[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fGqDXoQVo-5VCWEWjEuZnXccYxRf78V-DLal7D0vhWvs":8,"$ff-uZApMIBdxxyd5i71Y4tEuxWIB0e0NGmiiF7kx8x4c":55,"$fLnjbtwaE4DJg5QfCRfmeDeFodg_EveRDnhfW1EJDhV0":88},{"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},78000,866753,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//6TEgNDhgFo0Ry85jrbjnes5gqnOB3PzK.png","归晓蝶","昆山市第一人民医院","麻醉科","住院医师",4,0,"异常子宫出血：麻醉领域的关注与应对","","https://ystcdn.venuertc.com/venue/AI/080d0018-f026-4b66-8468-1ee16c62ad83.jpg","\u003Ch2 id=\"material_title\" class=\"aub-custom-title\">异常子宫出血：麻醉领域的关注与应对\u003C/h2>\n\u003Cdiv class=\"aub-intro\" style=\"background: linear-gradient(90deg, #e6f0fa 0%, #fefefe 100%); border-radius: 12px; padding: 18px 24px; margin-bottom: 32px;\">\n    \u003Cspan style=\"font-size: 22px;\">🩺\u003C/span>\n    \u003Cspan style=\"font-size: 18px; color: #254575;\">走进医院，很多人都曾听说“异常子宫出血”的问题。准备手术或面对麻醉时，无论是女性本人还是家人，都会多了几分担忧。其实，这类出血对手术安全有明确影响，麻醉科医生关注这些细节，是为手术保驾护航的重要一环。说起来，这个话题既贴近生活，又很有学问，适合我们认真了解。\u003C/span>\n\u003C/div>\n\n\u003C!-- 01 麻醉科如何关注异常子宫出血？ -->\n\u003Cdiv class=\"aub-section-block\" style=\"background: linear-gradient(90deg, #f5f3fa 0%, #ebf8fa 100%); border-radius: 11px; margin-bottom: 28px; padding: 20px;\">\n    \u003Ch3 class=\"aub-section-title\" style=\"font-weight:600;font-size:22px;color:#55418d;margin-bottom:16px;\">\n        01 麻醉科如何关注异常子宫出血？\u003C/h3>\n    \u003Cp class=\"aub-section-desc\" style=\"font-size:17px;line-height:1.78;color:#333;\">\n        准备开展手术时，麻醉科通常是最后一道关卡。异常子宫出血（AUB）常让麻醉科医生多了一份警惕。比如，患者最近几个月月经量忽多忽少，下腹时有不适。如果不提前掌握出血状态，麻醉用药和术中监测就容易出现问题。\n    \u003C/p>\n    \u003Cp class=\"aub-section-desc\" style=\"font-size:17px;line-height:1.78;color:#333;\">\n        出血会带来贫血、血流动力学变化，特别是在麻醉诱导和手术期间。如果没搞明白患者失血是不是正要加重，或者已有隐性贫血，麻醉用药的剂量和速度都得跟着调整。另外，安全监测更不能少，一些麻醉药物会影响血压和心率，出血患者比一般人更容易出问题。\n    \u003C/p>\n    \u003Cdiv class=\"aub-section-tip\" style=\"background:rgba(185,220,255,0.2);padding:12px;margin-top:9px;border-radius:7px;\">\n        \u003Cspan style=\"font-size:18px;\">👉\u003C/span>\n        \u003Cspan style=\"font-size:16px;color:#2c486d;\">现实中，手术麻醉前医生常会询问月经史、近期出血状况，以及有没有用过抗凝或止血药，这都是对安全负责。\u003C/span>\n    \u003C/div>\n\u003C/div>\n\n\u003C!-- 02 识别异常子宫出血的症状有哪些？ -->\n\u003Cdiv class=\"aub-section-block\" style=\"background: linear-gradient(90deg, #f8e3ea 0%, #e5f8ed 100%); border-radius: 11px; margin-bottom: 28px; padding: 20px;\">\n    \u003Ch3 class=\"aub-section-title\" style=\"font-weight:600;font-size:22px;color:#963e5c;margin-bottom:16px;\">\n        02 哪些症状是异常子宫出血的信号？