[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fBWaUCexFT1TQiximgpqRX3XjNjrH-29L2zAk0hF7LvI":8,"$fAO-KIDNlbKIm9jYH3dZBEqWmiYutwutPvHBTGtpDDjc":60,"$fI6EZnawDhbnsRL0PJqU7K-CO4RzdOWiv26Hc92o3lzM":61,"$f9XHyNyKds0zCNoLOm1iWOe2xwmst-kC_hKQK6rBa2iI":65},{"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":59},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"roleType":6,"adept":17,"hospital":18,"department":6,"postsTitle":19,"materialTotal":20,"videoTotal":21,"isConcern":7,"title":22,"coverVertical":23,"coverAcross":24,"directionMarker":25,"description":26,"vid":27,"time":28,"mediaType":29,"views":30,"likes":31,"isThumbsUp":7,"isCollection":7,"collections":31,"createTime":32,"seoTitle":33,"seoKeywords":34,"seoDescription":35,"shelvesTime":36,"menus":37,"menuId":39,"type":25,"quality":57,"commentCount":31,"isComment":29,"deviceType":21,"url":58},1714,863466,[],"https://ystcdn.venuertc.com/medical/ystApp/akoPtZ3AGNCujsffZ6h6Fm2mQMNUYXGZ.png","谭今","对于本专业的各类疾病，能够熟练诊治，包括瓣膜病、先心病、冠心病、大血管疾病等；对于微创、介入等新技术也有深入的学习和应用。\n简介：\n心脏外科硕士，2004年毕业于华西医科大学，后于华西医院完成5年规范化医师培训并一直从事心脏大血管外科以及术后重症监护的临床、教学和科研工作。","四川省人民医院","副主任医师",6,4,"二尖瓣狭窄和关闭不全——风湿性心脏病的隐形杀手！","https://cdn.yishi-tong.com/console/3/5gsNYI9EMQEOTmel5P-WP4Gp4Pk0nlII.png","https://cdn.yishi-tong.com/console/3/FmMZQOtV2bHuf1U7o0RiB6b8KgT6ktXU.png",2,"\n\n大家好，今天我们来聊聊一个对很多人来说并不陌生但又常常被忽视的问题——风湿性二尖瓣狭窄伴关闭不全。\n\n首先，二尖瓣是什么？二尖瓣是心脏左侧房室之间的一个瓣膜，类似于一扇门，它负责在心脏跳动时保证血液单向流动。当二尖瓣发生狭窄或者关闭不全时，就会影响到血液的正常流通。\n\n“狭窄”是什么意思呢？简单来说，二尖瓣变得狭窄会阻碍血液从左心房流向左心室，它好像门被卡住，只能开一条小缝。这样一来，左心房里的血液无法顺畅地进入左心室，导致心脏必须更用力地跳动，长此以往，会引发心力衰竭等问题。\n\n那么，“关闭不全”又是什么情况？这就是说，二尖瓣在关闭时没有完全闭合，结果心脏的血液会倒流回左心房。这种倒流不仅会增加心脏的负担，而且会导致左心房和左心室的压力增加，久而久之也可能引起心脏功能的不全。\n\n在我们的病例中，这位50岁的患者正是遇到了这样的问题。由于长期的风湿性心脏病，二尖瓣同时出现了狭窄和关闭不全。这种情况下，患者可能会感觉到呼吸困难，活动后胸痛，甚至在严重时出现晕厥。起初症状可能并不明显，但是随着时间的推移，病情会逐渐加重。\n\n治疗风湿性二尖瓣狭窄和关闭不全的方法有哪些呢？轻度的狭窄和关闭不全通常可以通过药物治疗来缓解症状。常用的药物包括利尿剂、抗凝剂和心脏兴奋剂，这些药物可以帮助改善心脏负担，防止血栓形成。\n\n然而，当病情较为严重或药物效果不佳时，外科手术可能是必需的选择。常见的手术方式有二尖瓣球囊扩张术和二尖瓣置换术。球囊扩张术是在狭窄的二尖瓣处放入一个小球囊，然后将其充气以扩大狭窄部分。而置换术则是将受损的二尖瓣用人造瓣膜或动物瓣膜替换。\n\n预防风湿性二尖瓣狭窄和关闭不全至关重要。保持良好的生活习惯，特别是防止链球菌感染，可以有效预防风湿热，从而保护心脏瓣膜。此外，定期体检也是了解自身健康状况的重要手段。如果发现心脏有任何异常，一定要及时就医。\n\n好了，今天我们谈了不少关于风湿性二尖瓣狭窄伴关闭不全的知识，希望对大家有帮助。如果您或者您的家人有相关症状，请务必引起重视，尽早去医院检查。谢谢大家，我们下次再见！","v0347cg10004cu4cus2ljhte5m2ujp00",193,1,8,0,"2025-01-16 15:53:56"," 二尖瓣狭窄和关闭不全——风湿性心脏病的隐形杀手！"," 二尖瓣狭窄, 二尖瓣关闭不全, 风湿性心脏病, 心脏病症状, 心脏病治疗, 隐形杀手"," 二尖瓣狭窄和关闭不全是风湿性心脏病的常见表现，可导致严重的心脏功能障碍，常被称为隐形杀手。了解这些症状和现代治疗方法，保护您的心脏健康。","2025-01-28 21:30:00",[38],{"menuId":39,"menuName":40,"parentId":31,"orderNum":41,"path":42,"component":43,"isFrame":44,"isCache":45,"menuType":46,"visible":29,"status":31,"createDept":6,"remark":47,"createTime":48,"children":49,"columnImage":50,"columnLogo":51,"uncheckedLogo":6,"checkedLogo":6,"isHot":31,"isHome":31,"forceLogin":31,"color":6,"seoTitle":52,"seoKeywords":53,"seoDescription":54,"contentNum":6,"promotionalPoster":55,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":56,"routerPath":42,"componentInfo":43},"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","慢性病,重大疾病","https://vod.haohuanjiao.com/ooLnTkeXoR4uQxZSgIeAizD44KY5p7MsAHBOIE?a=0&auth_key=1789017973-83e35cf0d78e4c079fcd74ed71091c3f-0-36b835be077a91a9b1dcb41da5bdf609&br=1684&bt=1684&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=5d039e2c55d548deacd24d9f29d67bd0&er=0&l=20260811032255A2E8D350D128DE3391F1&lr=&mime_type=video_mp4&net=0&pl=0&qs=0&rc=M3N4cGhrb3ZmeDczNGY3M0ApZzpnNTw3Z2RnN2c4NTwzOGctZy8ycWcvcjFgLS1kNDBzcy1fMzZjYS9gYjUyMmBiMGE6Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":58,"message":6,"data":6,"success":59},{"code":9,"msg":10,"message":6,"data":62,"success":59},{"pageNo":29,"pageSize":63,"result":64,"totalSize":31},10,[],{"code":9,"msg":10,"message":6,"data":66,"success":59},{"authors":67,"appraiseDimensionScoresVos":68},[],[]]