[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fAh6Jl1CL7mDDA1pF080SDSBY93N2aBnOt74zVqOxxZA":8,"$f3L4mh2V3GjfTnMGSfsLoblzNs6nHFMsm5DhFfQB4cJo":55,"$fuvk-dC_Jm-Tfi0rQXLycRUQCyqbAhjJ4wypUshmly30":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},67793,867568,[],"https://ystcdn.venuertc.com/learnMaterial/ystApp//Qwz6GyCWTi4XHRajDQhvP0c86fSiOy65.png","李文旭","温州老年病医院","肿瘤科","主治医师",317,0,"实用指南：了解培美曲塞在肺癌治疗中的应用","","https://ystcdn.venuertc.com/venue/AI/ac6dee17-47bb-4814-b786-6aaf7c49fa1a.jpg","\u003Cdiv class=\"pemetrexed-guide-wrapper\">\n  \u003Ch1 id=\"material_title\" class=\"pemetrexed-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);\">实用指南：了解培美曲塞在肺癌治疗中的应用\u003C/h1>\n  \u003Csection class=\"pemetrexed-intro-section\">\n    \u003Cdiv class=\"pemetrexed-subtitle-bg\">\n      \u003Ch2 class=\"pemetrexed-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 培美曲塞是什么？基础认识\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"pemetrexed-section-content\">\n      \u003Cp>\n        培美曲塞是一类新型化疗药物，属于\u003Cstrong>叶酸代谢抑制剂\u003C/strong>。它常用于某些化疗方案中，尤其在静脉注射模式下应用广泛。说起来，这类药物的作用就是通过干扰细胞的特定合成过程，限制异常细胞的生长。本文将帮你梳理培美曲塞的成分、剂型、使用方法、常见副作用，以及安全用药的关键细节。\n      \u003C/p>\n      \u003Cdiv class=\"pemetrexed-icon-row\">\n        \u003Cspan class=\"pemetrexed-icon\">💡\u003C/span>\n        \u003Cspan>核心细节一次讲明：用法、用量、相互作用、不良反应都在这篇文章里找得到。\u003C/span>\n      \u003C/div>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"pemetrexed-keyfacts-section\">\n    \u003Cdiv class=\"pemetrexed-subtitle-bg\">\n      \u003Ch2 class=\"pemetrexed-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 药品组成与剂型规格\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"pemetrexed-section-content\">\n      \u003Cp>\n        培美曲塞主要成分为\u003Cstrong>培美曲塞二钠\u003C/strong>，通常以注射用粉末形式存在，需溶解后静脉滴注。常见规格有 0.5g/瓶，在临床中根据体表面积和医生方案进行剂量换算。实际用药案例如下——\n      \u003C/p>\n      \u003Cdiv class=\"pemetrexed-case-box\">\n        \u003Cspan class=\"pemetrexed-icon\">🧑‍⚕️\u003C/span> \n        \u003Cspan>\n          一位68岁男性，体重60kg，接受培美曲塞0.5g静脉滴注，结合维生素B12注射液与糖皮质激素。\n        \u003C/span>\n      \u003C/div>\n      \u003Cp>\n        \u003Cstrong>储存方法：\u003C/strong> 培美曲塞需避光密封存放于 2～8°C 的低温环境中。不宜置于高温、潮湿或强光处。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"pemetrexed-mechanism-section\">\n    \u003Cdiv class=\"pemetrexed-subtitle-bg\">\n      \u003Ch2 class=\"pemetrexed-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 药物作用机制\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"pemetrexed-section-content\">\n      \u003Cp>\n        培美曲塞能阻断叶酸代谢途径，抑制多种关键酶（如胸苷酸合成酶），使细胞无法正常复制和分裂。这种“切断营养供给”的方式，能够影响异常细胞的生长，从而发挥自己的化疗作用。\n      \u003C/p>\n      \u003Cdiv class=\"pemetrexed-icon-row\">\n        \u003Cspan class=\"pemetrexed-icon\">📊\u003C/span>\n        \u003Cspan>\n          临床数据显示，培美曲塞联合其它药物后，疗效优于单用经常被采用的化疗药物（Scagliotti et al., 2008）。\n        \u003C/span>\n      \u003C/div>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"pemetrexed-using-section\">\n    \u003Cdiv class=\"pemetrexed-subtitle-bg\">\n      \u003Ch2 class=\"pemetrexed-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 正确用法与用量\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"pemetrexed-section-content\">\n      \u003Cp>\n        培美曲塞必须在医院通过静脉滴注（ivgtt）完成，绝不建议自行使用。用量通常按体表面积计算，一般为 500mg/m²，每三周一次。实际剂量需根据医生的确切指导进行调整。