🤔\u003C/h3>\n    \u003Cul class=\"aub-list\" style=\"margin-left:16px;margin-bottom:8px;\">\n        \u003Cli style=\"margin-bottom:10px;font-size:16.2px;color:#3d2e4e;\">\n            \u003Cb>月经周期混乱：\u003C/b>\n            有些人刚开始只是偶尔提前或推迟，经期长度和平时不太一样，很容易被忽略。\n        \u003C/li>\n        \u003Cli style=\"margin-bottom:10px;font-size:16.2px;color:#3d2e4e;\">\n            \u003Cb>流量明显增多：\u003C/b>\n            如果突然多了很多，姨妈巾频更换，夜里也被“闹醒”，这种异常不是一般的小麻烦。        \n        \u003C/li>\n        \u003Cli style=\"margin-bottom:10px;font-size:16.2px;color:#3d2e4e;\">\n            \u003Cb>出血时间延长：\u003C/b>\n            停不下来的经血，让人觉得“怎么还没完”，这就是典型的异常子宫出血。\n        \u003C/li>\n        \u003Cli style=\"margin-bottom:10px;font-size:16.2px;color:#3d2e4e;\">\n            \u003Cb>伴随症状：\u003C/b>\n            如果经期同时出现乏力、头晕、心慌（尤其是出血很久不止），需要引起注意。\n        \u003C/li>\n    \u003C/ul>\n    \u003Cdiv class=\"aub-section-tip\" style=\"background:rgba(222,172,188,0.13);padding:12px;border-radius:7px;\">\n        \u003Cspan style=\"font-size:18px;\">👁️\u003C/span>\n        \u003Cspan style=\"font-size:16px;color:#753d50;\">比如有位56岁的女性朋友，近期月经量猛增，还合并宫腔小结节。医生在麻醉诱导前格外关注她的用药反应和术中生命体征。这说明手术前一定要实话实说，把异常出血的情况告知医生。\u003C/span>\n    \u003C/div>\n\u003C/div>\n\n\u003C!-- 03 异常子宫出血的病因与麻醉关系 -->\n\u003Cdiv class=\"aub-section-block\" style=\"background: linear-gradient(90deg, #e6f6e7 0%, #fdfafd 100%); border-radius: 11px; margin-bottom: 28px; padding: 20px;\">\n    \u003Ch3 class=\"aub-section-title\" style=\"font-weight:600;font-size:22px;color:#417d56;margin-bottom:16px;\">\n        03 导致异常子宫出血的常见因素\u003C/h3>\n    \u003Cp class=\"aub-section-desc\" style=\"font-size:17px;line-height:1.78;color:#3b4e42;\">\n        简单来说，异常子宫出血背后的原因主要有三类：\u003Cbr>\n        \u003Cspan style=\"margin-left:20px;color:#417d56;\">1️⃣ 内分泌紊乱：\u003C/span>女性荷尔蒙变化幅度大，比如绝经前后、青春期的年纪。激素水平失衡，子宫内膜变得不规律，容易反复出血。\u003Cbr>\n        \u003Cspan style=\"margin-left:20px;color:#417d56;\">2️⃣ 子宫结构问题：\u003C/span>像子宫肌瘤、息肉、增生、子宫内膜病变等，这些占位性的东西好比小工厂里的异常零件，会引起局部血流增加或内膜受损，出现出血现象。\u003Cbr>\n        \u003Cspan style=\"margin-left:20px;color:#417d56;\">3️⃣ 其他原因：\u003C/span>如凝血功能障碍（遗传或疾病导致）、长期服用特定药物（如抗凝剂），也会增加出血倾向。\n    \u003C/p>\n    \u003Cp class=\"aub-section-desc\" style=\"font-size:17px;line-height:1.78;color:#3b4e42;\">\n        关于麻醉风险，研究发现异常子宫出血患者如果有结构性病变，手术及麻醉过程都要事先考虑出血量。比如，一项发表于《Anesthesia & Analgesia》的研究指出，围术期失血是麻醉并发症的主要警示之一（Malinowski et al., \"Perioperative Management of Patients With Abnormal Uterine Bleeding\", Anesthesia & Analgesia, 2017）。