[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fk38cOJC2bp51OdlLvtvQVv7PhnfBqPwrB4x3P8CHkNg":8,"$fac_a9mklgRxa5QWi5vMXL_DIf8A8fZnkx7mC5kdK9WY":59,"$fFx_nqtyWvWpgyMlh32o1wi4rr62Dzy-ldgl7Uh4jQYc":60,"$fPIXTKEitfQ4JXPaeOLHSJec466zoSgC7hQSKzg_8Qr0":64},{"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":58},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"roleType":6,"adept":17,"hospital":18,"department":19,"postsTitle":20,"materialTotal":21,"videoTotal":22,"isConcern":7,"title":23,"coverVertical":24,"coverAcross":25,"directionMarker":26,"description":27,"vid":28,"time":29,"mediaType":26,"views":30,"likes":21,"isThumbsUp":7,"isCollection":7,"collections":21,"createTime":31,"seoTitle":32,"seoKeywords":33,"seoDescription":34,"shelvesTime":35,"menus":36,"menuId":38,"type":54,"quality":55,"commentCount":21,"isComment":26,"deviceType":56,"url":57},10086,871766,[],"https://cdn.yishi-tong.com/console/store-unknown/uF7OMd0P_hB1LaAPsAH23kXFsYY6stA4.png","袁玉屏","呼吸类疾病","上海市静安区闸北中心医院","呼吸内科","副主任医师",0,3,"慢阻性肺疾病病因症状治疗与预防","","https://cdn.yishi-tong.com/console/3/vUq2ttWhBVD9K9HbjFlL5xUsjYY6oPlm.png",1,"WEBVTT\n\n00:03.109 --> 00:04.010\n大家晚上好。\n\n00:05.222 --> 00:09.546\n这次跟大家分享一下关于慢阻性肺疾病。\n\n00:10.755 --> 00:13.105\n病因、症状、治疗与预防。\n\n00:19.958 --> 00:22.007\n慢性阻塞性肺疾病的定义。\n\n00:24.427 --> 00:29.177\n它是一种以持续气流受限为特征的疾病，\n\n00:29.777 --> 00:35.827\n由于长期暴露于有害气体或颗粒而引起的一个慢性炎症导致。\n\n00:42.508 --> 00:43.308\n的主要特征。\n\n00:44.354 --> 00:50.104\nCOPD的主要特征包括气流受限、慢性支气管炎、肺气肿，\n\n00:50.653 --> 00:55.604\n这些疾病共同作用导致了呼吸困难和肺功能的下降。\n\n00:57.433 --> 00:58.208\n目前呢，\n\n00:58.208 --> 01:01.683\n据世界卫生组织统计，\n\n01:01.683 --> 01:05.933\nCOPD是全球第四大致致死性疾病，\n\n01:06.583 --> 01:11.933\n估计预计到2030年将成为全球第三大死因。\n\n01:16.713 --> 01:18.164\n疾病的历史背景。\n\n01:19.797 --> 01:20.797\n早期发现，\n\n01:21.447 --> 01:23.248\n在20世纪初，\n\n01:24.097 --> 01:28.297\n随着工业化和城市化进程的加快，\n\n01:28.697 --> 01:34.197\n人们开始注意到与环境污染相关的呼吸系统疾病。\n\n01:37.220 --> 01:38.194\n命名的演变。\n\n01:38.944 --> 01:39.544\n起初，\n\n01:39.544 --> 01:40.944\n1960年代，\n\n01:41.444 --> 01:49.845\n医学界正式将多种慢性呼吸道疾病整合为慢性阻塞性肺疾病，\n\n01:50.394 --> 01:55.294\n以反映其共同的发病机制和临床表现。\n\n01:57.232 --> 01:57.982\n研究进展，\n\n01:58.482 --> 02:00.982\n自1980年代以来，\n\n02:01.732 --> 02:07.281\n随着分子生物学和影像技术的发展，\n\n02:07.281 --> 02:13.731\nCOPD的病因、病理和治疗研究均取得了显著进展。