[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$f9vN1oSP4phP4pYH4kWrplwWKHhNtf5yN9xgJ6VjTq70":8,"$fpEODWmC_rWaNyTPmZ6YHlh0PiBDAlO6lWnY2sLJtn6k":55,"$fYhpeDP8O2ccZ86IExVYNcm3QCXH5fjsk9R0NIFN_rKQ":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},78186,866812,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//PAFPGf3uVFjogwCe3qegebCtBBhyYpEe.png","王骁颖","苏北人民医院","麻醉科","住院医师",5,0,"骨盆骨折与麻醉：你需要了解什么？实用应对指南","","https://ystcdn.venuertc.com/venue/AI/a88d3a2d-f7d7-4efb-be8c-c01ba55101f6.jpg","\u003Cdiv class=\"sciencepelvis-container\">\n  \u003Ch1 id=\"material_title\" class=\"sciencepelvis-title\">骨盆骨折与麻醉：你需要了解什么？实用应对指南\u003C/h1>\n  \u003Cdiv class=\"sciencepelvis-section sciencepelvis-bg1\">\n    \u003Ch2 class=\"sciencepelvis-section-title\">01 骨盆骨折到底是什么？\u003C/h2>\n    \u003Cp>\n      在日常生活中，骑自行车摔倒、长辈下楼梯时不小心滑了一下，或者遇到交通意外，都有可能造成骨盆骨折。简单来说，这类骨折就是骨盆这块“人体中轴”结构的骨头被外力弄断或裂开了。骨盆在人体中本来就像十字路口，连接着脊柱和双腿，因此出现损伤后，不光是骨头疼，连带血管、神经等都会受牵连。\u003Cbr>\n      \u003Cspan class=\"sciencepelvis-emoji\">🦴\u003C/span> 骨盆受伤可大可小，有些人是细微裂缝，可能自己察觉不到；但也有些是断裂严重，影响到活动，甚至危险生命。所以，遇到相关情况，及时就医很重要。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"sciencepelvis-section sciencepelvis-bg2\">\n    \u003Ch2 class=\"sciencepelvis-section-title\">02 什么时候需要警惕，及时就医？\u003C/h2>\u003Cul class=\"sciencepelvis-list-emoji\">\u003Cli>\n        \u003Cstrong>\u003Cspan style=\"--tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ; --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-shadow: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-shadow-colored: 0 0 transparent; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; border-color: rgb(228, 228, 231); font-weight: bolder;\">排尿或大便异常\u003C/span>\u003Cbr style=\"--tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ; --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-shadow: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-shadow-colored: 0 0 transparent; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; border-color: rgb(228, 228, 231); font-weight: 400;\">\u003Cspan style=\"font-weight: 400;\">严重时，出现尿流中断、解小便大便困难甚或失禁，都是骨盆骨折波及重要组织的讯号。\u003C/span>\u003C/strong>\u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      对于中老年人，哪怕只是轻微摔跤以后走路出现明显不适，也别硬挺着，建议尽快前往急诊进行检查。\n    \u003C/p>\n    \u003Cdiv class=\"sciencepelvis-case\">\n        \u003Cstrong>实际病例启示：\u003C/strong>比如，一位52岁的男性因多处损伤导致骨盆骨折，术前疼痛难忍，下肢乏力，最后通过手术和麻醉团队的帮助，得到了及时保护和缓解。\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"sciencepelvis-section sciencepelvis-bg3\">\n    \u003Ch2 class=\"sciencepelvis-section-title\">03 为什么会骨盆骨折？常见诱因分析\u003C/h2>\n    \u003Cp>\n      骨盆骨折其实并不常见，但一旦发生，原因往比较明确。有三大常见机制需要关注：\n    \u003C/p>\n    \u003Col class=\"sciencepelvis-list-numbered\">\n      \u003Cli>\n        \u003Cstrong>高能量外伤\u003C/strong>\n        \u003Cbr>如车祸、坠落、工地砸伤等。