\n    \u003C/p>\n    \u003Cdiv class=\"aub-section-tip\" style=\"background:rgba(210, 237, 216, 0.19);padding:11px;border-radius:7px;\">\n        \u003Cspan style=\"font-size:18px;\">⚡\u003C/span>\n        \u003Cspan style=\"font-size:16px;color:#418d50;\">年龄较大、月经异常或有家族病史的女性朋友，需要格外重视异常子宫出血的筛查。并不是所有出血都是“更年期将至”，一些潜在病因不可小视。\u003C/span>\n    \u003C/div>\n\u003C/div>\n\n\u003C!-- 04 如何进行有效的诊断与麻醉准备？ -->\n\u003Cdiv class=\"aub-section-block\" style=\"background: linear-gradient(90deg, #f5f8fa 0%, #ede2f3 100%); border-radius: 11px; margin-bottom: 28px; padding: 20px;\">\n    \u003Ch3 class=\"aub-section-title\" style=\"font-weight:600;font-size:22px;color:#3d5586;margin-bottom:16px;\">\n        04 异常子宫出血的诊断和麻醉准备要点\u003C/h3>\n    \u003Cp class=\"aub-section-desc\" style=\"font-size:17px;line-height:1.78;color:#303a52;\">\n        正确诊断是安全麻醉的前提。在实际临床中，医生会根据症状安排以下检查：\n        \u003Cul class=\"aub-list\" style=\"margin-left:16px;\">\n            \u003Cli style=\"margin-bottom:8px;\">⦿ \u003Cspan style=\"color:#4e4e97;\">\u003Cb>妇科超声：\u003C/b>\u003C/span>判断子宫结构是否有异常，如肌瘤、息肉、内膜增生。\u003C/li>\n            \u003Cli style=\"margin-bottom:8px;\">⦿ \u003Cspan style=\"color:#4e4e97;\">\u003Cb>血液检查：\u003C/b>\u003C/span>检测血常规和凝血功能，评估是否有贫血和凝血障碍。\u003C/li>\n            \u003Cli style=\"margin-bottom:8px;\">⦿ \u003Cspan style=\"color:#4e4e97;\">\u003Cb>宫腔镜检查：\u003C/b>\u003C/span>直视病灶，可直接观察出血点及占位病变。\u003C/li>\n        \u003C/ul>\n    \u003C/p>\n    \u003Cp class=\"aub-section-desc\" style=\"font-size:17px;line-height:1.78;color:#303a52;\">\n        麻醉科医生会根据这些检查结果调整麻醉方案。例如，如果患者存在明显贫血，会选择对血流和心脏影响较小的麻醉药物（如依托咪酯），并在术中密切监测生命体征，合理安排静脉输液以维持血容量，有时提前准备止血药或血液制品作为备用。\n    \u003C/p>\n    \u003Cdiv class=\"aub-section-tip\" style=\"background:rgba(136,159,239,0.10);padding:12px;border-radius:7px;\">\n        \u003Cspan style=\"font-size:18px;\">🎯\u003C/span>\n        \u003Cspan style=\"font-size:16px;color:#233564;\">科学的诊断和麻醉准备能大降低术中和术后风险，减少手术期间意外。\u003C/span>\n    \u003C/div>\n\u003C/div>\n\n\u003C!-- 05 针对异常子宫出血的治疗与麻醉应对 -->\n\u003Cdiv class=\"aub-section-block\" style=\"background: linear-gradient(90deg, #faf2e8 0%, #eaf6fd 100%); border-radius: 11px; margin-bottom: 28px; padding: 20px;\">\n    \u003Ch3 class=\"aub-section-title\" style=\"font-weight:600;font-size:22px;color:#c3864d;margin-bottom:16px;\">\n        05 治疗方法与麻醉应对措施\u003C/h3>\n    \u003Cp class=\"aub-section-desc\" style=\"font-size:17px;line-height:1.78;color:#716340;\">\n        针对异常子宫出血，常用的治疗方法有药物和手术两种。