[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$fCjKhWfenIDE8ABqigrbryBmOTxmCM4FXuDUqvhhCsAQ":3,"$frtKH2BPB2dica4wGrkm-FH1vfEKlAlYh3vLTeTrcZCM":13,"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":17,"$fQ2ui9PjlZ5tIMNpMaYC3Sfpr5Qgwuv0Irh90GtKIYRQ":21,"$fMNbu2PrE2kdKoeaePsOiv0lTk5IY36UWgjOilfh6QxU":99},{"code":4,"msg":5,"message":6,"data":7,"success":12},200,"操作成功",null,{"pageNo":8,"pageSize":9,"result":10,"totalSize":11},1,10,[],0,true,{"code":4,"msg":5,"message":6,"data":14,"success":12},{"authors":15,"appraiseDimensionScoresVos":16},[],[],{"code":18,"msg":19,"message":6,"data":6,"success":20},401,"认证失败，无法访问系统资源",false,{"code":4,"msg":5,"message":6,"data":22,"success":12},{"id":23,"specialistId":24,"specialistAssistants":25,"profilePhoto":26,"specialistName":27,"roleType":11,"adept":28,"hospital":29,"department":30,"postsTitle":31,"materialTotal":11,"videoTotal":32,"isConcern":20,"title":33,"coverVertical":34,"coverAcross":35,"directionMarker":36,"description":37,"vid":38,"time":39,"mediaType":8,"views":40,"likes":11,"isThumbsUp":20,"isCollection":20,"collections":11,"createTime":41,"seoTitle":33,"seoKeywords":42,"seoDescription":43,"shelvesTime":44,"menus":45,"menuId":85,"type":36,"quality":97,"commentCount":11,"isComment":8,"deviceType":32,"url":98},37738,959577,[],"https://yst.tos-cn-shanghai.volces.com/venue%2Fundefined%2F2025-12-16-16%3A11%3A04%2F76060049-1dff-40f7-88f3-c646c1d87a63.png","于昊冉","","东北国际医院","普外科","主治医师",4,"短暂性大脑缺血发作合并冠心病的诊疗与防治","https://ystcdn.venuertc.com/venue/ai-cover/qwen-debug/cover_vertical/98c201cd-759b-46b8-bdb6-0f9d8ff448f6.png","https://ystcdn.venuertc.com/venue/ai-cover/qwen-debug/cover_horizontal/63bbc905-d7d7-4702-a330-06a47068284d.png",2,"\u003Cdiv style=\"padding: 20px; border-radius: 12px; background: #f8fafc; margin-bottom: 16px;\">\n我是东北国际医院普外科于昊冉医生，日常接诊时常遇到老年朋友出现短暂肢体活动异常却不当回事，最终延误治疗的情况。\n\u003C/div>\n\n\u003Cdiv style=\"padding: 20px; border-radius: 12px; background: #f0f7ff; margin-bottom: 16px;\">\n之前接诊过一位82岁老先生，有20余年冠心病病史，常年保持每晚喝2两白酒的习惯。他此次就诊是因为近2天频繁出现右侧肢体活动不利，每次持续六七分钟后完全缓解，起初他以为是年纪大行动不便没当回事。我先排查了腰椎间盘突出急性发作、局灶性癫痫发作、体位性低血压引发肢体发软等常见原因，完善头颅MRI加DWI加MRA等相关检查，影像提示腔隙性脑梗死和头部动脉粥样硬化，最终确诊为短暂性大脑缺血发作，我们为他制定了抗血小板聚集、调脂稳斑的规范治疗方案，目前老人症状已完全缓解，仍在定期随访中。\n\u003C/div>\n\n\u003Cdiv style=\"padding: 20px; border-radius: 12px; background: #f7faf5; margin-bottom: 16px;\">\n很多人对短暂性大脑缺血发作也就是俗称的小中风并不熟悉，它的核心特点是发作后症状完全消失，脑细胞未发生不可逆坏死，和已造成脑组织梗死的脑梗死完全不同。它的典型症状除了单侧肢体短暂无力，还可能出现一过性说话不清、单侧视物模糊、短暂性偏身麻木，这些症状易和腰椎病变引发的下肢活动受限、眼局部血管痉挛引发的短暂视物模糊相混淆。如果症状持续超过10分钟还未缓解，就要高度警惕已进展为脑梗死。有冠心病病史的人群本身ASCVD风险更高，出现这类一过性症状千万别大意。