力度大时，骨骼结构被迫分开，供血及神经也容易牵连损伤。临床数据显示，近70%的重度骨盆骨折与高能量损伤有关（Papadopoulos et al., 2021）。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>低能量外伤/老年人跌倒\u003C/strong>\n        \u003Cbr>年纪大了，骨质疏松，哪怕轻微跌倒也可能骨折。全球统计提示，骨盆骨折中，65岁以上患者占比持续升高，已经成为老龄社会的一个新挑战（Jiang et al., 2019）。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>慢性疾病影响\u003C/strong>\n        \u003Cbr>骨质疏松、糖尿病、慢性用药，或者既往有骨恶性肿瘤转移者，骨头本身“质量”变差，也容易出现裂缝或小断裂。\n      \u003C/li>\n    \u003C/ol>\n    \u003Cp>\n      需要强调的是，高危人群更应该提高警惕：这包括工地工人，重症车祸/摔伤患者，以及骨质疏松老年人群体。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"sciencepelvis-section sciencepelvis-bg4\">\n    \u003Ch2 class=\"sciencepelvis-section-title\">04 骨盆骨折怎么检查确诊？\u003C/h2>\n    \u003Cp>\n      当医生怀疑有骨盆损伤时，最直接的办法就是影像学检查——这里通常包括：\n    \u003C/p>\n    \u003Cul class=\"sciencepelvis-list-emoji\">\n      \u003Cli>\n        \u003Cspan class=\"sciencepelvis-emoji\">🖼️\u003C/span>\n        \u003Cstrong>X光片\u003C/strong>——先行排查骨头是否出现断裂或移位，初步定位问题。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"sciencepelvis-emoji\">📊\u003C/span>\n        \u003Cstrong>\u003Cspan style=\"--tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ; --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-shadow: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-shadow-colored: 0 0 transparent; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; border-color: rgb(228, 228, 231); font-weight: bolder;\">CT扫描\u003C/span>\u003Cspan style=\"font-weight: 400;\">——帮助进一步确认骨折类型和细节，尤其对复杂多发骨折更有价值。\u003C/span>\u003C/strong>\u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"sciencepelvis-emoji\">🏥\u003C/span>\n        \u003Cstrong>\u003Cspan style=\"--tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ; --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-shadow: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-shadow-colored: 0 0 transparent; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; border-color: rgb(228, 228, 231); font-weight: bolder;\">血常规、生化和内脏评估\u003C/span>\u003Cspan style=\"font-weight: 400;\">——检查内出血、器官损伤，为下一步麻醉和治疗提供基础信息。\u003C/span>\u003C/strong>\u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      一旦确定骨盆存在骨折，麻醉医师会根据损伤情况、全身健康状况等来设计麻醉和围手术期管理方案，以最大限度保障手术和恢复的安全性。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"sciencepelvis-section sciencepelvis-bg5\">\n    \u003Ch2 class=\"sciencepelvis-section-title\">05 骨盆骨折的麻醉管理和手术协作有哪些？\u003C/h2>\n    \u003Cdiv>\n      \u003Cul class=\"sciencepelvis-list-emoji\">\n        \u003Cli>\n          \u003Cspan class=\"sciencepelvis-emoji\">💉\u003C/span>\n          \u003Cstrong>\u003Cspan style=\"--tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ; --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-shadow: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-shadow-colored: 0 0 transparent; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; border-color: rgb(228, 228, 231); font-weight: bolder;\">麻醉方式选择\u003C/span>\u003Cspan style=\"font-weight: 400;\">：根据患者年龄、病史、伤情选择全身麻醉（睡一觉全程没感觉）或椎管内麻醉（下半身感觉消失）。