[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$f6nwC6_XAuNCdPKNKHurovnN7RRF31EElFDVkR_bzhnY":8,"$fiI96bayWLtzlwXIUTx_PfqSt6NYphRxEPB_3aKF9bxs":60,"$fmNIt0D0SblhLsz2C1u13XK7uL8_U56mGCni1ASQei8Y":61,"$f8pPNWlXeJD5f8a34zgZrLvRMAYdrjDJ9DtxFuhewCz0":64},{"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":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":29,"views":30,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":31,"seoTitle":32,"seoKeywords":33,"seoDescription":34,"shelvesTime":35,"menus":36,"menuId":38,"type":25,"quality":56,"commentCount":17,"isComment":29,"deviceType":57,"url":58},2877,864101,[],"https://ystcdn.venuertc.com/medical/ystApp/ykUQc84DDjFxkDx25CKTqXE9umpcvO4d.png","陈承",0,"各种老年病、慢性病等诊疗","成都市新都区人民医院","主治医师",10,"血糖高？高血压？可能是腔隙性脑梗死的前兆！","https://cdn.yishi-tong.com/console/3/QBCKnzfN8n4_aC8X_mjHlR1GsvW4zbvs.png","https://cdn.yishi-tong.com/console/3/Ndpr0ZZ5O31YguopAYVcR3RgsnTsFPCE.png",2,"\n大家好，今天我们来聊聊一个常见却常被忽视的问题：腔隙性脑梗死。这是一种较为隐匿但潜在危险的疾病，尤其对老年人来说更为常见。\n\n最近我接诊了一位69岁的老年男性，他平时有高血压和糖尿病的病史。这次来医院是因为持续感到头晕和乏力，同时伴有急性病容和精神欠佳。检查显示他的血压高达195/117mmHg，血糖也达到了22.1mmol/L，体重明显下降。\n\n通过一系列的体格检查，我们没有发现明显的表浅淋巴结肿大，心肺听诊未见明显异常，但在腹部触诊时，剑突下有轻微压痛。然而这些症状并不足以完全解释他的病情，于是我们进行了进一步的影像学检查，包括头颅和颈椎的CT扫描。\n\n最终，初步诊断显示该患者患有腔隙性脑梗死、高血压3级（极高危）和2型糖尿病伴血糖控制不佳。此外，他还存在胃肠功能紊乱和慢性胃炎。因此，我们为他制定了一套详细的治疗计划，包括吸氧、使用乌拉地尔平稳降压、胰岛素泵平稳降糖和各种对症治疗。\n\n腔隙性脑梗死往往容易被忽视，因为它的症状可能相对轻微，比如短暂的头晕和乏力等。然而，如果不及时治疗，它可能导致更加严重的后果，比如脑出血、脑梗死加重，甚至是呼吸衰竭、恶性心律失常等。\n\n所以老年朋友们，如果您或您的亲人有高血压和糖尿病的病史，一定要特别关注身体的一些小变化，特别是持续的头晕、乏力、精神不佳等症状。这不仅仅是因为这些可能影响生活质量，更重要的是，它们可能是一些更严重疾病的前兆。\n\n在这里，我们也要特别强调一下胃肠道症状与心脑血管疾病的关系。很多人认为腹胀、胃痛只是简单的消化问题，但实际上，这些症状可能是慢性胃炎或者胃肠功能紊乱的表现。而这些消化系统的问题，和高血压、糖尿病甚至心脑血管疾病都有千丝万缕的联系。类似的，我们这个患者也在检查中发现有慢性胃炎的情况。\n\n综合以上，我们建议老年群体平时要注意定期体检，特别是血糖和血压的监测。如果您已经有高血压和糖尿病，那么一定要在医生的指导下合理用药，控制血糖和血压，避免病情恶化。\n\n最后，我希望大家都能对自己的健康问题有更全面的认识和重视。记得，早发现、早治疗是保证健康的关键。如果您有什么不适，不要拖延，及时就医。同时也要保持良好的生活习惯，饮食均衡，适量运动，保持心情愉快。\n\n好了，今天的分享就到这里，希望对大家有所帮助。如果您还有什么疑问，欢迎在评论区留言，我们下期再见！","v0247cg10004cuvsljqljht89dn0cbb0",159,1,555,"2025-02-27 09:59:48"," 血糖高？高血压？可能是腔隙性脑梗死的前兆！  "," 血糖高, 高血压, 腔隙性脑梗死, 脑梗死前兆, 健康预警, 脑血管疾病, 预防脑梗死  "," 血糖高和高血压可能是腔隙性脑梗死的前兆！了解这些健康预警信号，及时预防脑血管疾病，保护大脑健康。点击了解更多关于腔隙性脑梗死的症状与预防措施。","2025-03-03 12:30:00",[37],{"menuId":38,"menuName":39,"parentId":17,"orderNum":40,"path":41,"component":42,"isFrame":43,"isCache":44,"menuType":45,"visible":29,"status":17,"createDept":6,"remark":46,"createTime":47,"children":48,"columnImage":49,"columnLogo":50,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":51,"seoKeywords":52,"seoDescription":53,"contentNum":6,"promotionalPoster":54,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":55,"routerPath":41,"componentInfo":42},"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",4,"https://vod.haohuanjiao.com/oYqVQCsln4Ruytq4ce9QAxng9HMgWBXvIwqTfs?a=0&auth_key=1789009215-ccc944b3ec324fe697fa739c5227e643-0-59cd49e4e443b0506a9700fd7944777a&br=1053&bt=1053&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=7f1fa9b4271e42edadd1855457944fc3&er=0&l=202608110057300D1CD88CF1E16BF7708A&lr=&mime_type=video_mp4&net=0&pl=0&qs=0&rc=M2UzZztrb212eDczNGY3M0ApZjc8ODg7Z2RoNzQ1ZWQ0OmdfYGs2cWduaXNgLS1kNC9zczBjMTQxMi5hYS9iNDE2Y2M6Yw%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":21,"result":63,"totalSize":17},[],{"code":9,"msg":10,"message":6,"data":65,"success":59},{"authors":66,"appraiseDimensionScoresVos":67},[],[]]