多数轻度患者通过调节激素、使用止血药（例如孕激素类药物）可以缓解出血，但一些结构病变或者药物无效，就要考虑手术，比如宫腔镜手术。\n    \u003C/p>\n    \u003Cp class=\"aub-section-desc\" style=\"font-size:17px;line-height:1.78;color:#716340;\">\n        手术期间，麻醉科医生不仅要镇痛、止痛，更要防止严重失血。比如上文提到的56岁女性，在宫腔镜检查及宫内装置取出术中，麻醉用药采用依托咪酯等静脉麻醉方案，加强术中监测。通过连续测量心率、血压、血氧，及时发现任何异常；术中输液采用乳酸钠林格液，帮助维持生理平衡。\n    \u003C/p>\n    \u003Cdiv class=\"aub-section-tip\" style=\"background:rgba(238,133,62,0.09);padding:12px;border-radius:7px;\">\n        \u003Cspan style=\"font-size:18px;\">🛡️\u003C/span>\n        \u003Cspan style=\"font-size:16px;color:#8a7140;\">每位患者在麻醉期间的管理方案都不太一样，医生会因人而异调整药物剂量和监护强度，提升术中安全。\u003C/span>\n    \u003C/div>\n\u003C/div>\n\n\u003C!-- 06 如何在生活中与异常子宫出血作斗争？ -->\n\u003Cdiv class=\"aub-section-block\" style=\"background: linear-gradient(90deg, #e6f7ef 0%, #f6f2fb 100%); border-radius: 11px; margin-bottom: 32px; padding: 20px;\">\n    \u003Ch3 class=\"aub-section-title\" style=\"font-weight:600;font-size:22px;color:#2e7c7b;margin-bottom:16px;\">\n        06 生活管理与预防方法\u003C/h3>\n    \u003Cp class=\"aub-section-desc\" style=\"font-size:17px;line-height:1.78;color:#334c48;\">\n        预防异常子宫出血，关键还是日常管理：\n        \u003Cul class=\"aub-list\" style=\"margin-left:16px;\">\n            \u003Cli style=\"margin-bottom:10px;\">\u003Cb>新鲜蔬菜：\u003C/b>\u003Cspan style=\"color:#36a88f;\">富含维生素K，有助于凝血和内膜健康；建议每顿饭都加些深色绿叶菜。\u003C/span>\u003C/li>\n            \u003Cli style=\"margin-bottom:10px;\">\u003Cb>瘦肉（如牛肉、鸡胸）：\u003C/b>\u003Cspan style=\"color:#36a88f;\">补充铁元素，应对失血后的贫血问题；每周可安排2-3次瘦肉菜肴。\u003C/span>\u003C/li>\n            \u003Cli style=\"margin-bottom:10px;\">\u003Cb>坚果（如核桃、杏仁）：\u003C/b>\u003Cspan style=\"color:#36a88f;\">富含微量元素和健康脂肪，有效支持激素平衡，与水果搭配小份量进食效果更好。\u003C/span>\u003C/li>\n        \u003C/ul>\n    \u003C/p>\n    \u003Cp class=\"aub-section-desc\" style=\"font-size:17px;line-height:1.78;color:#334c48;\">\n        经常锻炼（如快走、瑜伽）有助于整体激素调节；作息规律和减压也能稳定身体机能。40岁以后建议每两年进行一次妇科检查，可提前预警潜在风险。\n    \u003C/p>\n    \u003Cp class=\"aub-section-desc\" style=\"font-size:17px;line-height:1.78;color:#334c48;\">\n        另外，任何反复出现的月经异常都要主动告诉医生，尤其在面对手术或麻醉前。选择正规医疗机构，配合全科医生和麻醉团队，让治疗和管理更高效。\n    \u003C/p>\n    \u003Cdiv class=\"aub-section-tip\" style=\"background:rgba(76,186,174,0.11);padding:11px;border-radius:7px;\">\n        \u003Cspan style=\"font-size:18px;\">🌿\u003C/span>\n        \u003Cspan style=\"font-size:16px;color:#337c71;\">把日常的小细节做好，就是防范大麻烦的开始。\u003C/span>\n    \u003C/div>\n\u003C/div>\n\n\u003C!