大部分复杂骨盆骨折，还是需要全身麻醉。\u003C/span>\u003C/strong>\u003C/li>\u003Cli>\u003Cspan class=\"sciencepelvis-emoji\">🏥&nbsp;\u003Cspan style=\"background-color: initial; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ; --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-shadow: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-shadow-colored: 0 0 transparent; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; border-color: rgb(228, 228, 231); font-weight: bolder; font-size: 14.98px;\">术后镇痛管理\u003C/span>\u003Cspan style=\"background-color: initial; font-size: 14.98px;\">：通过静脉自控镇痛（PCIA）或其他方式帮助患者缓解疼&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;痛、减少并发症。\u003C/span>\u003C/span>\u003C/li>\u003C/ul>\u003C/div>\u003Cdiv class=\"sciencepelvis-mini-case\">\n      \u003Cstrong>补充案例观感：\u003C/strong>比如前述52岁患者，因有癫痫既往史和呼吸问题，麻醉团队为其量身定制了全麻加插管的管理方案，并细致监控生命体征，全程未出现并发症，安全度过围手术期。这也说明，骨盆骨折麻醉不仅仅是用药，更要关注整体调控。\n    \u003C/div>\n    \u003Cp>\n      术中大量出血时，快速输血与液体管理同样重要。一个经验丰富的麻醉团队可以为后续手术成功提供稳固保障。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"sciencepelvis-section sciencepelvis-bg6\">\n    \u003Ch2 class=\"sciencepelvis-section-title\">06 骨盆骨折日常管理与康复建议\u003C/h2>\n    \u003Cp>\n      骨盆骨折并非“小事一桩”，但也不是无计可施。恢复阶段的科学管理，可以显著改善生活质量：\n    \u003C/p>\n    \u003Cul class=\"sciencepelvis-list-emoji\">\n      \u003Cli>\n        \u003Cspan class=\"sciencepelvis-emoji\">🏃‍♂️\u003C/span>\n        \u003Cstrong>\u003Cspan style=\"--tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ; --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-shadow: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-shadow-colored: 0 0 transparent; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; border-color: rgb(228, 228, 231); font-weight: bolder;\">逐步功能锻炼\u003C/span>\u003Cspan style=\"font-weight: 400;\">：前期应卧床，医生允许时适当练习翻身、下肢抬高，到了康复中后期，再慢恢复部分负重。假如康复过程中出现伤处肿胀、长期疼痛或异常麻木，建议尽快复诊。\u003C/span>\u003C/strong>\u003C/li>\u003Cli>\u003Cspan class=\"sciencepelvis-emoji\">👨‍⚕️\u003C/span>\n        \u003Cstrong>复查和定期沟通医生\u003C/strong>：按时复查，随时反馈新症状，有问题随时调整方案。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      需要明确，恢复期不要追求“步到位”，给身体一些时间。多数骨盆骨折，科学康复半年到一年即可恢复正常生活。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"sciencepelvis-section sciencepelvis-bg7\">\n    \u003Ch2 class=\"sciencepelvis-section-title\">07 如何预防骨盆骨折？生活方式小建议\u003C/h2>\n    \u003Col class=\"sciencepelvis-list-numbered\">\n      \u003Cli>\n        \u003Cstrong>保证日常锻炼\u003C/strong>\u003Cbr>每天散步30分钟，有条件可以适量做抗阻训练（如拉力带训练、深蹲），长时间伏案、久坐的人定期活动下肢。