[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fHNQjHSxjt3DYhnbOBbFTxscNFgG_hP916jmdoC9VRrM":8,"$fH5Mc1SvRUUoBfNuo6fxcMBK_Uv3Bsa6tPq-snu9w-Zc":62,"$fuK7ShoNiTyl_WR0Liz7_rO1BXOY8F470dagg8EAWeT0":63,"$fEQOD1pvCadhpVfu8t2uTceStMujwH1dmvxZ-QQmaVmg":67},{"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":61},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":30,"views":31,"likes":32,"isThumbsUp":7,"isCollection":7,"collections":32,"createTime":33,"seoTitle":34,"seoKeywords":35,"seoDescription":36,"shelvesTime":37,"menus":38,"menuId":40,"type":26,"quality":58,"commentCount":32,"isComment":30,"deviceType":59,"url":60},1425,863019,[],"https://ystcdn.venuertc.com/medical/ystApp/00VBk0dOY9lyUqnY9JAa0oQBCckZgYpu.png","曾义","神经外科-神经重症。脑出血、脑动脉瘤、脑血管畸形、脑动静脉瘘及脊髓的血管畸形等疾病的治疗。","四川省人民医院","神经外科","主任医师",20,19,"动脉瘤和蛛网膜下腔出血—70岁高龄患者的真实故事！","https://cdn.yishi-tong.com/console/3/ic7By_FJhlf5zyokf2eqvDJ-AgNhnvPY.png","https://cdn.yishi-tong.com/console/3/Vu-sNG1XtHmKcWJu6fp86z4JwFPmjxPG.png",2,"\u003Cp style=\"margin:15px 0\">大家好，今天我们来聊聊一位70岁的患者，她的病例非常具有代表性，希望能够帮助大家增加对颈内动脉动脉瘤和蛛网膜下腔出血的了解。这位患者因为突发头痛和意识障碍被紧急送到了医院。经过检查，她被诊断为双侧颈内动脉交通段动脉瘤和蛛网膜下腔出血。这个情况非常紧急，需要立即处理。 首先，什么是动脉瘤呢？动脉瘤其实是血管壁的薄弱部分在血压的作用下发生的局部膨出。简单来说，就是血管变成了一个小气球，而这个“气球”随时有可能破裂。一旦破裂，血液就会流到颅腔里面，非常危险。这位70岁的女性患者就是因为颈内动脉动脉瘤破裂，导致了蛛网膜下腔出血。 那么，什么是蛛网膜下腔出血？蛛网膜下腔其实是我们大脑表面的一层薄膜，当血管在这里破裂，血液就会流到这个空间，造成极大的压力和损伤。患者会出现突发性剧烈头痛、呕吐、甚至意识丧失，这种情况非常紧急，需要立即就医。 这位患者在入院时已经非常严重，神志昏迷，需要气管插管和呼吸机辅助呼吸。医生们立即进行了一系列检查，包括头颅CTA平扫和增强检查。在这些检查中，能看到她的血管壁有钙化和微小结节状突起，直径约4毫米，基本确认是动脉瘤。 在诊断和联系家属的过程中，我们的医生团队和患者家属进行了详细的沟通。大家要知道，动脉瘤和蛛网膜下腔出血的治疗是一个非常复杂的过程，需要多学科的合作。患者家属经过慎重考虑，决定让患者出院继续治疗。 在护理方面，ICU团队做了很多工作，包括特级护理、气管插管护理、保留尿管护理等等。即使在病情危重的情况下，护理工作也是至关重要的。因为这些护理措施不仅能保障患者的基本生理需求，还能帮助减少并发症，提高患者的生存率。 在这里，我想提醒各位，动脉瘤和蛛网膜下腔出血的危险因素很多，比如高血压、动脉硬化、家族遗传等。特别是老年人，更需要定期体检，早期发现这些隐患。如果出现突发头痛等异常情况，一定要立刻就医，以防发生严重后果。 感谢大家的观看，希望今天的分享对您有所帮助。如果您有更多疑问或者想了解更多健康知识，欢迎留言告诉我们，我们会在之后的节目中继续解答。 健康是一辈子的事，希望大家都能重视起来，保护好自己的身体，拥有更加美好的生活。感谢您的关注，我们下期再见！\u003C/p>","v0247cg10004d1oefh2ljhtdlmi94gj0",184,1,539,0,"2025-01-14 10:48:50"," 动脉瘤和蛛网膜下腔出血—70岁高龄患者的真实故事\n"," 动脉瘤, 蛛网膜下腔出血, 70岁高龄, 患者故事, 医疗案例, 健康管理, 神经外科, 医疗康复\n"," 阅读70岁高龄患者如何战胜动脉瘤和蛛网膜下腔出血的真实故事，了解专业医疗团队如何进行诊断与治疗。这是一个充满希望和勇气的案例，提供宝贵的健康管理和康复指导。","2025-07-14 11:05:55",[39],{"menuId":40,"menuName":41,"parentId":32,"orderNum":42,"path":43,"component":44,"isFrame":45,"isCache":46,"menuType":47,"visible":30,"status":32,"createDept":6,"remark":48,"createTime":49,"children":50,"columnImage":51,"columnLogo":52,"uncheckedLogo":6,"checkedLogo":6,"isHot":32,"isHome":32,"forceLogin":32,"color":6,"seoTitle":53,"seoKeywords":54,"seoDescription":55,"contentNum":6,"promotionalPoster":56,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":57,"routerPath":43,"componentInfo":44},"1986622624134549505","科普视频",3,"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","重大疾病",4,"https://vod.haohuanjiao.com/oAQJEhDtECCgci6j2BJRpeWBD4PJApVXffnxZY?a=0&auth_key=1789017967-a75df467fc964060866f0f2076901103-0-181458bda494c36b9082292d60af1571&br=723&bt=723&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=d0674aaeb2354022bd1478bc0cefb6bf&er=0&l=20260811032257410BC0D4014C652FAABA&lr=&mime_type=video_mp4&net=0&pl=0&qs=0&rc=M2o8cGdrb2toNDczNGY3M0ApZWVoM2U6NGU1NzZlZDc5Z2dnMWZpcWcvY2xhLS1kNC9zc2MzY2BgNTFhLy0yL2JeNC06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":60,"message":6,"data":6,"success":61},{"code":9,"msg":10,"message":6,"data":64,"success":61},{"pageNo":30,"pageSize":65,"result":66,"totalSize":32},10,[],{"code":9,"msg":10,"message":6,"data":68,"success":61},{"authors":69,"appraiseDimensionScoresVos":70},[],[]]