[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fiFiQ9k-G1mxcXsXqaOtyt1IiBmmtPklHgz6KzzIJK10":8,"$fHmNMr-jyJlvpgR1BUwvVa5ZVRk1Cr6UMfDnlBPA-Er8":61,"$f9xEnsqW2bS_M-M0DF0bUW9xO_lo9Ohqho40ppcuCLwk":62,"$f29jwjhjvgukIFMmQjoyY2egZtl9kxxsG56qtwtOl3Hw":66},{"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":60},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"roleType":17,"adept":18,"hospital":19,"department":20,"postsTitle":21,"materialTotal":22,"videoTotal":22,"isConcern":7,"title":23,"coverVertical":24,"coverAcross":25,"directionMarker":26,"description":27,"vid":28,"time":29,"mediaType":30,"views":31,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":32,"seoTitle":33,"seoKeywords":34,"seoDescription":35,"shelvesTime":36,"menus":37,"menuId":39,"type":26,"quality":57,"commentCount":17,"isComment":30,"deviceType":58,"url":59},1871,863493,[],"https://ystcdn.venuertc.com/medical/ystApp/Zt8668segy7HSgmuNQBHNSlYk6vaZeOn.png","李雨霏",0,"临床麻醉。普外科麻醉，骨科麻醉等、麻醉手术、麻醉用药及疾病治疗","上海市浦东医院","麻醉科","住院医师",5,"铸型肾结石——不可忽视的健康隐患！","https://cdn.yishi-tong.com/console/3/zLhaxskLjdCItDumiPXhYadBisMAGgyi.png","https://cdn.yishi-tong.com/console/3/CPOnRCY13NW2g6-Fx-duvUI8VueB9Hau.png",2,"\n大家好！今天我们来聊一聊肾结石的一种特殊类型——铸型肾结石。铸型肾结石是一种非常复杂又难治的疾病，不仅影响生活质量，还可能威胁健康。如果您或者身边有人有过类似经历，一定要认真听完这段话。 \n首先，什么是铸型肾结石呢？铸型肾结石是肾结石的一种类型，这种结石填满整个肾盂和肾盏，形成类似“铸模”状的结构。就好像把肾脏的内部形态给‘复制’下来一样。因为这种结石非常大，往往会导致非常严重的症状，例如剧烈的腰背部疼痛、血尿、反复尿路感染等。 \n这次我们要讲的案例是一个68岁的男性患者，他在右侧肾脏出现了铸型结石。除了肾结石，他还有其他一些健康问题，比如前列腺增生、高血压、2型糖尿病等等。这使得他的整体健康状况变得更加复杂和脆弱。 \n那么，肾铸型结石是如何形成的呢？它的形成原因可能有很多，但大多数与饮食习惯、遗传因素、代谢问题等有关。例如，高钙饮食、高蛋白质饮食和缺乏饮水等都会增加结石的风险。而一些代谢性疾病，如高尿酸血症、甲状旁腺功能亢进，也会促进结石生成。 \n这种结石的症状很明显，最常见的是剧烈的腰背部疼痛。这种疼痛常常会放射到下腹部或大腿内侧，非常折磨人。此外，病人可能会出现血尿，尿液中呈现粉红色或红色。反复的尿路感染也是一个明显的症状，这些感染可能会导致发热、寒战和尿频尿急等。 \n对于铸型肾结石的治疗，一般来说分为两个部分。首先是缓解症状和并发症的治疗，比如使用止痛药物、抗生素等。另一部分是针对结石本身的治疗。目前常见的方法包括体外冲击波碎石、经皮肾镜碎石取石、输尿管镜碎石等。根据结石的大小和位置，有时可能需要采取手术治疗。 \n在这个案例中，医生们采用了更换输尿管支架的方法帮助病人缓解症状，并计划在后期进行进一步的碎石处理。这种方法可以暂时解决因结石导致的尿路梗阻问题，但不是根本解决方案。对于前列腺增生及高血压、糖尿病等基础病，患者也需要进行综合治疗。 \n在这里，我要特别提醒大家，肾结石的预防非常重要。日常生活中要多饮水，这是最简单有效的预防方法。饮水可以稀释尿液，降低结石形成的风险。此外，饮食上应适量减少高钙、高蛋白质和高盐饮食，增加富含纤维素的食物，比如水果、蔬菜和全谷类。 \n如果有家族遗传史或者以前得过肾结石，更要定期检查，了解自己的身体状况。早期发现、早期治疗，是应对肾结石的最好方式。毕竟，健康是无价的。 \n今天的讲解就到这里，如果你有任何疑问，欢迎在评论区留言，我会尽力为大家解答。希望大家都能够重视肾结石的预防和治疗，保持健康的生活方式。","v0347cg10004cu6s1niljhteos6iipog",239,1,1407,"2025-01-20 10:19:21"," 铸型肾结石——不可忽视的健康隐患！"," 铸型肾结石, 肾结石症状, 健康隐患, 结石预防, 肾脏健康"," 铸型肾结石是一种严重的健康问题，如果忽视可能会导致严重的并发症。本文详细介绍了铸型肾结石的症状、原因和预防方法，帮助您及早发现和处理，保障肾脏健康。","2025-01-28 22:30:00",[38],{"menuId":39,"menuName":40,"parentId":17,"orderNum":41,"path":42,"component":43,"isFrame":44,"isCache":45,"menuType":46,"visible":30,"status":17,"createDept":6,"remark":47,"createTime":48,"children":49,"columnImage":50,"columnLogo":51,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"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","重大疾病",4,"https://vod.haohuanjiao.com/oMhpxxq4ZIx0jwwgszuQvB4uevKQIAQQSEJNDx?a=0&auth_key=1789026094-f1b4b9e26a6b45d0a55f255f14ced6a3-0-4ca5704ac5381260e75a1595d01fe33d&br=536&bt=536&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=2fa2fd57a0c64a77a0bb0ac1e0162514&er=0&l=20260811053729088828574AB23D36F45C&lr=&mime_type=video_mp4&net=0&pl=0&qs=0&rc=anNsdmhrb3F2eDczNGY3M0ApNDU0aGYzZWQ6N2ZkOGlkNWdsZjNscWdmLjNgLS1kNDBzczEyMy0uXl8tNF4zLTRhL2M6Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":59,"message":6,"data":6,"success":60},{"code":9,"msg":10,"message":6,"data":63,"success":60},{"pageNo":30,"pageSize":64,"result":65,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":67,"success":60},{"authors":68,"appraiseDimensionScoresVos":69},[],[]]