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>维护安全环境\u003C/strong>\u003Cbr>家中做好防滑（尤其浴室、楼梯），夜间保持照明，不要在地面湿滑时急速行动，防止跌倒。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>合理摄入营养\u003C/strong>\u003Cbr>\n        \u003Cspan class=\"sciencepelvis-emoji\">🥦\u003C/span>加餐时注意钙和蛋白质，如多选豆腐，鱼虾，坚果等；常吃橙子有助维生素C吸收，对骨骼修复很友好。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>防治慢性病，加强体检\u003C/strong>\u003Cbr>有糖尿病、骨质疏松等慢性病的朋友，按时服药、定期骨密度检测可以有效预防意外发生。65岁以上建议每年做一次骨密度筛查。\n      \u003C/li>\n    \u003C/ol>\n    \u003Cp>\n      说起来，预防骨折最重要的其实还是细节：既关心身体，也关注家中环境和生活习惯。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"sciencepelvis-section sciencepelvis-bg8\">\n    \u003Ch2 class=\"sciencepelvis-section-title\">资料来源与延伸阅读\u003C/h2>\n    \u003Cul class=\"sciencepelvis-ref\">\n      \u003Cli>Papadopoulos, D. V., Panagopoulos, A., Karageorgos, A., et al. (2021). Epidemiology of pelvic fractures: A systematic review of worldwide trends. Injury, 52(3), 490-496.\u003C/li>\n      \u003Cli>Jiang, Y., Zhao, Y. J., Wang, L. M., et al. (2019). Incidence and risk factors of pelvic fractures in elderly Chinese: A population-based retrospective study. Bone, 120, 233-238.\u003C/li>\n      \u003Cli>Borg, T., &amp; Zlowodzki, M. (2015). Management of pelvic ring fractures. The Journal of Bone &amp; Joint Surgery, 97(13), 1065-1072.\u003C/li>\n      \u003Cli>Yuan, Z., Lin, Y., Yang, H., et al. (2018). Risk factors and prevention of injury among the elderly. Clinical Interventions in Aging, 13, 267-272.\u003C/li>\u003C/ul>\u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n.sciencepelvis-container {\n  font-family: 'Segoe UI', Arial, sans-serif;\n  background: #fb;\n  color: #232323;\n  max-width: 880px;\n  margin: 30px auto 30px auto;\n  box-shadow: 0 6px 32px rgba(90,90,120,0.09);\n  border-radius: 24px;\n  padding: 24px 30px 28px 30px;\n}\n.sciencepelvis-title {\n  letter-spacing: 1px;\n  text-align: center;\n  margin-bottom: 34px;\n  font-size: 2.5em;\n  font-weight: 700;\n  color: #27496d;\n}\n.sciencepelvis-section {\n  margin-bottom: 40px;\n  border-radius: 16px;\n  padding: 26px 30px 24px 30px;\n  box-sizing: border-box;\n}\n.sciencepelvis-section-title {\n  font-size: 1.52em;\n  color: #4372a2;\n  margin-bottom: 16px;\n  font-weight: 600;\n  letter-spacing: 1px;\n}\n.sciencepelvis-bg1 {\n  background: linear-gradient(135deg, #e7ebea 23%, #dcebfa 100%);\n}\n.sciencepelvis-bg2 {\n  background: linear-gradient(140deg, #ecf9f3 32%, #f8e4d7 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13px;\n    margin-bottom: 13px;\n    box-shadow: 0 4px 18px rgba(90,90,120,0.07);\n  }\n  .sciencepelvis-section {\n    padding: 14px 7px 12px 12px;\n    border-radius: 8px;\n    margin-bottom: 20px;\n  }\n  .sciencepelvis-endnote {\n    padding: 13px 13px 8px 