[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$flAUxjm3i3dIheLSJ1c1t-orS7WeiXQA57vt9Kxz-TBg":8,"$fJFRoLNHAkBdrCpKIODweXFgc4Ky1NIL78Ayazk5jMg4":61,"$fTMuWh7y0rGo7pIJS-IrCTZNPXtAPkY8oVGAk9ANu3dw":62,"$fwp3YtENYbPZaF53IUQjtmphUh1tgcBZ7UHFI4EsfzXY":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":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":17,"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},3742,864336,[],"https://cdn.yishi-tong.com/console/store-unknown/uF7OMd0P_hB1LaAPsAH23kXFsYY6stA4.png","胡廷军",0,"擅长老年内分泌科糖尿病、高脂血等疾病的治疗","上海市第六人民医院","内分泌科","主治医师",10,"脑血管病的隐匿杀手——警惕这些症状！","https://cdn.yishi-tong.com/console/3/NxXqueY06lztD3Whqg2hFIWtQh0TwJjN.png","https://cdn.yishi-tong.com/console/3/2w781Ch57khQ-fGlb8SfR5vCBFwAuS8W.png",2,"\u003Cp style=\"margin:15px 0\">大家好，我是你的医生，今天我们来聊聊一种常见而且复杂的疾病——缺血性脑血管病。我们今天的病例是一位91岁的老年患者，主要因为反复发作性头晕而来院就诊。 首先，我们得了解什么是缺血性脑血管病，它其实是指大脑某个区域由于血流中断或减少，导致该区域的脑组织受损的疾病。最常见的就是大家熟知的中风。患者通常会出现突然的肢体无力、言语不清、意识模糊等症状。 不过我们的这位患者，由于年纪大了，身体情况比较复杂。除了缺血性脑血管病，他还同时患有高血压病3级（极高危）、慢性肾功能不全（3期）、继发性高尿酸血症、2型糖尿病性周围神经病、糖尿病肾病（III期）、冠状动脉粥样硬化和稳定型心绞痛。这么多病症叠加在一起，确实非常棘手。 这位患者3年前开始无明显诱因下出现头晕，并且反复发作。令人庆幸的是，他在此前已经多次住院进行治疗，通过药物如丹参多酚酸盐、丹参酮胶囊等来活血化瘀，改善微循环；同时还使用醒脑静来改善脑代谢。这些治疗虽然不能根治，但能有效缓解症状，提高生活质量。 你可能会问，头晕就是大脑缺血的表现吗？不一定。因为导致头晕的原因有很多，比如耳朵的问题、神经系统的问题、甚至是心脏的问题。但对于老年人来说，特别是有高血压病史的，头晕的确是需要警惕的一个信号。 说到高血压，这位患者10年前开始出现高血压，多次静息状态下测量收缩压大于140mmHg，舒张压大于90mmHg，最高时可达190/90mmHg。长期高血压会使动脉壁受损，增加心脑血管病的风险。因此，他一直口服药物如缬沙坦胶囊和硝苯地平缓释片来控制血压，最近用盐酸贝尼地平片8mgqd，血压控制相对平稳。 除了缺血性脑血管病和高血压，他还患有糖尿病和相关并发症。糖尿病也会增加脑血管疾病的风险，这就是为什么医生通常会非常关注糖尿病患者的血糖控制情况。他目前通过服用西格列汀片50mgqd的方式来控制血糖，效果不错。 不要忘了，还有冠心病和稳定型心绞痛也是他的病史之一。冠心病常常伴随着缺血性脑血管病，心脑同源，这个观点在医疗里频频被提及。稳定型心绞痛意味着他的心脏病情暂时没有恶化，但仍需严密监控。 最后，我们要强调的是，老年人的体质较为脆弱，多种疾病叠加需要进行综合管理。因此在日常生活中，不论是饮食、运动还是药物，都要遵循医生的建议。定期体检，及早发现问题，才能在疾病早期进行干预，避免陷入更大的健康危机。 所以不管是你自己还是家里的老人，有类似情况一定记得去医院做详细检查。健康是最重要的，我们要对自己的身体负责。 好的，今天的科普就到这里。如果你有任何问题，欢迎在评论区留言或者私信我。我是你的医生，我们下期再见！\u003C/p>","v0247cg10004cv5a48qljht9sjqiahbg",135,1,613,"2025-03-05 11:13:35"," 脑血管病的隐匿杀手——警惕这些症状！"," 脑血管病, 隐匿症状, 脑卒中, 高血压, 头痛, 眩晕, 视力模糊, 肢体麻木"," 了解脑血管病的隐匿症状，如头痛、眩晕、视力模糊和肢体麻木，及时发现并预防脑卒中等严重疾病。保持健康生活方式，定期检查，远离脑血管病的威胁。","2025-03-08 10:15:00",[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","慢性病,重大疾病",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/864336/caa6124b-46f6-4b66-93af-9dc62c41bf6a.tmp?a=0&auth_key=1789010115-be6a128eef784749a5b5899c9a6b36d0-0-e26396ddba4261f7438c790faa1cd1e8&br=1105&bt=1105&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=4&eid=v0247cg10004cv5a48qljht9sjqiahbg&er=0&l=202608110112554980D3D29D521A7E5CB5&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=amtsbTxrbztkeTczNGY3M0ApZWR0dndtdDc4ZjMzajo1eWdfXm5wcWduMTJgLS1kNC9zc2RlZmc2ZWk1XnMxLS5gMS06Yw%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":22,"result":64,"totalSize":17},[],{"code":9,"msg":10,"message":6,"data":66,"success":60},{"authors":67,"appraiseDimensionScoresVos":68},[],[]]