，易产生异常增殖，正是小细胞癌高发的根本原因。\u003C/span>\u003C/strong>\u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"rightlungcancer_list_emoji\">🌫️\u003C/span>\n          \u003Cstrong>\u003Cspan style=\"font-weight: bolder;\">空气污染\u003C/span>\u003Cspan style=\"font-weight: 400;\">：像雾霾、粉尘等有毒颗粒也可能损伤呼吸道，长期吸入加剧细胞变化。\u003C/span>\u003C/strong>\u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"rightlungcancer_list_emoji\">🧬\u003C/span>\n          \u003Cstrong>\u003Cspan style=\"font-weight: bolder;\">年龄和遗传\u003C/span>\u003Cspan style=\"font-weight: 400;\">：年纪越大，细胞修复能力下降，再加上一些基因易感因素，风险会明显升高。部分文献指出某些家族易感基因的改变可能让患癌几率提高（Wistuba et al., 2001）。\u003C/span>\u003C/strong>\u003C/li>\n      \u003C/ul>\n      \u003Cp>此外，经常暴露于有害化学物质、长期慢性炎症（如支气管炎、肺气肿）也与右肺小细胞癌发病有关。可以说，生活环境和习惯对肺部健康有着决定性影响。\u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"rightlungcancer_section rightlungcancer_bg04\">\n    \u003Ch2 class=\"rightlungcancer_heading\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">04 右肺小细胞癌的检查与诊断流程如何？🔬\u003C/h2>\n    \u003Cdiv class=\"rightlungcancer_content\">\n      \u003Cp>当身体出现异常时，科学的检查流程能帮助尽早确诊。右肺小细胞癌的诊断流程包括多种影像检查和组织学手段，操作流程一般分为：\u003C/p>\n      \u003Col class=\"rightlungcancer_orderlist\">\n        \u003Cli>\n          先做\u003Cstrong>胸部CT\u003C/strong>，观察肿块大小和位置，是否有胸腔积液、纤维灶、淋巴结改变等。现在多数医院都能开展低剂量螺旋CT筛查，适合高危人群定期检测。\n        \u003C/li>\n        \u003Cli>\n          如果可疑，需进一步做\u003Cstrong>PET-CT\u003C/strong>，判断肿瘤是否扩散。\n        \u003C/li>\n        \u003Cli>\n          通过\u003Cstrong>支气管镜活检\u003C/strong>或细针穿刺吸取肿块组织，作病理和免疫组化分析，确认是否属于小细胞癌。如神经内分泌标志物阳性则支持诊断。\n        \u003C/li>\n        \u003Cli>\n          配合血液常规、肝肾功能检查，评估患者身体状况与治疗耐受性。\n        \u003C/li>\n      \u003C/ol>\n      \u003Cp>实际病例显示，患有慢性支气管炎和肺气肿的患者，需要结合基础疾病综合评估。医生根据影像学、病理及全身情况，做分期判定并制定针对性的治疗方案。\u003C/p>\n      \u003Cp>小提示：遇到持续性胸部不适或呼吸急促，建议选择有呼吸专科的三甲医院或肿瘤医院，确保各项检查一次性做齐，减少信息遗漏。\u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"rightlungcancer_section rightlungcancer_bg05\">\n    \u003Ch2 class=\"rightlungcancer_heading\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">05 右肺小细胞癌的治疗方案与预期效果⚡\u003C/h2>\n    \u003Cdiv class=\"rightlungcancer_content\">\n      \u003Cp>右肺小细胞癌治疗以“控制+延缓为主”，因为这种癌细胞扩展快，病情常常在确诊时已进入晚期。主要治疗模式包括：\u003C/p>\n      \u003Cul class=\"rightlungcancer_list\">\n        \u003Cli>\n          \u003Cspan class=\"rightlungcancer_list_emoji\">💉\u003C/span>\n          \u003Cstrong>\u003Cspan style=\"font-weight: bolder;\">化疗\u003C/span>\u003Cspan style=\"font-weight: 400;\">：标准方案是含铂类联合，用于消除肿瘤细胞，初期效果普遍较好，但易导致骨髓抑制等副作用。\u003C/span>\u003C/strong>\u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"rightlungcancer_list_emoji\">☢️\u003C/span>\n          \u003Cstrong>\u003Cspan style=\"font-weight: bolder;\">放疗\u003C/span>\u003Cspan style=\"font-weight: 400;\">：对限制于一侧的肿块或复发局部病灶有效，可缩小肿瘤、缓解症状。\u003C/span>\u003C/strong>\u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"rightlungcancer_list_emoji\">🧬\u003C/span>\n          \u003Cstrong>\u003Cspan style=\"font-weight: bolder;\">免疫治疗\u003C/span>\u003Cspan style=\"font-weight: 400;\">：如PD-1抑制剂，可以帮助增强自身免疫系统对癌细胞的清除。实际案例中，70岁男性患者接受免疫方案，并联合化疗和放疗，生活质量明显提高，日常活动恢复良好（Horn et al., 2018）。\u003C/span>\u003C/strong>\u003C/li>\n      \u003C/ul>\n      \u003Cp>目前治疗以多学科综合为佳，化疗、放疗配合营养和支持治疗，有望延长生存期。