[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$f4xzP0Na5X-a4dJ0zCOy4gJALzpZYxh4VHmS2UZa-aeE":8,"$fNgVwteemzc-h9NHlj_tm8OB2roPb1zsENnGE86syWWE":62,"$fPqO2PNVgZHFhL8j_wj75_0uN1N6IVMUZvz9oXfxOW38":63,"$fPctNd7etzsNJABHGlJ7Ii5A4hT6jZowe53tkOBC5DaI":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":17,"adept":18,"hospital":19,"department":20,"postsTitle":21,"materialTotal":22,"videoTotal":23,"isConcern":7,"title":24,"coverVertical":25,"coverAcross":26,"directionMarker":27,"description":28,"vid":29,"time":30,"mediaType":31,"views":32,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":33,"seoTitle":34,"seoKeywords":35,"seoDescription":36,"shelvesTime":37,"menus":38,"menuId":40,"type":27,"quality":58,"commentCount":17,"isComment":31,"deviceType":59,"url":60},1960,843218,[],"https://ystcdn.venuertc.com/medical/ystApp/4CXiooiGGAvCReNrURecEnYsuy4FxuvU.png","张明叶",0,"临床麻醉，疼痛治疗，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","主治医师",15,14,"肾错构瘤——你不知道的肾脏“伪装者”！","https://cdn.yishi-tong.com/console/3/U7d_whfifodg9gkdRvHWLNxI5tw2z3UD.png","https://cdn.yishi-tong.com/console/3/SnnuZmwCKLf5hHW9xXlq8TguZ-G7BWUd.png",2,"\n大家好，今天我们来聊聊一个很多人可能听起来比较陌生的疾病——肾错构瘤。肾错构瘤是一种常见的肾脏良性肿瘤，虽然它名字里有“瘤”，但它其实是由异常分布的血管、平滑肌和脂肪组织构成的。那么，它究竟是什么？对我们的健康有什么影响？怎么治疗？今天我们一一给大家解答。\n肾错构瘤在大多数情况下是无症状的，很多人只有在体检时才发现自己竟然有了这种问题。因为无症状，所以很多人都不重视，甚至认为不痛不痒没关系。但实际上，如果错构瘤长得过大，可能压迫周围的器官，从而引起腰痛、腹痛，甚至影响肾功能。\n我们再来看看具体的病例。今天的这个病人，48岁，住在上海市浦东新区。他在一次体检中发现自己左肾有一个错构瘤。经过详细检查后，医生决定为他进行腹腔镜下左肾部分切除术。这是一个微创手术，手术时医生会在腹壁上开几个小口，然后通过这些小口用特殊器械切除肿瘤。\n手术是在全身麻醉和外周神经阻滞麻醉下进行的。这个组合的好处是既能确保病人的舒适，又能有效控制术中的疼痛。手术非常成功，病人术后恢复良好，生活质量并没有受到明显影响。但是，这个过程中，有几个关键点需要特别注意。\n首先是麻醉的选择。病人48岁，体重74公斤，有高血压和糖尿病史。这些都是麻醉管理中需要特别注意的因素。全麻和外周神经阻滞麻醉的选择是综合病人的整体健康状况及具体手术需求做出的决定。\n其次是术中用药。为了确保手术顺利进行，麻醉医生选择了一系列药物，比如瑞马唑仑、丙泊酚和顺阿曲库胺等。这些药物既有镇静、麻醉效果，又能帮助病人维持稳定的生命体征。术中麻醉医生会根据实际情况不断调整药物剂量，确保病人安全。\n术后恢复方面，大部分病人可以在手术当天恢复饮食和活动。这个病人因为合并有高血压和糖尿病，所以术后的监测和护理格外重要。医生和护士会密切观察他的生命体征，及时调整用药，确保他的平稳恢复。\n通过这个病例，我们可以看到肾错构瘤虽然是一种良性肿瘤，但在发现之后应该及时评估和处理。尤其是那些已经出现症状或正在增大的肿瘤，更需要积极治疗，以防止进一步的健康问题。\n所以，如果你或者你身边的人在体检中发现了肾脏有类似问题，千万不要掉以轻心。尽早去医院做进一步检查，听从专业医生的建议，才是最保险的做法。\n好了，今天的科普就到这里。如果大家还有什么疑问或者感兴趣的话题，欢迎在评论区提问。我们下期再见！","v0d47cg10004cu7g9hiljht7p3bh50e0",196,1,513,"2025-01-21 09:50:38"," 肾错构瘤——你不知道的肾脏“伪装者”！"," 肾错构瘤, 肾脏肿瘤, 良性肿瘤, 肾脏疾病, 肾脏健康"," 肾错构瘤是一种良性肾脏肿瘤，常被误诊为其他肾脏疾病。了解其症状、诊断方法和治疗方案，保持肾脏健康。","2025-01-22 14:30:00",[39],{"menuId":40,"menuName":41,"parentId":17,"orderNum":42,"path":43,"component":44,"isFrame":45,"isCache":46,"menuType":47,"visible":31,"status":17,"createDept":6,"remark":48,"createTime":49,"children":50,"columnImage":51,"columnLogo":52,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"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","癌症肿瘤",4,"https://vod.haohuanjiao.com/owiABBqz9AHcPMwaIRCmjKiLw1gf0xPQjf4gCe?a=0&auth_key=1789006821-2581579c8b064d91a0bb4d0d08abe8a2-0-f15bc9a6d658f7c8bea3621afe3d9c8b&br=490&bt=490&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=b19afbdd133c48fdbc4b9c64612b3e61&er=0&l=202608110017003BDB91C64CF12A788733&lr=&mime_type=video_mp4&net=0&pl=0&qs=0&rc=MzNrNjprb2tqeDczNGY3M0ApOTY1OTk8N2VpNzY0Z2k8ZWdiMl9tcWdmNjRgLS1kNGFzcy5iXy4xYF9gYTVgMGFfXi46Yw%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":31,"pageSize":65,"result":66,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":68,"success":61},{"authors":69,"appraiseDimensionScoresVos":70},[],[]]