[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$ftgIEEJ22VKMT-JFR3uwP4FMvhaoL_Urgd7eydj8iT8k":8,"$f8aFbQo5x4nCIxpl4n8vH82BttaStUQ8jhhXnQuD3FPk":57,"$fj4nAncFpJhIn2Uq00Q9qiWcdTeVnkLY1gt_j55ZW4lY":58,"$fMa8s62Dnz0bfQim86QvkRpLd4nFqa-GjaHj7IMAubWM":62},{"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":56},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"roleType":17,"adept":18,"hospital":19,"department":6,"postsTitle":20,"materialTotal":17,"videoTotal":21,"isConcern":7,"title":22,"coverVertical":23,"coverAcross":24,"directionMarker":25,"description":26,"vid":27,"time":28,"mediaType":25,"views":29,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":30,"seoTitle":22,"seoKeywords":31,"seoDescription":32,"shelvesTime":33,"menus":34,"menuId":36,"type":53,"quality":6,"commentCount":17,"isComment":25,"deviceType":54,"url":55},14365,871807,[],"https://yst.tos-cn-shanghai.volces.com/venue%2Fundefined%2F2025-12-16-16%3A11%3A04%2F76060049-1dff-40f7-88f3-c646c1d87a63.png","高晓东",0,"熟练掌握呼吸系统常见病、多发病的诊治，对急、慢性呼吸衰竭的治疗、哮喘病及肺癌的治疗有较深的造诣。熟练纤维支气管镜的诊断和治疗手段，熟悉掌握多种呼吸机的运用。","华东医院","副主任医师",5,"哮喘：免疫围猎的肺部迷局","","https://cdn.yishi-tong.com/console/3/SgH0gvsl0R910J8c6OZVMNKnNzE9Hp1q.png",1,"WEBVTT\n\n00:04.242 --> 00:05.041\n好，\n\n00:06.092 --> 00:06.992\n各位朋友，\n\n00:06.992 --> 00:08.041\n各位医生，\n\n00:08.192 --> 00:08.592\n嗯，\n\n00:08.892 --> 00:09.642\n大家好，\n\n00:10.092 --> 00:19.642\n今天我想跟大家分享一个主题是关于哮喘免疫伪劣的肺部迷局啊。\n\n00:21.841 --> 00:26.091\n我想从这几个方面跟大家一起来分享。\n\n00:26.777 --> 00:29.277\n一个是重新定义的哮喘，\n\n00:29.976 --> 00:33.676\n第二就是炎症交响曲啊，\n\n00:33.676 --> 00:38.402\n从三条通道他们的暗中较劲啊，\n\n00:38.402 --> 00:44.727\n第三个就是哮喘的他的表情跟内型的侦探游戏。\n\n00:45.477 --> 00:46.676\n第四个方面呢，\n\n00:47.277 --> 00:49.102\n想跟他交流一下，\n\n00:49.102 --> 00:52.176\n那个诊断的不是靠猜啊，\n\n00:52.376 --> 00:54.926\n主要是靠科学的依据。\n\n00:55.676 --> 00:56.602\n第一个方面，\n\n00:56.602 --> 00:56.977\n我们。\n\n00:57.020 --> 00:59.720\n讲从痉挛到围猎，\n\n00:59.770 --> 01:01.319\n重新定义哮喘，\n\n01:02.419 --> 01:11.519\n那么以前的概念大家都认为哮喘就是一个气道痉挛啊，\n\n01:11.519 --> 01:15.444\n其实这是一个认知方面的一个局限性。\n\n01:15.444 --> 01:17.470\n到现在的新定义的一个发展，\n\n01:18.019 --> 01:22.419\n传统的观念是将哮喘简单归因为支气管的痉挛。\n\n01:23.051 --> 01:27.350\n但无法解释其慢性化跟高度抑制性，\n\n01:27.950 --> 01:30.750\n这种观念忽视了哮喘的核心。