对于晚期病例，治疗目标从治愈转为“控制病情”和提高生活质量。\u003C/p>\n      \u003Cp>总体上，右肺小细胞癌5年生存率较低，约为5%-10%，但早期发现、合理治疗能明显改善患者的主观感受和家庭生活状态。\u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"rightlungcancer_section rightlungcancer_bg06\">\n    \u003Ch2 class=\"rightlungcancer_heading\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">06 如何科学管理右肺小细胞癌患者的日常生活？🧘\u003C/h2>\n    \u003Cdiv class=\"rightlungcancer_content\">\n      \u003Cp>与治疗同样重要的是生活管理。科学的生活方式会给患者带来更多舒适和希望。下面提供几条实用建议：\u003C/p>\n      \u003Cul class=\"rightlungcancer_list\">\n        \u003Cli>\n          \u003Cspan class=\"rightlungcancer_list_emoji\">🥗\u003C/span>\n          \u003Cstrong>\u003Cspan style=\"font-weight: bolder;\">均衡饮食\u003C/span>\u003Cspan style=\"font-weight: 400;\">：蔬菜、水果、全谷类富含抗氧化成分（如胡萝卜素、维生素C），常吃有助于细胞修复。建议每天至少保证五种色彩以上蔬果摄入，蛋白质选择鱼、鸡肉等优质来源能帮助体力维持。\u003C/span>\u003C/strong>\u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"rightlungcancer_list_emoji\">🚶\u003C/span>\n          \u003Cstrong>\u003Cspan style=\"font-weight: bolder;\">适度运动\u003C/span>\u003Cspan style=\"font-weight: 400;\">：即使体力有限，每天适当活动（如缓步散步、呼吸训练）对肺功能恢复和精神状态都有积极作用。可以试着每周安排3次轻度锻炼。\u003C/span>\u003C/strong>\u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"rightlungcancer_list_emoji\">💬\u003C/span>\n          \u003Cstrong>\u003Cspan style=\"font-weight: bolder;\">心理支持\u003C/span>\u003Cspan style=\"font-weight: 400;\">：面对癌症，情绪波动很正常，不妨与家人朋友多交流，分担内心压力，也可以寻求专业心理咨询。\u003C/span>\u003C/strong>\u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"rightlungcancer_list_emoji\">🩺\u003C/span>\n          \u003Cstrong>\u003Cspan style=\"font-weight: bolder;\">关注身体变化\u003C/span>\u003Cspan style=\"font-weight: 400;\">：定期复查、记录体重和症状。遇到长期咳嗽、胸痛加重或者发热，应及时联系医生，进行必要的随访。\u003C/span>\u003C/strong>\u003C/li>\n      \u003C/ul>\n      \u003Cp>如果治疗过程中出现不适，如骨髓抑制、消化道反应等，要按医嘱调整营养和支持药物，有疑问立即和医生沟通。\u003C/p>\n      \u003Cp>长期来看，家庭支持系统也很重要。家人能够协助饮食、护理、心理关怀，对患者恢复起到不小的帮助作用。\u003C/p>\n      \u003Cp>简单来说，科学管理、积极配合，日常保持规律作息和乐观心态，是提高生活质量的关键。\u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"rightlungcancer_section rightlungcancer_bg07\">\n    \u003Ch2 class=\"rightlungcancer_heading\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">参考资料📚\u003C/h2>\n    \u003Cdiv class=\"rightlungcancer_content\">\n      \u003Cul class=\"rightlungcancer_reference\">\n        \u003Cli>\n          Govindan, R., Page, N., Morgensztern, D., Read, W., Tierney, R., Vlahiotis, A., & Piccirillo, J. (2006). Changing epidemiology of small-cell lung cancer in the United States over the last 30 years: analysis of the Surveillance, Epidemiologic, and End Results database. \u003Cem>Journal of Clinical Oncology\u003C/em>, 24(28), 4539-4544.\n        \u003C/li>\n        \u003Cli>\n          Wistuba, I. I., Gazdar, A. F., & Minna, J. D. (2001). Molecular genetics of small cell lung carcinoma. \u003Cem>Seminars in Oncology\u003C/em>, 28(2), 3-13.\n        \u003C/li>\n        \u003Cli>\n          Horn, L., Mansfield, A. S., Szczęsna, A., Havel, L., Krzakowski, M., Hochmair, M., & Liu, J. (2018). First-Line Atezolizumab plus Chemotherapy in Extensive-Stage Small-Cell Lung Cancer. \u003Cem>New England Journal of Medicine\u003C/em>, 379(23), 2220-2229.