[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fpUWpb7zfkoTzmAzEtWSSrnaI37GB3s6lA_f6jxp324k":8,"$fsNTCb_4Y99nIXD6WQ-fEzgeIbpHdCXAzMYmM8S-R6RE":54,"$f746-QjKB--zbREGdm2CzzCWJf69W9QBTJzMFm3fBdss":76},{"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},67289,870793,[],"https://cdn.yishi-tong.com/console/store-unknown/uF7OMd0P_hB1LaAPsAH23kXFsYY6stA4.png","王万根","南京市妇幼保健院","麻醉科","主任医师",2,0,"麻醉在甲状腺乳头状癌手术中的应用与管理","","https://ystcdn.venuertc.com/venue/AI/6cae9cd4-f614-4652-865e-f978ce3169e6.jpg","\u003Cdiv class=\"anesth-guide-container\">\n  \u003Ch2 id=\"material_title\" class=\"anesth-guide-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);\">麻醉在甲状腺乳头状癌手术中的应用与管理\u003C/h2>\n  \u003Csection class=\"anesth-guide-part anesth-guide-bg01\">\n    \u003Ch2 class=\"anesth-guide-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 为什么说麻醉决定着手术的安全感？\u003C/h2>\n    \u003Cdiv class=\"anesth-guide-section-content\">\n      \u003Cp>\n        没有人喜欢上手术台。对许多人来说，医院手术室总让人有点忐忑。麻醉这一步，像一道无形的安全网，把这层紧张感暂时拦在外面。实际上，麻醉不仅是帮助你在手术时“睡一觉”那么简单，更是手术安全的“守门员”。以甲状腺乳头状癌手术为例，没有科学、安全的麻醉，医生光有技术也很难将手术做好。\n      \u003C/p>\n      \u003Cp>\n        简单来讲，麻醉师要做的，是把身体各项指标（比如呼吸、心跳、血压等）牢牢盯住，帮你防止风险。不管你年纪多大，健康状况如何，合适的麻醉方案都能让手术少很多后顾之忧。所以，有一点别忘了：选择手术与麻醉，就是选择一份对自己的保障。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"anesth-guide-part anesth-guide-bg02\">\n    \u003Ch2 class=\"anesth-guide-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 麻醉前的评估：仔细比对，差异化对待\u003C/h2>\n    \u003Cdiv class=\"anesth-guide-section-content\">\n      \u003Cp>\n        很多人觉得麻醉只是麻醉师拍板的技术活，其实真正的“个性化”从手术前就开始了。入院前，医生会详细问你的病史（有没有糖尿病、高血压、过敏、用过什么药等），还会做一系列检查，比如心电图、血常规和胸片等。如果有基础疾病（比如心脏问题、肝肾障碍），还会请相关科室预先评估。\n      \u003C/p>\n      \u003Cul class=\"anesth-guide-list\">\n        \u003Cli>\u003Cspan class=\"anesth-guide-emoji\">🩺\u003C/span> 生活中常见情况：有的病人年轻健康，医生评估后会觉得麻醉风险很低；有的病人存在慢性疾病，术前方案就会更加严密。有人体重偏高（比如BMI超标），呼吸道管理要特别注意。\u003C/li>\n        \u003Cli>\u003Cspan class=\"anesth-guide-emoji\">👨‍⚕️\u003C/span> 病例启示：42岁的男性患者，双侧甲状腺乳头状癌，合并有冠状动脉粥样硬化性心脏病，还做过支架植入。麻醉师术前联合心脏科，调整了麻醉用药，确保过程中心脏供血充足，最终顺利完成手术。\u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        这说明：并不是所有的麻醉方法对每个人都一样，只有充分了解你的健康底细，才能进一步量身定制手术麻醉计划。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"anesth-guide-part anesth-guide-bg03\">\n    \u003Ch2 class=\"anesth-guide-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 甲状腺乳头状癌手术都用哪几种麻醉？\u003C/h2>\n    \u003Cdiv class=\"anesth-guide-section-content\">\n      \u003Cp>\n        “躺在手术床上，是全麻还是局麻？”这问题很多人有疑惑。其实，甲状腺乳头状癌的手术一般都需要充分麻醉，目的不是单纯让你失去意识，更是为了让身体全程处于最平稳的状态。