\n\n01:31.401 --> 01:34.151\n慢性气道炎症跟气道的。\n\n01:36.308 --> 01:37.259\n高反应性，\n\n01:38.009 --> 01:44.208\n那么新的定义核心是现代医学将哮喘定义为慢性气道炎症，\n\n01:44.308 --> 01:45.759\n炎症性的疾病，\n\n01:46.208 --> 01:50.609\n其本质是免疫系统对无害物质的过度反应，\n\n01:51.009 --> 01:54.208\n导致气道炎症的高反应性，\n\n01:54.259 --> 01:59.259\n表现为多变的气道症状跟可逆的气气流受限。\n\n02:01.775 --> 02:03.275\n治疗策略的转变，\n\n02:03.775 --> 02:08.274\n从急救扩张转向长期的抗炎治疗，\n\n02:08.774 --> 02:12.875\n强调控制炎症是治疗哮喘的关键，\n\n02:13.274 --> 02:15.574\n而非仅仅是缓解症状。\n\n02:18.516 --> 02:18.865\n那么。\n\n02:20.132 --> 02:21.156\n免疫的误认为，\n\n02:21.156 --> 02:26.682\n那么为什么有些无害的物质也被认为通缉犯呢？\n\n02:27.647 --> 02:34.397\n其实免疫那个耐受的失衡是一个。\n\n02:35.335 --> 02:35.985\n原因之一，\n\n02:36.585 --> 02:44.186\n主要我们是讲那个树突细胞将花粉、尘螨等无害物质都误认为。\n\n02:45.111 --> 02:45.962\n病原体，\n\n02:46.611 --> 02:54.861\n并呈递给T细胞中性那个炎性二细炎性2类的细胞被激活后，\n\n02:55.462 --> 02:59.311\n可以指挥B细胞产生大量的IGE抗体，\n\n02:59.761 --> 03:02.662\n为后续的炎症反应埋下隐患。\n\n03:07.802 --> 03:09.251\n致敏阶段的隐匿性。\n\n03:09.852 --> 03:10.951\n在致敏阶段，\n\n03:10.951 --> 03:13.151\n患者可能没有任何自觉症状，\n\n03:13.651 --> 03:17.602\n但气道已经分布了炎症的地雷，\n\n03:18.151 --> 03:21.401\n一旦再次接触到这些过敏原，\n\n03:21.552 --> 03:23.802\n就会引发剧烈的哮喘发作。\n\n03:27.361 --> 03:31.361\n上面我们讲了那个定义跟基本的那个原理，\n\n03:31.912 --> 03:36.212\n第二部分我们讲那个炎症的几个通道，\n\n03:36.212 --> 03:40.662\n他们暗中较量引起的这些炎症的反应过程。\n\n03:41.983 --> 03:47.583\n炎性爱性炎性细胞的经点通道是IGE地雷引爆早期的痉挛吗？\n\n03:48.832 --> 03:53.582\n首先IGE介导的舒反反应啊，\n\n03:54.082 --> 03:56.533\n是再次吸入过敏原后，\n\n03:56.533 --> 03:59.632\nIGE交联触发肥大细胞，\n\n03:59.632 --> 04:03.432\n在秒级内这个时间内啊，\n\n04:03.432 --> 04:05.483\n脱落颗粒释放的组胺。\n\n04:06.589 --> 04:12.238\n白三烯等炎症介质导致的支气管平滑肌瞬间的收缩，\n\n04:12.688 --> 04:13.938\n粘膜的水肿，\n\n04:14.238 --> 04:16.205\n粘液的分泌增加，\n\n04:16.205 --> 04:17.239\n一般性呢，\n\n04:17.239 --> 04:21.489\n我们可以在那个15分钟之内就出现了传鸣。\n\n04:21.938 --> 04:23.539\n这是IGE的介导，\n\n04:23.789 --> 04:24.989\n这是速发型的。\n\n04:25.338 --> 04:28.039\n那么我们在临床症状上呢。\n\n04:28.742 --> 04:30.141\n它是一个可逆性的，\n\n04:30.342 --> 04:32.541\n虽然早发症状来势凶猛，\n\n04:32.891 --> 04:38.191\n但通过使用贝塔二受体激动剂可以快速缓解症状。\n\n04:38.742 --> 04:43.242\n然后这种药物只是暂时灭火，\n\n04:43.492 --> 04:46.092\n并未清除炎症的根源。\n\n04:47.571 --> 04:49.071\n后续炎症的隐患。\n\n04:49.571 --> 04:51.520\n如果不进行抗炎治疗。