15px;\n    border-radius: 8px;\n  }\n  .sciencepelvis-title {\n    font-size: 1.35em;\n    margin-top: 13px;\n    margin-bottom: 17px;\n  }\n}\n\u003C/style>","\u003Cdiv class=\"sciencepelvis-container\">\n  \u003Ch1 id=\"material_title\" class=\"sciencepelvis-title\">骨盆骨折与麻醉：",528,"2026-01-16 00:50:19","骨盆骨折, 麻醉管理, 骨折症状, 中老年健康, 骨质疏松, 急救措施, 骨折康复, 预防骨折","了解骨盆骨折的症状、处理与麻醉管理，适合中老年人及其家属，帮助安全就医与康复，避免严重后果。","2026-02-25 23:00:00",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","重大疾病",true,{"code":9,"msg":10,"message":6,"data":56,"success":54},{"pageNo":42,"pageSize":57,"result":58,"totalSize":87},10,[59,70,80],{"id":60,"updateTime":61,"averageScore":62,"posts":63,"specialistId":64,"userName":65,"hospital":66,"avatar":67,"description":68,"department":69},34637,"2026-05-16 21:07:44",8.6,"副主任医师",870970,"刘盛兰","苏州大学附属第一医院","https://ystcdn.venuertc.com/venue/app/33833/2025-11-10/ba27553f-dfe0-4c90-ad7b-cdc89ff8348c.png","这篇科普文章以实用指南的形式，用通俗语言系统讲解了骨盆骨折的相关知识，从定义、诱因、预警信号，到检查确诊、麻醉方案选择与康复建议，内容全面且逻辑清晰。文章结合真实案例，打破了大众对骨盆骨折和麻醉的认知误区，既科普了及时就医的重要性，也给出了康复与预防的可操作建议，兼具专业性与实用性，能有效帮助读者建立科学认知，缓解焦虑。","重症监护",{"id":71,"updateTime":72,"averageScore":73,"posts":63,"specialistId":74,"userName":75,"hospital":76,"avatar":77,"description":78,"department":79},34115,"2026-05-14 23:04:20",7,870265,"李冬梅","昆山市第二人民医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//LwkeuOa4dAZskj9v7LJWZvk24UihAuFa.png","这篇科普文章围绕骨盆骨折与麻醉展开，内容全面详实，逻辑层次清晰。从病因、确诊方式、麻醉管理到康复预防逐一讲解，搭配真实病例与专业数据佐证。语言通俗易懂，兼顾专业性与实用性，细致科普了相关健康知识，对患者日常防护、诊疗及术后恢复都具有很强的指导意义。","重症",{"id":81,"updateTime":6,"averageScore":82,"posts":63,"specialistId":83,"userName":84,"hospital":17,"avatar":85,"description":86,"department":18},34195,9.7,864606,"李勇","https://cdn.haohuanjiao.com/learnMaterial/ystApp//5GG5AygS3keZ1gRPfJsnadG8VWh9C9kH.png","这篇科普内容结构清晰、专业严谨，以骨盆骨折为切入点，系统科普了疾病认知、诊疗流程、麻醉管理及康复预防等全周期知识。文中既引用了权威文献数据支撑观点，又结合真实案例解读麻醉方案的个体化设计，将骨盆骨折手术中麻醉方式选择、血流动力学管理、术后镇痛等关键要点讲得通俗易懂，有效打破了大众对麻醉的认知误区。内容兼具科学性与实用性，能帮助患者及家属建立对骨盆骨折诊疗的正确认知，缓解焦虑，提升对围术期管理的理解与配合度，是一篇优质的临床科普作品。",3,{"code":9,"msg":10,"message":6,"data":89,"success":54},{"authors":90,"appraiseDimensionScoresVos":97},[91,93,95],{"profilePhoto":77,"specialistId":92},"870265",{"profilePhoto":85,"specialistId":94},"864606",{"profilePhoto":67,"specialistId":96},"870970",[98,104,110,115,120],{"id":99,"scores":100,"value":101,"dimensionId":6,"avgs":102,"title":103},311942,30,22,23,"内容准确性",{"id":105,"scores":106,"value":107,"dimensionId":6,"avgs":108,"title":109},311943,20,15,15.83,"内容深度与广度",{"id":111,"scores":106,"value":112,"dimensionId":6,"avgs":113,"title":114},311944,14,14.92,"语言表达",{"id":116,"scores":107,"value":117,"dimensionId":6,"avgs":118,"title":119},311945,11,11.67,"呈现形式",{"id":121,"scores":107,"value":122,"dimensionId":6,"avgs":123,"title":124},311946,9,10.17,"教育价值"]