常用的麻醉方式有全身麻醉和局部麻醉两种，各自有优势和适用情况：\n      \u003C/p>\n      \u003Col class=\"anesth-guide-list\">\n        \u003Cli>\n          \u003Cspan class=\"anesth-guide-emoji\">💤\u003C/span>\n          \u003Cstrong>全身麻醉：\u003C/strong>最常见的选择，适合需要根治、范围较大的手术（如甲状腺全切＋淋巴结清扫）。患者整个手术过程都不会有任何疼痛和记忆，麻醉期间需插管辅助呼吸。\u003Cbr>\n          \u003Cspan style=\"color:#7b7b7b;\">适合：大部分甲状腺癌根治手术\u003C/span>\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"anesth-guide-emoji\">🏥\u003C/span>\n          \u003Cstrong>局部麻醉＋镇静：\u003C/strong>部分早期、范围较小的手术可以选择。例如单侧小肿块、微创切除等，但不适宜合并有呼吸道困难或恐惧症状的患者。\u003Cbr>\n          \u003Cspan style=\"color:#7b7b7b;\">适合：部分特殊病例\u003C/span>\n        \u003C/li>\n      \u003C/ol>\n      \u003Cp>\n        一般来说，大多数甲状腺乳头状癌患者，尤其要做全切、淋巴结清扫等操作时，都会选择全麻，更安全省心。术前评估决定你的最佳选项，别自行决定哪种麻醉方式。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"anesth-guide-part anesth-guide-bg04\">\n    \u003Ch2 class=\"anesth-guide-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 术中监控：五大生命体征必须管牢\u003C/h2>\n    \u003Cdiv class=\"anesth-guide-section-content\">\n      \u003Cp>\n        手术期间，医生操作刀口，麻醉团队却像守夜人，24小时连轴盯着各种数据。通常需要关注这五个维度：\n      \u003C/p>\n      \u003Cdiv class=\"anesth-guide-monitor-list\">\n        \u003Cdiv>\u003Cspan class=\"anesth-guide-emoji\">❤️\u003C/span> \u003Cstrong>心跳：\u003C/strong>心率太快或太慢都要警惕，术中需不断调整。\u003C/div>\n        \u003Cdiv>\u003Cspan class=\"anesth-guide-emoji\">📊\u003C/span> \u003Cstrong>血压：\u003C/strong>高血压患者需重点预防血压骤升或骤降。\u003C/div>\n        \u003Cdiv>\u003Cspan class=\"anesth-guide-emoji\">🌬️\u003C/span> \u003Cstrong>呼吸：\u003C/strong>呼吸停止、气道梗阻等风险必须提前发现。\u003C/div>\n        \u003Cdiv>\u003Cspan class=\"anesth-guide-emoji\">🧪\u003C/span> \u003Cstrong>氧饱和度：\u003C/strong>如果大脑供氧下降，需要即刻处理。\u003C/div>\n        \u003Cdiv>\u003Cspan class=\"anesth-guide-emoji\">💧\u003C/span> \u003Cstrong>出血+体液：\u003C/strong>手术中失血、高热或低温都需随时补充调整。\u003C/div>\n      \u003C/div>\n      \u003Cp>\n        麻醉过程中，任何一点小波动都可能成为“大麻烦”的前兆。尤其是合并心脏基础病史的患者，术中突发心律失常、血压异常，都需急救处置。术中及时用药和设备支持，是手术顺利的保障。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"anesth-guide-part anesth-guide-bg05\">\n    \u003Ch2 class=\"anesth-guide-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 术后苏醒与疼痛控制：细节左右康复\u003C/h2>\n    \u003Cdiv class=\"anesth-guide-section-content\">\n      \u003Cp>\n        手术结束后的“醒来”其实并非一瞬间的事。麻醉药退得快慢、手术难度、患者体质都会影响苏醒过程。一般流程：\n      \u003C/p>\n      \u003Cdl class=\"anesth-guide-dl\">\n        \u003Cdt>\u003Cspan class=\"anesth-guide-emoji\">⏰\u003C/span> 麻醉清醒监测\u003C/dt>\n        \u003Cdd>评估意识、活动能力和呼吸，无误后方能出手术室，有异常会延长观察。\u003C/dd>\n        \u003Cdt>\u003Cspan class=\"anesth-guide-emoji\">😖\u003C/span> 疼痛评估与处理\u003C/dt>\n        \u003Cdd>根据个人耐受度，采用静脉止痛泵或口服镇痛药。现代镇痛强调快速、安全，拒绝忍痛“硬扛”。