\n\n02:16.078 --> 02:18.529\n进入21世纪，\n\n02:18.529 --> 02:24.128\nCOPD的广泛流行引起了全球公共卫生的高度重视。\n\n02:25.123 --> 02:28.873\n多项国际研究项目启动，\n\n02:29.123 --> 02:31.022\n以应对这一挑战。\n\n02:33.720 --> 02:35.421\n疾病的主要影响。\n\n02:37.332 --> 02:38.932\n包括健康影响。\n\n02:40.962 --> 02:44.311\n慢性阻塞性肺疾病及COPD，\n\n02:44.561 --> 02:48.662\n它严重影响患者的生活质量，\n\n02:49.462 --> 02:51.861\n导致频繁的急性加重，\n\n02:52.311 --> 02:54.311\n肺功能持续下降，\n\n02:55.111 --> 02:58.111\n最终可能发展为呼吸衰竭。\n\n02:59.945 --> 03:00.895\n经济负担。\n\n03:01.695 --> 03:08.296\n由于长期的医疗支出和生活质量下降，\n\n03:08.296 --> 03:14.395\nCOPD给患者的家庭以及社会带来了巨大的经济负担，\n\n03:14.996 --> 03:20.895\n它包括直接的一个医疗费用和间接的生产力的损失。\n\n03:24.983 --> 03:25.733\n发病原因。\n\n03:27.468 --> 03:29.044\n主要的病因分析。\n\n03:30.389 --> 03:32.289\n吸烟是主因。\n\n03:33.039 --> 03:37.289\n吸烟是导致慢阻肺疾病的主要原因，\n\n03:37.839 --> 03:41.990\n长期吸烟会损伤气道和肺泡，\n\n03:42.539 --> 03:44.440\n导致气流受限。\n\n03:45.240 --> 03:46.089\n据统计，\n\n03:46.589 --> 03:49.990\n约80%的患者有吸烟史。\n\n03:52.007 --> 03:53.606\n空气污染的影响。\n\n03:54.938 --> 03:58.837\n长期暴露在空气污染环境中，\n\n03:59.238 --> 04:02.938\n如工业废气、汽车尾气等，\n\n04:03.388 --> 04:06.138\n会增加患病的风险，\n\n04:06.638 --> 04:10.151\n尤其是在高污染城市中，\n\n04:10.151 --> 04:12.738\n发病率显著上升。\n\n04:14.311 --> 04:15.861\n职业暴露风险。\n\n04:16.962 --> 04:21.661\n某些职业如矿工、建筑工人等。\n\n04:22.617 --> 04:30.166\n长期接触粉尘和化学物质容易引发慢性阻塞性肺疾病。\n\n04:30.967 --> 04:32.842\n所以职业啊，\n\n04:32.842 --> 04:39.666\n还有他们的职业预防措施往往不足都是重要的原因素。\n\n04:43.881 --> 04:45.230\n环境因素的影响。\n\n04:47.305 --> 04:49.555\n一室内空气污染。\n\n04:50.938 --> 04:57.938\n室内燃烧生物质生物生物质燃料，\n\n04:57.989 --> 05:03.539\n如木材、煤炭等会产生大量有害气体。\n\n05:04.375 --> 05:08.075\n长期吸入会导致肺部损伤，\n\n05:08.725 --> 05:12.325\n尤其是在农村地区较为常见。\n\n05:13.914 --> 05:15.914\n二气候变化，\n\n05:17.264 --> 05:22.014\n气候变化如温度的骤变、湿度增加等，\n\n05:22.713 --> 05:25.164\n会加重呼吸道的症状，\n\n05:25.764 --> 05:27.563\n尤其是在冬季。\n\n05:28.515 --> 05:37.015\n患者的症状容易加重城市与第三个是城市与农村的差异。\n\n05:38.115 --> 05:42.765\n城市居民由于空气污染和生活方式的影响，\n\n05:43.216 --> 05:44.566\n患病率较高，\n\n05:45.365 --> 05:51.316\n而农村地区则因室内空气污染和医疗条件的不足，\n\n05:51.716 --> 05:53.615\n病情更为严重。\n\n05:55.294 --> 05:55.843\n第四，\n\n05:56.194 --> 05:57.743\n儿童暴露风险。\n\n05:58.593 --> 06:04.243\n儿童长期暴露在二手烟或空气污染的环境中，\n\n06:04.694 --> 06:07.144\n肺部发育会受到影响，\n\n06:07.593 --> 06:11.044\n增加了成年后患病的风险。