\n\n04:52.704 --> 04:56.303\n迟发反应将在数小时后接踵而至，\n\n04:56.954 --> 04:58.903\n进一步加重气道炎症，\n\n04:59.303 --> 05:02.604\n导致病情反复跟慢性化。\n\n05:04.704 --> 05:07.354\n迟发腹肌嗜酸大军。\n\n05:08.614 --> 05:10.313\n筑起了重塑的工地，\n\n05:11.864 --> 05:14.838\n迟发反应刚刚我们讲的是速发反应。\n\n05:14.838 --> 05:16.063\n那迟发反应呢，\n\n05:16.213 --> 05:18.463\n主要是一个炎症细胞的浸润，\n\n05:19.014 --> 05:21.563\n肥大细胞释放趋化因子，\n\n05:22.014 --> 05:26.063\n召唤嗜酸粒细胞二型细胞。\n\n05:27.040 --> 05:30.440\n爱心的炎症细胞浸润那个气管壁，\n\n05:31.040 --> 05:35.339\n持续释放毒性颗粒跟细胞因素，\n\n05:36.040 --> 05:38.890\n造成上皮细胞的损伤。\n\n05:40.484 --> 05:41.684\n基底膜的增厚，\n\n05:41.934 --> 05:43.635\n平滑肌的肥大，\n\n05:44.684 --> 05:46.834\n气道重塑的不可逆性，\n\n05:47.234 --> 05:54.535\n那反复迟发反应可以使气道结构发生不可逆的改变及气道的重塑，\n\n05:55.234 --> 05:59.334\n导致部分患者肺功能无法完全恢复，\n\n05:59.635 --> 06:04.385\n这也是哮喘慢性化跟难治化的一个病理基础。\n\n06:06.713 --> 06:07.114\n非。\n\n06:08.440 --> 06:10.739\n两型炎症的细胞的暗线，\n\n06:11.190 --> 06:15.290\n那主要是中性粒细胞跟烟雾的难产。\n\n06:16.135 --> 06:16.786\n联盟啊，\n\n06:17.235 --> 06:19.536\n非两型哮喘的特点。\n\n06:20.313 --> 06:23.014\n并非所有哮喘都源于过敏，\n\n06:23.264 --> 06:24.664\n也存在两型，\n\n06:25.414 --> 06:32.088\n也存在中性粒细胞型、寡裂细胞型等非两型。\n\n06:32.088 --> 06:35.114\n那个炎症细胞型的哮喘。\n\n06:35.920 --> 06:37.071\n这类类型呢，\n\n06:37.071 --> 06:43.821\n可能与香烟、烟雾、污染物、肥胖或自身免疫相关。\n\n06:44.786 --> 06:52.286\n对激素治疗反应不佳是临床的难点。\n\n06:53.186 --> 06:54.286\n切面哮喘，\n\n06:54.936 --> 06:56.536\n哮喘各种各样。\n\n06:57.460 --> 07:00.510\n表情跟内心的侦探游戏。\n\n07:02.067 --> 07:03.417\n我们讲。\n\n07:05.856 --> 07:10.657\n从过敏的胖童胖那个小孩啊，\n\n07:10.856 --> 07:12.957\n到绝经期的女性，\n\n07:13.606 --> 07:18.856\n她们主要跟表现的特点都是这几个方面，\n\n07:19.057 --> 07:21.106\n一个过敏性的哮喘。\n\n07:21.941 --> 07:22.791\n通常啊，\n\n07:22.791 --> 07:26.141\n早期发病都有这个明显的过敏史。\n\n07:27.289 --> 07:28.139\n如花粉啊，\n\n07:28.539 --> 07:31.838\n尘螨等过敏原的诱发，\n\n07:32.539 --> 07:35.838\n那么肥胖相关性的哮喘呢，\n\n07:36.188 --> 07:39.438\n那多见于女性症状啊，\n\n07:39.588 --> 07:43.838\n跟体重指数有明显的相关性。\n\n07:44.588 --> 07:48.187\n常常还伴有这个代谢综合症。\n\n07:50.235 --> 07:51.536\n肥胖的哮喘，\n\n07:51.686 --> 07:58.835\n迟迟发型的哮喘大多是出现在成年后甚至老年才发病，\n\n07:59.286 --> 08:05.036\n可能与长期暴露于环境因素或慢性炎症相关。\n\n08:06.485 --> 08:08.735\n还有比较常见的是那个。\n\n08:09.682 --> 08:11.231\n固体气流受限性，\n\n08:11.731 --> 08:16.631\n因气道重塑导致肺功能无法完全恢复正常，\n\n08:17.332 --> 08:19.282\n病情较为严重。\n\n08:23.481 --> 08:25.182\n那类型解码。