[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$faiR7WcXAl5WHiOD8nvLdOd9mTFLNxy3IrXQWukOL8EQ":8,"$f0rVVzISf8YujpjcZBABSQ-Tt9roKbfffqR8nW8ge5I0":61,"$fRKQ0nyr7OrRtW4qJGS6KqJWN3qfRQviLW42Pm8Woh6g":62,"$fz50yvjrL_tRadL7XdAOXzTZWtemCM7CSv08eeIxbjr0":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},3428,863127,[],"https://ystcdn.venuertc.com/medical/ystApp/KOZ4qwknOLxnZgt5lX7XVjxN7ikWFXX7.png","王国平",0,"老年病人麻醉，危重病人的麻醉和抢救。","上海市第七人民医院","麻醉科","副主任医师",5,"腹股沟疝这么复杂？背后的真相，您真的知道吗？！","https://cdn.yishi-tong.com/console/3/v4_RNBamC_Gy406L5QRDAz0Q-Xn4epZI.png","https://cdn.yishi-tong.com/console/3/0MVI2_EH47xUhEM3A8xAig6OBET0YJny.png",2,"\n\n大家好，我是你的医生，今天我们来聊一聊腹股沟疝。这种病听起来有点复杂，但其实它离我们的生活并不远。据统计，腹股沟疝是成人最常见的疝气类型，尤其在老年人中更是高发。今天我们来看看一个72岁患者的病例，希望通过这个例子，帮大家更好地理解这个常见的问题。\n\n这位患者今年72岁，身高153厘米、体重50公斤，来自上海。她被诊断为单侧腹股沟疝，也就是我们常说的 \"疝气\"。疝气是什么呢？简单来说，就是腹腔内的内容物（比如肠子）从本该呆着的地方“跑”出来了，通常会在腹股沟区域出现一个明显的突起。\n\n通过详细的术前评估，我们发现患者除了腹股沟疝外，还有高血压病史，曾经做过全子宫切除、阑尾炎手术和疝气手术。可以说，这次手术并不是她第一次经历麻醉和手术了。\n\n在这次手术中，我们选择了“腹腔镜下经腹膜前腹股沟疝补片修补术”，简称TAPP。这是一种微创手术，通过几个小孔进入腹腔，用补片修补疝气。相比传统的开放式手术，这种方法创伤小、恢复快，适合像我们这位老年患者一样需要快速恢复的情况。\n\n术前检查显示，患者有些常规指标稍有异常，比如部分凝血酶原时间有些延长，纤维蛋白质水平略低。不过整体情况还算稳定。麻醉风险评估是ASA II级别，这意味着她有轻度的系统性疾病，但手术风险不是特别高。\n\n麻醉过程中，我们使用了静吸复合麻醉，这种麻醉方式结合了静脉麻醉和吸入麻醉的优点，使得患者在手术过程中能更舒适地度过，不会有太多不适感。手术进行顺利，持续约65分钟，术中失血量很少，术后患者状态良好，全部重要生命体征稳定。\n\n手术后的护理对恢复也非常关键。对于腹股沟疝修补术后，患者需要注意避免剧烈运动，尤其是避免提高腹压的活动，以防再次发生疝气。同时，应保持良好的饮食习惯，不要过量饮食，避免便秘。\n\n总结一下，腹股沟疝虽然常见，但只要选择合适的手术方法和良好的术后护理，多数患者都能快速恢复。如果您或家中有老人出现类似问题，不要犹豫，及时就医，是解决问题的关键。\n\n希望今天的分享对您有帮助，关注我们的频道，获取更多健康知识！我是你的医生，我们下次再见！","v0347cg10004cv3uce2ljht3ff8m9vtg",120,1,533,"2025-03-05 10:28:52"," 腹股沟疝的复杂性揭秘：真相与治疗全解析"," 腹股沟疝, 疝气治疗, 腹股沟疝症状, 疝气手术, 腹股沟疝原因"," 深入了解腹股沟疝的复杂性，揭示其背后的真相。从症状到治疗方法，全面解析腹股沟疝的成因及有效的治疗策略，帮助您更好地应对这一常见但复杂的健康问题。","2025-03-11 18:55:00",[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","高发轻症",4,"https://vod.haohuanjiao.com/o865lQR7nTAkKfLHBG9sgM4cHxRxN3gEI9KJDf?a=0&auth_key=1789021090-0bc0b410fab744e3a320aa12ffc25745-0-ace8c613cfc5be78df7e3a3cf7ecc939&br=1135&bt=1135&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=39f343b893c348db81e1330876a9ab87&er=0&l=20260811041604024FA35A292CE6FFF7BD&lr=&mime_type=video_mp4&net=0&pl=0&qs=0&rc=anlwaTZrb2h4eTczNGY3M0ApO2RkOjM2aDtnN2Y8ZTdpNmdxNjVjcWcvYDBgLS1kNDBzczRfNjM1MC4uXzUwMDUwMDY6Yw%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},[],[]]