\n\n06:14.244 --> 06:18.595\n遗传因素探讨基因突变的影响，\n\n06:19.195 --> 06:24.994\n某些基因突变如阿尔法一抗胰蛋白酶缺乏。\n\n06:25.951 --> 06:30.101\n会导致肺部组织更容易受到损伤，\n\n06:30.652 --> 06:33.052\n增加了患病的可能性。\n\n06:34.779 --> 06:42.730\n家族病史的关联有家族病史的人群患病风险显著增加。\n\n06:43.230 --> 06:44.329\n研究表明。\n\n06:45.268 --> 06:50.967\n遗传因素在慢性阻塞性肺疾病中占有一定比例。\n\n06:53.252 --> 06:54.903\n基因与环境交互。\n\n06:56.885 --> 07:00.686\n遗传因素与环境因素相互作用，\n\n07:00.985 --> 07:04.635\n如吸烟者若有遗传易感性，\n\n07:05.036 --> 07:07.885\n患病风险会进一步增加。\n\n07:08.835 --> 07:12.436\n基因检测有助于早期预防。\n\n07:15.851 --> 07:17.152\n其他的相关因素。\n\n07:18.835 --> 07:21.036\n一、年龄增长的风险，\n\n07:21.985 --> 07:23.635\n随着年龄增长，\n\n07:23.936 --> 07:25.936\n肺功能逐渐下降，\n\n07:26.436 --> 07:32.536\n尤其是40岁以上的人群患病风险显著增加，\n\n07:32.985 --> 07:36.135\n老年患者病情更为复杂。\n\n07:38.355 --> 07:40.454\n2性别差异影响。\n\n07:41.601 --> 07:44.700\n男性由于吸烟率较高，\n\n07:45.101 --> 07:47.751\n患病率普遍高于女性，\n\n07:48.300 --> 07:52.200\n但近年来女性吸烟率上升，\n\n07:52.550 --> 07:55.651\n使患病率也在逐渐增加。\n\n07:57.747 --> 07:58.898\n营养不良影响，\n\n07:59.947 --> 08:00.898\n营养不良，\n\n08:01.398 --> 08:03.847\n尤其是缺乏维生素A，\n\n08:04.447 --> 08:04.847\nC,\n\n08:05.447 --> 08:07.847\ne等抗氧化物质，\n\n08:08.298 --> 08:10.947\n会增加肺部的氧化应激，\n\n08:11.447 --> 08:14.048\n导致肺部损伤加重。\n\n08:16.197 --> 08:17.447\n慢性炎症作用。\n\n08:18.799 --> 08:28.350\n长期慢性炎症如哮喘、支气管炎等会逐渐发展为慢性阻塞性肺疾病。\n\n08:29.506 --> 08:33.257\n炎症控制不佳是重要的诱因。\n\n08:37.195 --> 08:37.846\n第三部分，\n\n08:38.245 --> 08:42.546\n关于慢性阻塞性肺疾病的症状表现。\n\n08:44.200 --> 08:46.601\n早期早期症状的识别，\n\n08:47.351 --> 08:49.151\n1、咳嗽频繁。\n\n08:50.536 --> 08:53.685\n慢性阻塞性肺疾病的早期症状之一，\n\n08:54.486 --> 08:58.135\n患者常表现为特征性的咳嗽。\n\n08:59.637 --> 09:02.736\n尤其在早晨或夜间更为明显。\n\n09:03.836 --> 09:06.387\n且伴有少量白色粘液，\n\n09:06.387 --> 09:06.687\n痰。\n\n09:08.799 --> 09:14.398\n呼吸困难早期患者在进行轻度体力活动时，\n\n09:14.948 --> 09:17.749\n如爬楼梯或者快走，\n\n09:18.098 --> 09:20.198\n会感到呼吸急促。\n\n09:21.142 --> 09:25.841\n这是由于气道的阻塞和肺功能的下降所致。\n\n09:27.304 --> 09:28.005\n胸闷感。\n\n09:29.520 --> 09:33.419\n患者常感到胸部有压迫感或者不适，\n\n09:34.070 --> 09:39.969\n尤其是在空气污染较重或气温变化较大的环境中，\n\n09:40.369 --> 09:42.469\n症状会加重。\n\n09:46.091 --> 09:47.491\n疾病的发展过程。\n\n09:50.656 --> 09:52.455\n首咳嗽会咳嗽加重，\n\n09:53.005 --> 09:54.556\n随着病情的发展，\n\n09:55.356 --> 09:59.205\n咳嗽频率强度会逐渐的增加，\n\n10:00.406 --> 10:04.656\n痰液可能变为黄色或者绿色，\n\n10:04.906 --> 10:07.406\n提示可能存在了感染，\n\n10:08.406 --> 10:09.906\n呼吸困难加剧。