\n      \u003C/p>\n      \u003Cul class=\"pemetrexed-ul\">\n        \u003Cli>\n          \u003Cstrong>注射流程：\u003C/strong> 先溶解药物于指定溶剂中，利用滴注泵缓慢输入。全程持续约90分钟。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>联合用药：\u003C/strong> 建议配合维生素B12肌注与叶酸口服，每个周期都应补充这些药物以降低副作用。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>口服叶酸：\u003C/strong> 通常在培美曲塞治疗前后各补充一周。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"pemetrexed-icon-row\">\n        \u003Cspan class=\"pemetrexed-icon\">⏳\u003C/span>\n        \u003Cspan>正确做法：用药前务必告知医生所有正在用的处方药和保健品，以便制定具体方案。\u003C/span>\n      \u003C/div>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"pemetrexed-interactions-section\">\n    \u003Cdiv class=\"pemetrexed-subtitle-bg\">\n      \u003Ch2 class=\"pemetrexed-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 药物相互作用\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"pemetrexed-section-content\">\n      \u003Cp>\n        培美曲塞与某些药物同时使用时会发生相互作用，影响安全性。比较重要的有以下几类：\n      \u003C/p>\n      \u003Cul class=\"pemetrexed-ul\">\n        \u003Cli>\n          \u003Cspan class=\"pemetrexed-point\">肾毒性药物：\u003C/span> 与非甾体抗炎药（如布洛芬、吲哚美辛）同用可能加重肾脏负担，降低培美曲塞的清除速度。正确做法：用药前咨询医生，避免无指示联合使用。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"pemetrexed-point\">疫苗与抗感染药：\u003C/span> 某些活疫苗接种需谨慎，合用时可能提高感染风险。必要时遵医嘱调整疫苗接种计划。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"pemetrexed-point\">叶酸类制剂：\u003C/span> 常规补充叶酸和维生素B12，有助于减少骨髓抑制等不良反应。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"pemetrexed-icon-row\">\n        \u003Cspan class=\"pemetrexed-icon\">💊\u003C/span>\n        \u003Cspan>特别提醒：未经医生允许，不应擅自加用其它药物，尤其不能自行停用基础药物。\u003C/span>\n      \u003C/div>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"pemetrexed-adverse-section\">\n    \u003Cdiv class=\"pemetrexed-subtitle-bg\">\n      \u003Ch2 class=\"pemetrexed-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 常见不良反应与处理\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"pemetrexed-section-content\">\n      \u003Cp>\n        培美曲塞可能带来的不良反应主要集中在血液、消化及皮肤系统：\n      \u003C/p>\n      \u003Cul class=\"pemetrexed-ul\">\n        \u003Cli>\n          \u003Cspan class=\"pemetrexed-point\">骨髓抑制：\u003C/span> 白细胞、血小板减少，出现发热、出血倾向时需及时就医。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"pemetrexed-point\">消化系统反应：\u003C/span> 恶心、呕吐较常见（发生率约30%-40%\u003Cspan class=\"pemetrexed-ref\">[Mansfield et al., 2018]\u003C/span>），可配合止吐药物。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"pemetrexed-point\">皮肤症状：\u003C/span> 皮疹或干燥，若严重应暂停用药，听取医生意见。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        \u003Cspan class=\"pemetrexed-icon\">📋\u003C/span>\n        \u003Cstrong>处理关键：\u003C/strong> 按照医生建议提前补充叶酸与维生素B12，并注意监测血象和体重变化。异常反应须第一时间告知医生，不应自行调整剂量或停药。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"pemetrexed-individual-section\">\n    \u003Cdiv class=\"pemetrexed-subtitle-bg\">\n      \u003Ch2 class=\"pemetrexed-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 特殊人群用药指南\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"pemetrexed-section-content\">\n      \u003Cul class=\"pemetrexed-ul\">\n        \u003Cli>\n          \u003Cspan class=\"pemetrexed-point\">老年患者：\u003C/span> 68岁男性的案例中，医生根据体重、肾功能调整培美曲塞剂量。正确做法：老年人需根据肾功能参数评估，每个周期都应检测肾功能与血象。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"pemetrexed-point\">孕妇与哺乳期女性：\u003C/span> 培美曲塞禁用于孕妇和哺乳期女性。原因在于风险尚不明确，可能影响胎儿及乳汁分泌。