-- 07 现实启示与科学建议 -->\n\u003Cdiv class=\"aub-section-block\" style=\"background: linear-gradient(90deg, #f1f3fa 0%, #fafdfe 100%); border-radius: 11px; margin-bottom: 32px; padding: 20px;\">\n    \u003Ch3 class=\"aub-section-title\" style=\"font-weight:600;font-size:22px;color:#23293e;margin-bottom:16px;\">\n        07 现实启示：做好沟通，保护健康\u003C/h3>\n    \u003Cp class=\"aub-section-desc\" style=\"font-size:17px;line-height:1.78;color:#242e48;\">\n        从具体病例和专业分析来看，异常子宫出血不是一定会危及生命，但对手术和麻醉安全有实在的影响。主动沟通病史，及时完成必要检查，既让医生心里有数，也能提升自己的健康主动权。身边女性朋友、家人如果遇到月经异常，别光顾着忍受，“小毛病拖成大麻烦”并不值得冒险。\n    \u003C/p>\n    \u003Cp class=\"aub-section-desc\" style=\"font-size:17px;line-height:1.78;color:#242e48;\">\n        实际生活里，合理饮食和规律作息比药补来的可靠；一次手术顺利，背后往是多学科协作和科学管理的结果。即使碰到异常子宫出血，也不用过分紧张，主动配合医疗团队，按需调整方案，健康就握在手里。\n    \u003C/p>\n\u003C/div>\n\n\u003C!-- 参考文献 -->\n\u003Cdiv class=\"aub-section-block\" style=\"background: linear-gradient(90deg, #f5f7fa 0%, #f8fefc 100%); border-radius: 11px; margin-bottom: 32px; padding: 20px;\">\n    \u003Ch3 class=\"aub-section-title\" style=\"font-weight:600;font-size:20px;color:#3b4e42;margin-bottom:5px;\">\n        参考文献（APA格式）\n    \u003C/h3>\n    \u003Col class=\"aub-ref-list\" style=\"padding-left:12px;\">\n        \u003Cli style=\"font-size:16px;margin-bottom:8px;\">\n            Malinowski, S. S., & Clifford, S. H. (2017). Perioperative Management of Patients With Abnormal Uterine Bleeding. \u003Ci>Anesthesia & Analgesia\u003C/i>, 124(3), 857-864. \n        \u003C/li>\n        \u003Cli style=\"font-size:16px;margin-bottom:8px;\">\n            Munro, M. G. (2011). Abnormal uterine bleeding. \u003Ci>Obstetrics & Gynecology\u003C/i>, 117(3), 660-661.\n        \u003C/li>\n        \u003Cli style=\"font-size:16px;margin-bottom:8px;\">\n            Fraser, I. S., Critchley, H. O., Broder, M., & Munro, M. G. (2007). The FIGO recommendations on terminologies and classification of causes of abnormal uterine bleeding in the reproductive years. \u003Ci>Fertil Steril\u003C/i>, 87(3), 554-564.\n        \u003C/li>\n    \u003C/ol>\n\u003C/div>\n\n\u003Cstyle>\n.aub-custom-title {\n    padding:16px 6px 12px 6px;\n    font-size:30px;\n    color:#2b3457;\n    background: linear-gradient(90deg, #e3eefb 0%, #fffcf7 100%);\n    border-radius:14px;\n    margin-bottom:28px;\n    text-align:left;\n    font-weight:700;\n    box-shadow:0 2px 8px rgba(52,62,86,0.08);\n    letter-spacing:1.5px;\n}\n\n.aub-intro {\n    font-family: 'PingFang SC', 'Helvetica Neue', Arial, sans-serif;\n    