\n\n08:26.505 --> 08:33.354\n血嗜酸细胞这个数字告诉你的那些事情，\n\n08:34.054 --> 08:39.854\n嗜酸细胞型的那个哮喘是一个比较重要的一个常见因素。\n\n08:40.304 --> 08:48.804\n那我们可以在痰或者血中通过检查发现那个嗜酸粒细胞明显的升高。\n\n08:49.669 --> 08:53.768\n对激素治疗反应良好是常见的原因之一。\n\n08:55.018 --> 08:57.818\n有明显的IG介导。\n\n08:59.026 --> 09:00.176\n介导的这个机制，\n\n09:00.526 --> 09:01.825\n那就是过敏型的，\n\n09:02.226 --> 09:07.375\n与过敏原接触后会引发典型的哮喘症状。\n\n09:09.348 --> 09:09.598\n嗯。\n\n09:11.336 --> 09:13.437\nI型这个炎症细胞，\n\n09:13.586 --> 09:15.062\n炎性细胞，\n\n09:15.062 --> 09:23.887\nD型的主要还是那种缺乏二型炎症细胞标志的那个机制不够明显，\n\n09:24.286 --> 09:26.036\n治疗较为困难。\n\n09:26.900 --> 09:31.900\n这也是我们未来重点研究跟。\n\n09:33.515 --> 09:35.614\n发展的重要方向。\n\n09:36.986 --> 09:37.335\n嗯。\n\n09:41.390 --> 09:43.741\n那么在哮喘的拼图中，\n\n09:44.190 --> 09:47.640\n我们的诊断其实也不能靠乱猜啊。\n\n09:47.841 --> 09:52.991\n临床中我们会碰到一些各种各样的病人，\n\n09:52.991 --> 09:54.890\n及给他们怎么解答。\n\n09:55.241 --> 10:01.640\n那么我们当然还是要通过比较精准的那个科学临床试验，\n\n10:01.791 --> 10:05.041\n临床诊断标准进行进行判断。\n\n10:05.291 --> 10:05.890\n那么，\n\n10:06.140 --> 10:07.616\n可逆金标准呢，\n\n10:07.616 --> 10:08.541\n其实还是。\n\n10:09.244 --> 10:11.244\n支气管的舒张试验评判，\n\n10:11.744 --> 10:12.919\n大概其实呢，\n\n10:12.919 --> 10:17.270\n舒张试验还是比较容易容易做到的啊。\n\n10:17.270 --> 10:20.544\n现在三甲医院基本上都有这个支气管舒张试验，\n\n10:20.844 --> 10:25.294\n支气管那个激发试验的做的比较少见，\n\n10:25.645 --> 10:27.544\n那么那个就比较正高级，\n\n10:27.544 --> 10:33.395\n因为那牵扯到有些那个在病人的风险意识风险的判断问题啊。\n\n10:34.935 --> 10:38.361\n我们讲支气管舒张试验在三甲医院开展多，\n\n10:38.361 --> 10:44.685\n我们在病人的诊断中基本上都要做这个早期的试验来进行判断。\n\n10:44.935 --> 10:47.486\n那么通过肺功能的检查，\n\n10:47.786 --> 10:49.935\n使用支气管扩张剂后，\n\n10:50.335 --> 10:55.286\n如果FEV one改善率大于12%，\n\n10:55.486 --> 10:58.835\n且绝对值增加了。\n\n11:00.044 --> 11:03.419\n200ml这个第一秒呼气容量，\n\n11:03.718 --> 11:07.768\n那即可判断为可逆性的气道受限。\n\n11:08.567 --> 11:11.666\n这也是诊断哮喘的金标准之一，\n\n11:12.317 --> 11:14.517\n那么在这个中间呢，\n\n11:14.716 --> 11:19.617\n我们要注意这个检测时的一个注意点什么呢？\n\n11:19.666 --> 11:26.341\n检测前要停用其平时不能使用这个支气管扩张剂，\n\n11:26.341 --> 11:27.517\n或者停用一段时间，\n\n11:28.517 --> 11:31.017\n避免假阴性的结果。\n\n11:31.517 --> 11:33.966\n对于已经使用激素的患者。\n\n11:35.010 --> 11:36.560\n已经在使用了，\n\n11:36.661 --> 11:39.760\n有些病人在我们检查前用用过激素了，\n\n11:40.060 --> 11:42.911\n那阴性的结果也不能排除哮喘，\n\n11:43.260 --> 11:45.585\n那样就做更加精细的，\n\n11:45.585 --> 11:48.611\n我们讲究进一步的支气管激发试验了。