\u003C/dd>\n        \u003Cdt>\u003Cspan class=\"anesth-guide-emoji\">💬\u003C/span> 术后沟通与再评估\u003C/dt>\n        \u003Cdd>患者如有恶心、咽痛、呕吐、心悸等不适，及时告诉医护，护士会定时巡视，动态调整药物。\u003C/dd>\n      \u003C/dl>\n      \u003Cp>\n        管理得好，苏醒快，疼痛少，能吃饭、能下地，康复进度就跟上了。很多人反映：术后第一天最不舒服，之后一两天改善很快。这提示有需要就是及时反映问题，不要“硬撑”。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"anesth-guide-part anesth-guide-bg06\">\n    \u003Ch2 class=\"anesth-guide-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 麻醉与整体健康管理：复查、锻炼和生活调整\u003C/h2>\n    \u003Cdiv class=\"anesth-guide-section-content\">\n      \u003Cp>\n        动完甲状腺乳头状癌的手术，不是“关了灯就什么都结束”了。麻醉对康复期的影响，有时会比想象中更长。比如部分患者有嗓子不舒服、短期睡眠紊乱或暂时疲劳，这大多与手术药物、麻醉代谢有关。此时的健康管理，要兼顾三个层面：\n      \u003C/p>\n      \u003Col class=\"anesth-guide-list\">\n        \u003Cli>\n          \u003Cstrong>定期随访检测\u003C/strong>\n          \u003Cbr>\n          手术后要领取病理报告，医生一般建议出院后1-2周复诊，动态查甲状腺功能、肿瘤标志物。部分患者需要继续心脏科随访，保证冠心病等基础疾病治疗不间断。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>作息+锻炼慢慢恢复\u003C/strong>\n          \u003Cbr>\n          动完手术，适当的走动、康复锻炼有助于身体循环和代谢恢复。运动以自己感觉不疲惫、不气喘为宜，暂时避免剧烈活动。气温变化、季节变换也需调整衣物，别着凉。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>饮食保持均衡\u003C/strong>\n          \u003Cbr>\n          术后饮食以清淡、丰富、易消化为原则。建议适当多摄入新鲜蔬菜、富含优质蛋白（如鸡蛋、鱼、豆制品）和含碘的海产品，以支持甲状腺激素的平衡与身体修复。\u003Cbr>\n          \u003Cem>鸡蛋\u003C/em> \u003Cspan class=\"anesth-guide-emoji\">🥚\u003C/span>：含有优质蛋白，有助恢复，可以每天吃一两个。\u003Cbr>\n          \u003Cem>深绿色蔬菜\u003C/em> \u003Cspan class=\"anesth-guide-emoji\">🥬\u003C/span>：补充维生素和纤维，促进肠道动力，建议每餐有一份。\n        \u003C/li>\n      \u003C/ol>\n      \u003Cp>\n        术后生活节奏不必马上“完全恢复如常”，慢慢递进，持之以恒更重要。假如出现持续声音嘶哑、吞咽明显困难、严重心慌，这些就是该返院复诊的信号。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"anesth-guide-part anesth-guide-bg07\">\n    \u003Ch2 class=\"anesth-guide-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">07 为什么手术风险有高有低？都与什么有关？\u003C/h2>\n    \u003Cdiv class=\"anesth-guide-section-content\">\n      \u003Cp>\n        说起手术有风险，到底哪些因素会让麻醉出现“小插曲”呢？其实主要有这几类：\n      \u003C/p>\n      \u003Cul class=\"anesth-guide-list\">\n        \u003Cli>\n          \u003Cstrong>年龄相关：\u003C/strong>\n          年龄大、身体储备差，器官代偿能力有限，术后恢复自然更慢。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>基础疾病：\u003C/strong>\n          心脏、肺、肝、肾有慢性疾病，操作中稍有不慎都可能有意外。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>肿瘤本身：\u003C/strong>\n          肿瘤范围大或侵犯邻近气管、神经，手术风险也随之提高。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>生活习惯：\u003C/strong>\n          长期吸烟、肥胖、睡眠质量差等，都会悄悄影响麻醉风险。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        \u003Cspan class=\"anesth-guide-emoji\">👨‍⚕️\u003C/span> 医学研究显示，糖尿病、高血压、冠心病等合并基础病者，术中术后并发症风险是普通患者的2倍甚至更高（参考Chung et al., 2019）。