\n\n10:10.705 --> 10:12.906\n患者在进行日常活动时，\n\n10:12.955 --> 10:15.005\n如穿衣或者洗澡，\n\n10:15.205 --> 10:18.205\n也会感到明显的呼吸困难。\n\n10:19.075 --> 10:22.174\n甚至需要借助辅助呼吸设备。\n\n10:23.851 --> 10:24.651\n体力下降。\n\n10:26.520 --> 10:27.820\n由于长期缺氧，\n\n10:28.119 --> 10:30.469\n患者的体力明显下降，\n\n10:30.719 --> 10:32.320\n容易感到疲劳，\n\n10:32.619 --> 10:34.369\n且恢复时间较长。\n\n10:35.570 --> 10:36.719\n夜间症状，\n\n10:37.270 --> 10:42.770\n患者在夜间可能会出现频繁的咳嗽和呼吸困难，\n\n10:43.270 --> 10:44.869\n影响睡眠质量，\n\n10:45.219 --> 10:47.969\n进一步加重了疲劳感。\n\n10:50.481 --> 10:52.981\n严重的症状表现有哪些呢？\n\n10:53.682 --> 10:55.581\n一、呼吸衰竭，\n\n10:56.182 --> 10:57.682\n在疾病的晚期，\n\n10:58.031 --> 11:01.481\n患者可能出现严重的呼吸衰竭，\n\n11:01.831 --> 11:08.932\n需要长期依赖氧气治疗和或者是机械通气的支持。\n\n11:11.007 --> 11:11.757\n肺部感染，\n\n11:12.107 --> 11:17.357\n慢性阻塞性肺疾病患者容易反复发生肺部感染，\n\n11:17.757 --> 11:20.107\n如肺炎或支气管炎。\n\n11:21.150 --> 11:22.799\n会进一步加重病情。\n\n11:24.642 --> 11:25.492\n心理影响。\n\n11:26.361 --> 11:29.361\n长期患病还有症状的加重，\n\n11:29.562 --> 11:34.611\n可能导致患者出现焦虑、抑郁等心理问题，\n\n11:35.012 --> 11:37.111\n往往影响生活质量。\n\n11:38.671 --> 11:39.471\n体重下降，\n\n11:40.020 --> 11:42.221\n由于长期的呼吸困难，\n\n11:42.370 --> 11:44.221\n患者的食欲下降，\n\n11:44.570 --> 11:46.921\n导致体重明显减轻，\n\n11:47.270 --> 11:49.421\n甚至出现营养不良。\n\n11:51.224 --> 11:58.025\n心血管的并发症患者可能出现肺动脉高压或右心衰竭，\n\n11:58.375 --> 12:03.625\n表现为下肢的水肿以及颈静脉怒张等症状。\n\n12:05.992 --> 12:06.893\n那第四部分，\n\n12:07.343 --> 12:11.692\n关于慢性阻塞性肺疾病的治疗与预防，\n\n12:12.242 --> 12:13.843\n当前的治疗手段，\n\n12:14.643 --> 12:15.593\n药物治疗。\n\n12:17.348 --> 12:24.197\n主要治疗手段包括支气管扩张剂、吸入性糖皮质激素和口服抗生素。\n\n12:24.497 --> 12:27.523\n这些药物可以有效缓解症状，\n\n12:27.523 --> 12:29.447\n减少急性加重的频率。\n\n12:31.125 --> 12:32.176\n氧气应用，\n\n12:32.476 --> 12:34.426\n对于严重缺氧的患者，\n\n12:34.476 --> 12:36.375\n长期氧疗是必要的。\n\n12:36.676 --> 12:38.776\n每天使用15小时以上，\n\n12:38.926 --> 12:41.125\n可以显著提高生存率，\n\n12:41.325 --> 12:43.375\n改善生活质量。\n\n12:44.276 --> 12:45.125\n肺康复，\n\n12:45.526 --> 12:51.226\n肺康复的计划包括运动训练、营养指导和心理支持。\n\n12:52.254 --> 12:54.453\n主要是增强患者的体能，\n\n12:55.054 --> 12:57.104\n提高日常的活动能力，\n\n12:57.354 --> 12:59.153\n减少住院次数。\n\n13:00.745 --> 13:01.546\n手术治疗。\n\n13:02.700 --> 13:04.500\n对于部分严重患者，\n\n13:04.851 --> 13:10.301\n肺减容手术或者肺移植可能是最后的选择。