\n\n11:50.830 --> 11:51.981\n这是一个金标准，\n\n11:52.281 --> 11:53.731\n那么第二个呢，\n\n11:53.830 --> 11:56.830\n我们讲菲诺，\n\n11:57.231 --> 12:01.080\n这是点亮我们气道嗜酸火焰的一个重要的指标。\n\n12:01.531 --> 12:03.031\n非脑的作用机制，\n\n12:03.031 --> 12:09.630\n我们讲它主要是来介质四跟激素十三这个白细胞计数啊，\n\n12:09.681 --> 12:18.080\n诱发我们气道上的上皮细胞产生INOS这个因素，\n\n12:18.681 --> 12:20.931\n使我们呼出。\n\n12:21.219 --> 12:25.570\n的一氧化氮非浓浓度的浓度啊，\n\n12:25.570 --> 12:33.270\n可以实时反映我们气道内两型炎症细胞的炎症强度。\n\n12:33.719 --> 12:37.070\n它是一种无创的生物标志物。\n\n12:37.669 --> 12:38.270\n那么，\n\n12:38.270 --> 12:41.320\n菲诺的临床应用现在我们越来越多，\n\n12:41.719 --> 12:43.369\n这各大医院包括。\n\n12:44.557 --> 12:48.482\n社区医院、两级医院、一级医院都可以使用做了啊，\n\n12:48.482 --> 12:49.632\n这个做的大概比较多，\n\n12:49.632 --> 12:53.757\n所以我们更加应该进行推广，\n\n12:54.158 --> 12:55.107\n也比较简单。\n\n12:55.507 --> 12:57.908\n那非特菲诺的那个临床应用，\n\n12:57.908 --> 12:59.607\n主要是菲诺啊，\n\n12:59.607 --> 13:02.357\n菲诺那个BBP的那个指标，\n\n13:02.607 --> 13:03.908\n那个大于五十，\n\n13:04.507 --> 13:05.607\n那个表示呢，\n\n13:05.757 --> 13:09.158\n那个气道存在嗜酸性炎症，\n\n13:09.507 --> 13:11.607\n主要用于辅助诊断，\n\n13:12.257 --> 13:14.057\n但是这个我们比较常见，\n\n13:14.057 --> 13:14.757\n可以做一个。\n\n13:14.799 --> 13:16.450\n比较直观的方法，\n\n13:16.799 --> 13:22.849\n在检测治疗反应跟评估依从性方面，\n\n13:23.000 --> 13:26.299\n可以帮助医生精准的调整治疗方案。\n\n13:39.489 --> 13:40.989\n精准打击啊，\n\n13:40.989 --> 13:42.489\n最后一步讲精准打击，\n\n13:42.739 --> 13:43.590\n我们讲从。\n\n13:44.624 --> 13:47.823\n阶梯到导弹阶梯基石，\n\n13:47.973 --> 13:49.799\n我们知道啊，\n\n13:49.799 --> 13:56.198\nICS早期用于可防重塑固化及阶段性治疗，\n\n13:56.198 --> 13:59.523\n是我们国际的诊断标准。\n\n14:00.294 --> 14:02.395\n根据哮喘的控制，\n\n14:02.645 --> 14:05.369\n根据哮喘的那个控制水平，\n\n14:05.369 --> 14:09.169\n从低剂量的吸入糖皮素技术开始，\n\n14:09.169 --> 14:11.044\n逐步升级治疗方案，\n\n14:11.445 --> 14:16.895\n直直到最佳的控制早期使用ICS的重要性。\n\n14:17.744 --> 14:19.844\n早期使用ICS。\n\n14:20.724 --> 14:24.474\n足量可使有效的阻断气道重塑，\n\n14:24.875 --> 14:30.224\n降低急性发作风险跟肺功能永久损失的可能性，\n\n14:30.424 --> 14:33.275\n是哮喘长期管理的基石。\n\n14:34.025 --> 14:40.674\n那么所以我们必须纠正患者对激素使用的恐惧心理，\n\n14:40.875 --> 14:45.174\n强调其在哮喘治疗中的关键作用跟安全性。\n\n14:45.833 --> 14:51.783\n为后续治疗提供升值保留空间，\n\n14:52.583 --> 14:58.234\n我们讲还有一个部分就是讲那个农场灰尘互飞的真真相啊，\n\n14:58.434 --> 15:00.434\n农场环境对哮喘的影响。