\n\u003C/div>\n\n\u003Cdiv style=\"padding: 20px; border-radius: 12px; background: #fff9f0; margin-bottom: 16px;\">\n日常做好几点能有效降低短暂性大脑缺血发作的发生风险，每日盐摄入量控制在5克以内，完全戒除长期饮酒的习惯[1]；将BMI维持在18.5至23.9的正常区间，避免体重超标[2]；符合活动条件的情况下每周完成至少150分钟中等强度身体活动[3]。一旦频繁出现一过性肢体活动不利，首诊要挂神经内科，完善颅脑MRI和脑血管相关检查，确诊后也要同步到心内科复查冠心病相关指标。\n\u003C/div>\n\n\u003Cdiv style=\"padding: 20px; border-radius: 12px; background: #fdf2f8; margin-bottom: 16px;\">\n小中风的预警信号往往转瞬即逝，早识别早规范干预，绝大多数情况都能获得不错的预后效果。\n\u003C/div>\n\n\u003Cp id=\"material_title\" style=\"display: none;\">短暂性大脑缺血发作合并冠心病的诊疗与防治\u003C/p>\n\n\u003Csection class=\"refs\" style=\"margin-top:24px;padding-top:12px;border-top:1px solid #e5e5e5;font-size:13px;color:#666;line-height:1.6;\">\n  \u003Cdiv style=\"font-weight:600;margin-bottom:6px;\">参考文献\u003C/div>\n  \u003Cdiv>[1] 中国营养学会. 中国居民膳食指南（2022）.\u003C/div>\n  \u003Cdiv>[2] 中华人民共和国卫生部疾病控制司. 中国成人超重和肥胖症预防控制指南.\u003C/div>\n  \u003Cdiv>[3] World Health Organization. WHO 身体活动与久坐行为指南（2020）.\u003C/div>\n\u003C/section>\n\n\u003Cstyle>\n* {\n  box-sizing: border-box;\n  font-family: -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, sans-serif;\n}\n\u003C/style>","v0347cg10004dbon8fq7dld31a4800j0",128,753,"2026-11-09 15:15:54","短暂性大脑缺血发作, 小中风, 韧带, 老年人, 冠心病, 预防, 治疗, 疼痛, 头晕, 脑梗死, 日常保健, 幽默饮食","了解短暂性大脑缺血发作（小中风）的症状、风险和预防策略。特别适合有冠心病史的老年人，及时认识并应对可能求医的信号。","2026-11-10 09:35:01",[46,66,84],{"menuId":47,"menuName":48,"parentId":11,"orderNum":49,"path":50,"component":51,"isFrame":52,"isCache":53,"menuType":54,"visible":8,"status":11,"createDept":6,"remark":28,"createTime":55,"children":56,"columnImage":57,"columnLogo":58,"uncheckedLogo":59,"checkedLogo":60,"isHot":8,"isHome":11,"forceLogin":11,"color":61,"seoTitle":62,"seoKeywords":63,"seoDescription":63,"contentNum":6,"promotionalPoster":64,"menuFrame":20,"innerLink":20,"parentView":20,"routeName":65,"routerPath":50,"componentInfo":51},"1997925012023775234","热门频道",5,"column","/column/tcm_index.html","1","0","T","2025-12-08 15:03:37",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:18/ef345cdc-bb06-4db5-b74d-6ecfafabe83e.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:21/81815950-9711-4b40-8543-421bd7701d0f.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:32/99452289-a401-4ab2-ae91-2a1a1f7442d1.