\n\n13:10.700 --> 13:14.101\n这些手术可以显著改善肺功能，\n\n13:14.351 --> 13:16.500\n但是风险较高。\n\n13:18.330 --> 13:19.830\n那预防措施的介绍，\n\n13:20.479 --> 13:22.429\n一戒烟行动，\n\n13:22.729 --> 13:26.729\n戒烟是慢性阻塞性肺疾病的主要诱因啊，\n\n13:26.729 --> 13:29.830\n吸烟是慢性阻塞性肺疾病的主要诱因。\n\n13:30.080 --> 13:33.380\n戒烟可以显著降低疾病的发生率，\n\n13:33.580 --> 13:39.679\n改善已患病者的症状和预后环境的改善，\n\n13:39.929 --> 13:42.280\n减减少室内外空气污染。\n\n13:42.955 --> 13:44.306\n如使用空气净化器，\n\n13:44.656 --> 13:47.205\n避免在污染严重的日子外出，\n\n13:47.505 --> 13:50.705\n可以有效预防疾病的发生和发展。\n\n13:51.877 --> 13:53.578\n三疫苗接种。\n\n13:55.049 --> 14:02.249\n定期接种流感疫苗和肺炎球菌疫苗可以减少呼吸道感染的风险，\n\n14:02.698 --> 14:06.948\n从而降低慢性阻塞性肺疾病的急性加重。\n\n14:08.718 --> 14:10.419\n生活调整的建议，\n\n14:11.169 --> 14:12.568\n饮调整饮食，\n\n14:14.468 --> 14:17.068\n增加富含抗氧化剂的食物，\n\n14:17.468 --> 14:19.419\n如水果和蔬菜，\n\n14:19.869 --> 14:21.768\n可以减少氧化应激，\n\n14:22.018 --> 14:23.568\n有助于肺部健康。\n\n14:24.958 --> 14:25.708\n定期锻炼，\n\n14:26.008 --> 14:27.559\n适度的有氧运动，\n\n14:27.809 --> 14:29.458\n比如散步和游泳，\n\n14:29.859 --> 14:31.658\n可以增强心肺功能，\n\n14:31.758 --> 14:33.309\n提高身体抵抗力。\n\n14:34.921 --> 14:35.572\n呼吸训练，\n\n14:36.021 --> 14:39.622\n学习并实践深呼吸和腹式呼吸的技巧，\n\n14:39.921 --> 14:41.997\n可以帮助改善呼吸频率，\n\n14:41.997 --> 14:43.372\n减轻呼吸困难。\n\n14:44.171 --> 14:45.122\n心理支持，\n\n14:45.521 --> 14:47.421\n加入患者支持小组，\n\n14:47.771 --> 14:49.921\n与同病相怜的人交流，\n\n14:49.921 --> 14:51.771\n可以获得情感支持，\n\n14:51.921 --> 14:53.521\n减轻心理压力。\n\n14:54.445 --> 14:55.395\n定期检查，\n\n14:55.695 --> 14:59.544\n定期进行肺功能的测试和健康的检查，\n\n14:59.744 --> 15:01.919\n可以及时了解病情的变化，\n\n15:01.919 --> 15:03.395\n调整治疗方案。\n\n15:04.807 --> 15:05.908\n最后我总结一下。\n\n15:07.447 --> 15:13.796\n发病机制主要包括气道和肺对有害颗粒或气体的慢性炎症反应增加，\n\n15:13.997 --> 15:15.747\n导致气道的重塑，\n\n15:15.947 --> 15:18.846\n肺实质破坏和肺血管改变。\n\n15:19.447 --> 15:22.872\n症状表现典型的症状有慢性的咳嗽，\n\n15:22.872 --> 15:23.346\n咳痰，\n\n15:23.497 --> 15:25.122\n气短或呼吸困难，\n\n15:25.122 --> 15:28.896\n喘息和胸闷等症状在劳累后加重，\n\n15:28.896 --> 15:30.346\n休息后缓解。\n\n15:30.796 --> 15:34.096\n希望公众能够加强对慢阻肺的了解，\n\n15:34.296 --> 15:36.096\n认识到它的隐匿性，\n\n15:36.296 --> 15:37.646\n危害性以及。\n\n15:37.692 --> 15:38.442\n高发性，\n\n15:38.942 --> 15:41.742\n不要忽视咳嗽、咳痰、气短等，\n\n15:42.392 --> 15:45.791\n倡导大家养成健康的生活方式，\n\n15:45.942 --> 15:46.841\n如戒烟，\n\n15:47.291 --> 15:48.942\n避免吸入二手烟。