font-size:19px;\n    margin-bottom:36px;\n}\n\n.aub-section-block {\n    font-family: 'PingFang SC', 'Helvetica Neue', Arial, sans-serif;\n    box-shadow:0 1px 6px rgba(83,99,126,0.11);\n    transition:box-shadow 0.2s;\n    margin-bottom:30px;\n    padding:23px 16px;\n}\n\n.aub-section-title {\n    letter-spacing:1.1px;\n    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11:00:00",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","高发轻症",true,{"code":9,"msg":10,"message":6,"data":56,"success":54},{"pageNo":42,"pageSize":57,"result":58,"totalSize":87},10,[59,69,77],{"id":60,"updateTime":61,"averageScore":62,"posts":63,"specialistId":64,"userName":65,"hospital":66,"avatar":67,"description":68,"department":18},35062,"2026-05-21 12:41:34",8.8,"副主任医师",866859,"李立超","盱眙县人民医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//pbQseiWfKyeSea9TLa3p7oNmbC3LHDDx.png","本文聚焦异常子宫出血，结合麻醉专业视角分析围术期关注点与应对措施，选题贴合临床刚需。内容紧扣病情出血特点、麻醉风险要点及对症处理策略，条理清晰、实用性强，充分体现麻醉在诊疗中的保驾护航作用，临床参考价值较高。",{"id":70,"updateTime":6,"averageScore":71,"posts":63,"specialistId":72,"userName":73,"hospital":74,"avatar":23,"description":75,"department":76},35178,8.7,919947,"严正村","苏北人民医院","这篇科普聚焦异常子宫出血与麻醉的关联，切入点新颖且专业，打破了大众对麻醉仅关注术中镇痛的固有认知。点明麻醉科术前评估出血状况对用药、术中安全的关键作用，贴合女性健康需求，内容通俗严谨，能帮助女性患者及家属了解术前注意事项，提升手术安全认知，实用性很强。","神经外科",{"id":78,"updateTime":6,"averageScore":79,"posts":80,"specialistId":81,"userName":82,"hospital":83,"avatar":84,"description":85,"department":86},35213,8.5,"主治医师",871031,"范远生","南京医科大学第二附属医院","https://ystcdn.venuertc.com/venue/app/28937/2025-11-07/aaf8f372-8dba-4b93-81b6-0d1a8b27a98c.png","这篇科普内容专业严谨，从麻醉视角切入，系统拆解了异常子宫出血的成因与围术期管理要点，既清晰解释了内分泌、结构等三类出血原因，也点明了贫血、血流动力学变化等麻醉风险，逻辑清晰、重点突出，兼具科学性与实用性，能有效帮助患者理解诊疗流程，破除认知误区。","重症监护",3,{"code":9,"msg":10,"message":6,"data":89,"success":54},{"authors":90,"appraiseDimensionScoresVos":97},[91,93,95],{"profilePhoto":67,"specialistId":92},"866859",{"profilePhoto":23,"specialistId":94},"919947",{"profilePhoto":84,"specialistId":96},"871031",[98,103,109,113,119],{"id":99,"scores":100,"value":101,"dimensionId":6,"avgs":101,"title":102},320046,30,26,"内容准确性",{"id":104,"scores":105,"value":106,"dimensionId":6,"avgs":107,"title":108},320047,20,18,18.4,"内容深度与广度",{"id":110,"scores":105,"value":111,"dimensionId":6,"avgs":111,"title":112},320048,17,"语言表达",{"id":114,"scores":115,"value":116,"dimensionId":6,"avgs":117,"title":118},320049,15,12,11.8,"呈现形式",{"id":120,"scores":115,"value":115,"dimensionId":6,"avgs":121,"title":122},320050,14.2,"教育价值"]