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"pemetrexed-point\">肝肾功能不全者：\u003C/span> 病人如伴有明显肝肾功能障碍，应遵医嘱严格减量或暂停用药。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"pemetrexed-icon-row\">\n        \u003Cspan class=\"pemetrexed-icon\">👨‍👩‍👧‍👦\u003C/span>\n        \u003Cspan>\n          正确做法：特殊人群在首次用药前需进行全面评估，不接受“标准剂量”套用。\n        \u003C/span>\n      \u003C/div>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"pemetrexed-save-section\">\n    \u003Cdiv class=\"pemetrexed-subtitle-bg\">\n      \u003Ch2 class=\"pemetrexed-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 储存与失误处理\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"pemetrexed-section-content\">\n      \u003Cul class=\"pemetrexed-ul\">\n        \u003Cli>\n          \u003Cspan class=\"pemetrexed-point\">储存：\u003C/span> 固体药品必须避光密封冷藏。现配现用，不得暂停、搁置或自行分装。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"pemetrexed-point\">过量用药：\u003C/span> 过量注射可能加重骨髓抑制或肾功能损伤，应立即通知医护人员，严禁自行处理。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"pemetrexed-point\">漏服或漏注：\u003C/span> 如果周期内遗漏一次，应及时和主治医生沟通，按照专业建议补充，不可自行补药。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"pemetrexed-point\">过期药品处理：\u003C/span> 培美曲塞过期后不得使用，应当交由医院或药房专业处理，严禁自行丢弃。\n        \u003C/li>\n      \u003C/ul>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"pemetrexed-tips-section\">\n    \u003Cdiv class=\"pemetrexed-subtitle-bg\">\n      \u003Ch2 class=\"pemetrexed-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">09 日常用药关键提醒\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"pemetrexed-section-content\">\n      \u003Cul class=\"pemetrexed-ul\">\n        \u003Cli>\n          \u003Cspan class=\"pemetrexed-point\">疗程管理：\u003C/span> 做好每一个周期药品和辅助药物的记录，有效配合主治医生。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"pemetrexed-point\">营养搭配：\u003C/span> 用药期间建议摄入高蛋白、高能量食物，但应避免生冷刺激性食物。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"pemetrexed-point\">心理调适：\u003C/span> 若有焦虑、失眠或精神压力，及时向专业人员寻求帮助，配合治疗流程。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"pemetrexed-point\">家属协助：\u003C/span> 用药期间亲属应协助就诊、观察反应，便于及时调整方案。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"pemetrexed-icon-row\">\n        \u003Cspan class=\"pemetrexed-icon\">📝\u003C/span>\n        \u003Cspan>\n          安全用药，从细节做起，每一步都需与医护团队沟通落实。\n        \u003C/span>\n      \u003C/div>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"pemetrexed-summary-section\">\n    \u003Cdiv class=\"pemetrexed-subtitle-bg\">\n      \u003Ch2 class=\"pemetrexed-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">10 结语及核心提示\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"pemetrexed-section-content\">\n      \u003Cp>\n        培美曲塞作为一种静脉注射化疗药，在用药环节有较高的专业性要求，必须规范操作。重复一次最重要的提醒：\u003Cstrong>不要擅自调整药量，不要跳过辅助药物，不要随意更换使用方案。\u003C/strong>出现任何反常反应时，请第一时间与医生沟通。只要规范管理，就能最大限度保障安全和疗效。\n      \u003C/p>\n      \u003Cp class=\"pemetrexed-highlight\">\n        培美曲塞优势：简便的联合给药策略，规范的输液流程，较好的副作用管理预案，对特殊人群有明确的用药指引——做好这些，治疗效果才能充分体现。\n      \u003C/p>\n      \u003Cdiv class=\"pemetrexed-final-tips\">\n        \u003Cspan class=\"pemetrexed-icon\">✅\u003C/span>\n        \u003Cspan>\n          遇到疑问及时咨询，不拿用药安全做实验。