\n\n15:49.825 --> 15:52.400\n在空气污染严重的时候，\n\n15:52.400 --> 15:53.875\n做好防护措施，\n\n15:54.075 --> 15:55.424\n如佩戴口罩，\n\n15:55.674 --> 15:57.325\n减少户外活动。\n\n15:58.773 --> 15:59.223\n谢谢。\n\n","v0247cg10004d60sloiljht20ck2f4vg",963,1503,"2026-01-24 22:39:34"," 慢阻性肺疾病（COPD）病因、症状、治疗与预防全解析  "," 慢阻性肺疾病, COPD病因, COPD症状, COPD治疗, 慢阻肺预防, 慢性阻塞性肺病  "," 本文详细解析慢阻性肺疾病（COPD）的病因、常见症状、有效治疗方法及科学预防措施，帮助患者及家属全面了解疾病管理，提升生活质量。","2026-02-27 20:00:00",[37],{"menuId":38,"menuName":39,"parentId":21,"orderNum":22,"path":40,"component":41,"isFrame":42,"isCache":43,"menuType":44,"visible":26,"status":21,"createDept":6,"remark":24,"createTime":45,"children":46,"columnImage":47,"columnLogo":48,"uncheckedLogo":6,"checkedLogo":6,"isHot":21,"isHome":21,"forceLogin":21,"color":6,"seoTitle":49,"seoKeywords":50,"seoDescription":51,"contentNum":6,"promotionalPoster":52,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":53,"routerPath":40,"componentInfo":41},"1986622624134549505","科普视频","video","/video.html","1","0","T","2025-11-07 10:31:58",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:40/0d7fcb56-3dc4-4dcb-99ca-a5d5c438378e.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:43/958efac7-dd02-4681-b8fd-0dd84b1bbf42.png","健康科普视频大全,了解你的健康生活","健康科普视频, 戒烟视频, 饮食健康视频, 胸痛科普, 用药知识, 职业健康视频, 贫血科普, 眼健康视频","精选健康科普视频,涵盖戒烟、胸痛、饮食、用药与职业健康等多个主题,让你轻松获取科学健康知识,提升生活质量。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:45/fa8fe113-deaa-4454-8105-d629769963dd.png","Video",2,"慢性病,重大疾病",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/871766/7099eed5-2f3b-4455-8c83-0296d7525294.tmp?a=0&auth_key=1789013540-63adb38059e54211b24444d5cbb04654-0-8f564ac440d96f39284792049bdacb33&br=542&bt=542&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=4&eid=v0247cg10004d60sloiljht20ck2f4vg&er=0&l=20260811015614ED12BF0AEAE7F6FD651F&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=ajc1ZjVrb3J2OTczNGY3M0ApeWluM3dtbG8zZzMzajo1eWdzY2gtcWdmaS1hLS1kNC9zc2QxL2AvZWlscDMxLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":57,"message":6,"data":6,"success":58},{"code":9,"msg":10,"message":6,"data":61,"success":58},{"pageNo":26,"pageSize":62,"result":63,"totalSize":21},10,[],{"code":9,"msg":10,"message":6,"data":65,"success":58},{"authors":66,"appraiseDimensionScoresVos":67},[],[]]