这提醒每个人都要早干预、早治疗，别等突发问题时再救急。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"anesth-guide-part anesth-guide-bg08\">\n    \u003Ch2 class=\"anesth-guide-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">08 实用建议：如何让手术和麻醉体验更顺利？\u003C/h2>\n    \u003Cdiv class=\"anesth-guide-section-content\">\n      \u003Cp>\n        懂得这些细节，也许会让你下次面对手术时更坦然。实际行动上，可以这样做：\n      \u003C/p>\n      \u003Cul class=\"anesth-guide-list\">\n        \u003Cli>\n          \u003Cspan class=\"anesth-guide-emoji\">📄\u003C/span> \u003Cstrong>提前告知医生自己的全部药物和诊断\u003C/strong>，包括平时吃的保健品。\u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"anesth-guide-emoji\">🍱\u003C/span> \u003Cstrong>饮食\u003C/strong>方面建议术前保持均衡，不用强行“清淡到底”，正常饮食即可。\u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"anesth-guide-emoji\">🚶\u003C/span> \u003Cstrong>术前简单锻炼\u003C/strong>，轻松快走、拉伸都有好处，避免术前剧烈运动。\u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"anesth-guide-emoji\">🔕\u003C/span> \u003Cstrong>心理放松\u003C/strong>非常重要。担心时可以听听音乐、分散注意力，有焦虑及时沟通，不必独自硬撑。\u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"anesth-guide-emoji\">🙋\u003C/span> \u003Cstrong>术后有任何不适就要说\u003C/strong>，不必担心“麻烦医生”。恢复期间及时反映疼痛、恶心、乏力等都有助于精准调整后续管理。\u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"anesth-guide-emoji\">🫁\u003C/span> \u003Cstrong>长期健康管理\u003C/strong>上，坚持复查，必要时追踪其它基础疾病，尤其是心脑血管的患者要重视“终身管理”而非一次治愈。\u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        总的来说，无论是普通小手术还是大手术，好的麻醉方案始终是你安全的保障。身体细节从不给人“侥幸”，但科学管理能帮你更安心地走完手术路。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"anesth-guide-part anesth-guide-bg09\">\n    \u003Ch2 class=\"anesth-guide-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">主要参考文献\u003C/h2>\n    \u003Cdiv class=\"anesth-guide-section-content\">\n      \u003Col class=\"anesth-guide-refs\">\n        \u003Cli>\n          Chung, F., Memtsoudis, S. G., & Wong, D. T. (2019). Perioperative care of the patient with coexisting chronic diseases. \u003Cem>British Journal of Anaesthesia\u003C/em>, 123(3), 451-461. https://doi.org/10.1016/j.bja.2019.04.027 \n        \u003C/li>\n        \u003Cli>\n          Haugen, B. R., et al. (2016). 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer. \u003Cem>Thyroid\u003C/em>, 26(1), 1-133. https://doi.org/10.1089/thy.2015.0020\n        \u003C/li>\n        \u003Cli>\n          American Society of Anesthesiologists. (2020). Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: Application to healthy patients undergoing elective procedures. \u003Cem>Anesthesiology\u003C/em>, 132(2), 333-341. https://doi.org/10.1097/ALN.0000000000003012\n        \u003C/li>\n        \u003Cli>\n          Tadokoro, T., et al. (2023). Enhanced recovery after surgery (ERAS) protocols for thyroid surgery. \u003Cem>Surgery Today\u003C/em>, 53(1), 13-21. https://doi.org/10.1007/s00595-022-02667-3\n        \u003C/li>\n      \u003C/ol>\n    \u003C/div>\n  \u003C/section>\n\u003C/div>\n\n\u003Cstyle>\n.anesth-guide-container {\n  font-family: \"PingFang SC\", \"Helvetica Neue\", Arial, sans-serif;\n  background: #fafbfc;\n  color: #212121;\n  margin: 48px auto;\n  max-width: 820px;\n  border-radius: 20px;\n  box-shadow: 0 6px 32px rgba(36,45,89,0.08);\n  padding: 38px 36px 44px 36px;\n}\n\n.anesth-guide-main-title {\n  font-size: 2.6em;\n  color: #38435a;\n  text-align: center;\n  font-weight: 800;\n  margin: 6px 0 36px 0;\n  letter-spacing: 1.5px;\n  line-height: 1.2;\n}\n\n.anesth-guide-part {\n  border-radius: 14px;\n  margin-bottom: 36px;\n  padding: 22px 26px 26px 26px;\n}\n\n.anesth-guide-bg01 {\n  background: linear-gradient(120deg,#e1e6f5 10%,#f5f8fc 90%);\n}\n.anesth-guide-bg02 {\n  background: linear-gradient(110deg,#e7fbe6 10%,#f6fbf5 90%);\n}\n.anesth-guide-bg03 {\n  background: linear-gradient(120deg,#f6eefa 20%,#f5f9fc 90%);\n}\n.anesth-guide-bg04 {\n  background: linear-gradient(120deg,#fbfbe1 10%,#fcf5f5 90%);\n}\n.anesth-guide-bg05 {\n  background: linear-gradient(115deg,#e1f6fb 10%,#f5fcf9 100%);\n}\n.anesth-guide-bg06 {\n  background: linear-gradient(111deg,#e6faee 5%,#f5fcf9 95%);\n}\n.anesth-guide-bg07 {\n  background: linear-gradient(122deg,#fdf8e5 6%,#f8faf6 95%);\n}\n.anesth-guide-bg08 {\n  background: linear-gradient(120deg,#f0f7e9 10%,#fcfcf5 90%);\n}\n.anesth-guide-bg09 {\n  background: linear-gradient(120deg,#f5f7fc 10%,#fdfcf5 90%);\n}\n.anesth-guide-subtitle {\n  font-size: 1.6em;\n  color: #315290;\n  font-weight: 700;\n  padding-bottom: 10px;\n  border-bottom: 2px solid #dce8fa;\n  letter-spacing: 0.3px;\n  margin-bottom: 20px;\n  background-image: linear-gradient(90deg,#e8f2ff 0%,#fafbfc 100%);\n  border-radius: 8px;\n  padding: 10px 0 10px 16px;\n}\n\n.anesth-guide-section-content {\n  font-size: 1.17em;\n  line-height: 1.86;\n  color:#2d3142;\n  word-break: break-all;\n  padding-top: 2px;\n  padding-bottom: 2px;\n}\n\n.anesth-guide-list {\n  padding-left: 18px;\n  margin-bottom: 8px;\n}\n.anesth-guide-list li {\n  margin-bottom: 10px;\n  position: relative;\n  padding-left: 5px;\n}\n\n.anesth-guide-emoji {\n  font-size: 1.08em;\n  margin-right: 6px;\n  vertical-align: middle;\n}\n\n.anesth-guide-monitor-list {\n  display: flex;\n  flex-wrap: wrap;\n  margin: 8px 0 0 0;\n  gap: 16px 26px;\n}\n.anesth-guide-monitor-list > div {\n  background: #eaf1fe;\n  border-radius: 8px;\n  padding: 7px 18px;\n  min-width: 180px;\n  font-size: 1.04em;\n}\n\n.anesth-guide-dl {\n  margin-top: 10px;\n  margin-bottom: 8px;\n}\n.anesth-guide-dl dt {\n  font-weight: 600;\n  margin-top: 9px;\n  margin-bottom: 3px;\n}\n.anesth-guide-dl dd {\n  margin-left: 0;\n  margin-bottom: 7px;\n  color: #3b424f;\n}\n\n.anesth-guide-refs {\n  margin: 15px 0 0 22px;\n  padding-left: 0;\n  font-size: 1.06em;\n}\n.anesth-guide-refs li {\n  margin-bottom: 6px;\n  line-height: 1.62;\n}\n\n@media (max-width: 700px) {\n  .anesth-guide-container {\n    padding: 12px 6px 28px 10px;\n    max-width: 96%;\n  }\n  .anesth-guide-main-title {\n    font-size: 1.3em;\n    margin: 6px 0 20px 0;\n  }\n  .anesth-guide-part {\n    padding: 12px 10px 10px 10px;\n    margin-bottom: 24px;\n  }\n  .anesth-guide-subtitle {\n    font-size: 1em;\n    padding: 8px 0 6px 8px;\n    margin-bottom: 10px;\n  }\n}\n\u003C/style>\n","\u003Cdiv class=\"anesth-guide-container\">\n  \u003Ch2 id=\"material_title\" class=\"anesth-guide-main-title\" style",514,"2025-09-26 09:36:09","麻醉, 甲状腺乳头状癌, 手术安全, 术后管理, 麻醉方案","了解麻醉在甲状腺乳头状癌手术中的关键角色，如何评估、选择麻醉方式、监测生命体征及术后管理，确保手术安全与康复。适合所有关注手术安全的患者与家属。","2025-10-07 19:30:00",[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":20},10,[58,67],{"id":59,"updateTime":60,"averageScore":61,"posts":19,"specialistId":62,"userName":63,"hospital":64,"avatar":23,"description":65,"department":66},36075,"2026-05-30 11:07:13",9.6,934805,"徐天放","苏州市立医院","文章全文全程紧扣患者真实痛点，有效消解术前恐惧与认知误区；语言平实亲切、比喻生动形象，专业内容通俗化，干货密集、实用性拉满，兼具严谨医学依据、温暖人文关怀与极强社会科普价值，极易大众理解、接纳与传播。","肝胆胰腺外科",{"id":68,"updateTime":69,"averageScore":70,"posts":19,"specialistId":71,"userName":72,"hospital":73,"avatar":23,"description":74,"department":75},35423,"2026-05-19 17:47:37",9.3,906373,"吉木森","镇江市第一人民医院","这篇文章以甲状腺乳头状癌手术麻醉为主题，专业又接地气，打破了大众对麻醉 “只是睡一觉” 的刻板印象。文章从术前评估、麻醉方式选择、术中监护到术后恢复，系统讲解了麻醉医生如何为手术安全保驾护航，还贴心给出了实用建议，兼具专业性与人文关怀，有效缓解了患者对手术的焦虑。","重症",{"code":9,"msg":10,"message":6,"data":77,"success":53},{"authors":78,"appraiseDimensionScoresVos":83},[79,81],{"profilePhoto":23,"specialistId":80},"906373",{"profilePhoto":23,"specialistId":82},"934805",[84,89,94,98,104],{"id":85,"scores":86,"value":86,"dimensionId":6,"avgs":87,"title":88},324495,30,28.8,"内容准确性",{"id":90,"scores":91,"value":92,"dimensionId":6,"avgs":92,"title":93},324496,20,18,"内容深度与广度",{"id":95,"scores":91,"value":96,"dimensionId":6,"avgs":96,"title":97},324497,19,"语言表达",{"id":99,"scores":100,"value":101,"dimensionId":6,"avgs":102,"title":103},324498,15,14,14.6,"呈现形式",{"id":105,"scores":100,"value":106,"dimensionId":6,"avgs":107,"title":108},324499,13,14.2,"教育价值"]