\n        \u003C/span>\n      \u003C/div>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"pemetrexed-reference-section\">\n    \u003Cdiv class=\"pemetrexed-subtitle-bg\">\n      \u003Ch2 class=\"pemetrexed-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">文献引用\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"pemetrexed-section-content\">\n      \u003Cul class=\"pemetrexed-ref-list\">\n        \u003Cli>\n          Scagliotti, G. V., Parikh, P., von Pawel, J., et al. (2008). Phase III study comparing cisplatin plus gemcitabine with cisplatin plus pemetrexed in chemotherapy-naive patients with advanced-stage non-small-cell lung cancer. \u003Cem>Journal of Clinical Oncology\u003C/em>, 26(21), 3543-3551. https://doi.org/10.1200/JCO.2007.15.0375\n        \u003C/li>\n        \u003Cli>\n          Mansfield, A. S., Ren, H., Min, N., et al. (2018). Safety of pemetrexed in combination with immune checkpoint blockade: A pooled analysis. \u003Cem>Journal of Thoracic Oncology\u003C/em>, 13(6), 804-813. https://doi.org/10.1016/j.jtho.2018.03.029\n        \u003C/li>\n      \u003C/ul>\n    \u003C/div>\n  \u003C/section>\n\u003C/div>\n\u003Cstyle>\n.pemetrexed-guide-wrapper { font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; background-color: #f8fafc; color: #29304d; max-width: 850px; margin: 32px auto 40px auto; padding: 30px 24px 24px 24px; border-radius: 18px; box-shadow: 0 2px 24px rgba(55,80,120,0.08); line-height: 1.85; }\n.pemetrexed-main-title { font-size: 2.8em; font-weight: 700; color: #234ea7; text-align: center; margin-bottom: 34px; letter-spacing: 2px; }\n.pemetrexed-subtitle-bg { background: linear-gradient(90deg,#e8f0ff 50%,#f4fafc 100%); border-radius: 12px; margin-bottom: 14px; padding: 18px 14px 12px 14px; box-shadow: 0 1px 7px 0 rgba(135,187,259,0.08); }\n.pemetrexed-subtitle { font-size: 1.6em; font-weight: 600; margin: 0; color: #2476bf; letter-spacing: 1px; }\n.pemetrexed-section-content { font-size: 1.16em; padding-bottom: 18px; }\n.pemetrexed-case-box { background: #faf6f2; border-left: 4px solid #f9c784; margin: 18px 0 12px 0; padding: 10px 16px; border-radius: 8px; font-size: 1.08em; box-shadow: 0 1px 4px 0 rgba(240,169,78,0.06); }\n.pemetrexed-ul { margin: 12px 0 10px 18px; }\n.pemetrexed-ul li { margin-bottom: 9px; padding-left: 0; }\n.pemetrexed-point { font-weight: 500; color: #3865b3; }\n.pemetrexed-icon-row { display: flex; align-items: center; gap: 9px; margin: 13px 0 6px 0; }\n.pemetrexed-icon { font-size: 1.4em; vertical-align: middle; }\n.pemetrexed-ref { font-size: 0.89em; color: #8793b1; }\n.pemetrexed-highlight { border-left: 4px solid #6cc3dc; background: #eaf6fa; padding: 10px 14px; border-radius: 7px; margin-top: 9px; font-weight: 500; }\n.pemetrexed-final-tips { display: flex; align-items: center; gap: 7px; margin-top: 13px; font-size: 1.12em; color: #167d40; }\n.pemetrexed-ref-list { font-size: 0.98em; margin-left: 10px; margin-top: 2px; padding-bottom: 3px;}\n.pemetrexed-ref-list li { margin-bottom: 9px; line-height: 1.47; }\n@media screen and (max-width: 630px) {\n  .pemetrexed-guide-wrapper { padding: 10px 4% 18px 4%; border-radius: 10px; }\n  .pemetrexed-main-title { font-size: 2em; }\n  .pemetrexed-subtitle { font-size: 1.25em;}\n}\n\u003C/style>\n","\u003Cdiv class=\"pemetrexed-guide-wrapper\">\n  \u003Ch1 id=\"material_title\" class=\"pemetrexed-main-title\" style",534,"2025-10-13 16:40:38","培美曲塞, 肺癌治疗, 化疗药物, 用法用量, 不良反应","全面解析培美曲塞的应用，包括药物机制、用法用量及注意事项，帮助患者及家属安全有效地管理肺癌治疗。关键在于遵循专业指导，最大化治疗效果。","2025-10-28 18:00:00",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},[],[]]