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:29/f52b1198-7225-4f72-89f3-605e6a14f530.png","#42a5f6","sadf","asdf","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:25/cf4f002d-c534-4c28-b405-a2e504dc5188.png","Column",{"menuId":67,"menuName":68,"parentId":47,"orderNum":69,"path":70,"component":71,"isFrame":52,"isCache":53,"menuType":54,"visible":8,"status":11,"createDept":6,"remark":28,"createTime":72,"children":73,"columnImage":74,"columnLogo":75,"uncheckedLogo":76,"checkedLogo":77,"isHot":11,"isHome":11,"forceLogin":11,"color":78,"seoTitle":79,"seoKeywords":80,"seoDescription":81,"contentNum":6,"promotionalPoster":82,"menuFrame":20,"innerLink":20,"parentView":20,"routeName":83,"routerPath":70,"componentInfo":71},"1989172310225670145","公益项目",6,"public","/column/public_index.html","2025-11-14 11:23:30",[],"https://ystcdn.venuertc.com/venue/undefined/2025-12-18-14:41:13/1b7a5e2b-9e7d-4769-851f-1c55c481fa82.png","https://ystcdn.venuertc.com/venue/undefined/2025-12-18-14:41:18/b79a0a5e-411c-4282-8eaf-86fcc7e492bf.png","https://ystcdn.venuertc.com/venue/undefined/2025-12-24-16:17:17/6f411ecf-82d8-4fb5-9371-fa7faba2cb8f.png","https://ystcdn.venuertc.com/venue/undefined/2025-12-24-16:17:16/93f832c4-2264-4094-88fd-6fd80c8d9369.png","#80cbc4","健康科普公益行——携手共建健康未来","健康,科普,公益行,健康知识,公众健康,社会健康,健康活动,健康意识","健康科普工公益行活动,传播健康知识,提高公众健康意识,共同促进社会健康发展,关注您和家人的健康！","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:12:46/1f2ac83a-c564-4aeb-ad97-5b5c4f09bfa5.png","Public",{"menuId":85,"menuName":86,"parentId":67,"orderNum":87,"path":88,"component":89,"isFrame":52,"isCache":53,"menuType":54,"visible":8,"status":11,"createDept":6,"remark":28,"createTime":90,"children":91,"columnImage":92,"columnLogo":6,"uncheckedLogo":6,"checkedLogo":6,"isHot":11,"isHome":11,"forceLogin":11,"color":6,"seoTitle":93,"seoKeywords":94,"seoDescription":95,"contentNum":6,"promotionalPoster":6,"menuFrame":20,"innerLink":20,"parentView":20,"routeName":96,"routerPath":88,"componentInfo":89},"2072205637084844033","医路相伴·健康同行-临床诊疗科普项目",7,"publicMJHPCD","/column/public_publicMJHPCD","2026-07-01 14:28:18",[],"https://ystcdn.venuertc.com/venue/undefined/2026-07-01-14:26:26/a2fbad44-1fd8-4b4b-a43a-15440f69c17e.png","医路相伴·健康同行:临床诊疗科普项目","临床诊疗,医路相伴,健康同行,诊疗科普,医学科普","医路相伴·健康同行临床诊疗科普项目,联合临床一线专家,普及常见疾病诊疗知识,帮助患者了解就医流程与治疗方案。","PublicMJHPCD","慢性病","https://vod.haohuanjiao.com/huanjiao/specialistVideo/959577/728a062f-a2ba-4be4-a9b6-a964deb29b60.mp4?a=0&auth_key=1797054547-a1ee7e900c2a46929e122f52b66ef7f2-0-fc4b518c233ff11342c39f823f54965f&br=2529&bt=2529&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0347cg10004dbon8fq7dld31a4800j0&er=0&l=20261112034654C81B37BB00B2B0B9997F&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=MzM7ZDZvOmlxZTczNGY3M0ApbTM3NGdndDtyZzMzajo2eWdnLTEuYWFuNWxhLS1kNDBzcy0tNV4waTRja18xLS5gMS06Yw%3D%3D&vl=&vr=",{"code":4,"msg":98,"message":6,"data":6,"success":12}]