\n        \u003C/li>\n      \u003C/ul>\n    \u003C/div>\n  \u003C/div>\n\u003C/div>\n\u003Cstyle>\n.rightlungcancer_material {\n  font-family: \"微软雅黑\", \"Arial\", sans-serif;\n  color: #202830;\n  max-width: 870px;\n  margin: 30px auto;\n  padding: 15px 20px 25px 20px;\n  background: #ffffff;\n  box-shadow: 0 6px 22px rgba(121,143,182,0.09), 0 1px 6px rgba(170,180,205,0.08);\n  border-radius: 19px;\n}\n\n.rightlungcancer_title {\n  text-align: center;\n  font-size: 42px;\n  font-weight: 700;\n  color: #28496b;\n  margin-bottom: 30px;\n  letter-spacing: 2px;\n}\n\n.rightlungcancer_heading {\n  font-size: 30px;\n  font-weight: 600;\n  color: #305a75;\n  margin-top: 32px;\n  margin-bottom: 17px;\n  padding: 13px 25px;\n  border-radius: 12px 12px 0 0;\n  position: relative;\n  background: linear-gradient(90deg, #eef6fc 85%, #f8f5fa 100%);\n  box-shadow: 0 1px 6px rgba(170,180,205,0.04);\n}\n\n.rightlungcancer_section {\n  margin-bottom: 28px;\n  border-radius: 18px;\n  overflow: hidden;\n  box-shadow: 0 1px 6px rgba(158,182,205,0.04);\n  background: #f6fafd;\n  transition: box-shadow 0.3s;\n}\n.rightlungcancer_bg01 {\n  background: linear-gradient(90deg, #e9f7f9 70%, #f6f7fa 100%);\n}\n.rightlungcancer_bg02 {\n  background: linear-gradient(90deg, #f8fefa 75%, #f7eff6 100%);\n}\n.rightlungcancer_bg03 {\n  background: linear-gradient(90deg, #f8f8fa 55%, #e2f8f6 100%);\n}\n.rightlungcancer_bg04 {\n  background: linear-gradient(90deg, #eff6fc 70%, #f9f2f7 100%);\n}\n.rightlungcancer_bg05 {\n  background: linear-gradient(90deg, #f7fdf6 60%, #f3f2f7 100%);\n}\n.rightlungcancer_bg06 {\n  background: linear-gradient(90deg, #f8f7fb 85%, #eafbf7 100%);\n}\n.rightlungcancer_bg07 {\n  background: linear-gradient(90deg, #f7faf2 65%, #f7f1f8 100%);\n}\n\n.rightlungcancer_content {\n  padding: 16px 25px 22px 25px;\n  font-size: 18px;\n  line-height: 2.08;\n}\n\n.rightlungcancer_list {\n  padding-left: 0;\n  margin-top: 10px;\n  margin-bottom: 14px;\n}\n\n.rightlungcancer_list li {\n  list-style: none;\n  padding: 9px 0 9px 0;\n  font-size: 18px;\n  margin-bottom: 4px;\n  display: flex;\n  align-items: baseline;\n}\n\n.rightlungcancer_list_emoji {\n  margin-right:14px;\n  font-size:24px;\n}\n\n.rightlungcancer_orderlist {\n  margin-top:12px;\n  margin-left: 24px;\n  font-size: 18px;\n  padding-bottom: 7px;\n}\n\n.rightlungcancer_reference {\n  font-size:16px;\n  margin-left:20px;\n  padding-bottom:11px;\n}\n.rightlungcancer_reference li {\n  margin-bottom: 8px;\n  padding-right:8px;\n}\n@media screen and (max-width:600px) {\n  .rightlungcancer_material {\n    max-width: 98%;\n    padding: 7px 6px 10px 6px;\n    border-radius: 10px;\n  }\n  .rightlungcancer_heading {\n    font-size: 20px;\n    padding: 10px 10px;\n    border-radius: 8px 8px 0 0;\n  }\n  .rightlungcancer_content {\n    font-size: 16px;\n    padding: 10px 12px 15px 12px;\n  }\n  .rightlungcancer_title {\n    font-size: 28px;\n    margin-bottom: 18px;\n  }\n}\n\u003C/style>\n","\u003Cdiv class=\"rightlungcancer_material\">\n  \u003Ch2 id=\"material_title\" class=\"rightlungcancer_title\" style",531,"2025-09-23 11:21:31","右肺小细胞癌, 肺癌症状, 治疗方案, 吸烟与癌症, 早期诊断","了解右肺小细胞癌的症状、形成机制及治疗方案，特别是对于中老年吸烟人群。这篇文章为你提供了全面的预防和管理措施，帮助改善生活质量。","2025-09-26 18:30:00",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},[],[]]