\n\n15:00.484 --> 15:04.033\n我们讲小小儿发生率已经降低了40%，\n\n15:04.033 --> 15:05.484\n其灰尘中啊，\n\n15:05.484 --> 15:12.883\n激活那个char细胞跟抑制两性炎症细胞降低过敏反应的风险，\n\n15:13.434 --> 15:14.208\n同时呢，\n\n15:14.208 --> 15:15.934\n微生物的治疗的潜力。\n\n15:16.192 --> 15:19.017\n我们讲微生物治疗可以通过益生菌啊，\n\n15:19.017 --> 15:21.841\n微生物的移植来重塑气道的卫生状态，\n\n15:22.091 --> 15:23.492\n调节免疫耐受，\n\n15:23.492 --> 15:27.041\n为哮喘的预防提供更好的方法。\n\n15:27.591 --> 15:28.117\n最后，\n\n15:28.117 --> 15:34.317\n我们讲那个吸入剂的云云云输入现在的IAI的使用啊，\n\n15:34.317 --> 15:37.041\n我们看到吸入剂的功能啊，\n\n15:37.041 --> 15:38.392\nAI算法的应用啊，\n\n15:38.442 --> 15:40.267\n未来医疗的医疗学的，\n\n15:40.267 --> 15:41.742\n我们讲通过数据化，\n\n15:41.942 --> 15:46.041\n医生可以通过远远程平台来调节治疗方案。\n\n15:46.359 --> 15:49.460\n帮助患者实行那个个体化的治疗，\n\n15:49.609 --> 15:52.909\n使哮喘治疗进入物联网加AI时代。\n\n15:53.309 --> 15:56.809\n好简单的跟大家分享了这个题目，\n\n15:56.809 --> 15:58.159\n谢谢大家啊。\n\n","v0d47cg10004d768m0iljhtd44nv7apg",962,972,"2026-01-26 13:07:47","哮喘的定义、表现","单归因为支气管的痉挛，但无法解释其慢性化跟高度抑制性，这种观念忽视了哮喘的核心，慢性气道炎症跟气道的","2026-06-11 13:35:20",[35],{"menuId":36,"menuName":37,"parentId":17,"orderNum":38,"path":39,"component":40,"isFrame":41,"isCache":42,"menuType":43,"visible":25,"status":17,"createDept":6,"remark":23,"createTime":44,"children":45,"columnImage":46,"columnLogo":47,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":48,"seoKeywords":49,"seoDescription":50,"contentNum":6,"promotionalPoster":51,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":52,"routerPath":39,"componentInfo":40},"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",2,4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/871807/e6b98f4d-9f16-4067-ac78-090159220b6f.tmp?a=0&auth_key=1789028763-e22b61df1271464097f279f8b629a8af-0-05f49ee2352b239252411ed810434de7&br=382&bt=382&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0d47cg10004d768m0iljhtd44nv7apg&er=0&l=202608110610020DC823485DA4C63C44C9&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=amR5N2drbzM7OjczNGY3M0ApczpxN3dtbHA5ZzMzajpneWdtNGsxcWdmajNhLS1kNGFzc2ReczFhZWktNTQxLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":55,"message":6,"data":6,"success":56},{"code":9,"msg":10,"message":6,"data":59,"success":56},{"pageNo":25,"pageSize":60,"result":61,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":63,"success":56},{"authors":64,"appraiseDimensionScoresVos":65},[],[]]