[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$foq0XZo6mt1CxMZNfC-S2tzy6tehbH6c6OB-9wA72TrU":8,"$fvelupTKujPIHEPMHsUZk2l5g2f8DYTQoMs15PqZAaqs":62,"$fATdWWrn4bRpYgVQBn6yQIWYIOxD72Mnr6YHvgNkUai8":63,"$fwm09Th0UKFsqr8HmSU3S_Dc4mD1BGP4sUZxIa3PqHMk":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},4356,863123,[],"https://ystcdn.venuertc.com/medical/ystApp/e2VFlsgZOjepfngxqYE0iWnN5t17aKqm.png","高浩",0,"普外科麻醉，骨科麻醉等、麻醉手术、麻醉用药及疾病治疗","上海中医药大学附属曙光医院","麻醉科","主治医师",18,21,"震惊！肺肿瘤手术居然是这样进行的！","https://cdn.yishi-tong.com/console/3/Of9-mWotS7WZqggs353gvHqy5lNLCaH_.png","https://cdn.yishi-tong.com/console/3/5LGte6yJU4yKl0jBbPP92ZjVV5ZnFua7.png",2,"\n\n大家好，我是你的医生。今天我要给大家分享一个关于肺肿瘤手术的真实案例，这位患者来自上海市，今年73岁。她被诊断为肺肿瘤，接受了胸腔镜下肺叶切除术。很多朋友对这样的手术还是比较陌生，今天我们一起来了解一下。 \n\n首先，什么是胸腔镜下肺叶切除术呢？通俗来讲，这是一种微创手术，通过胸腔镜，将摄像头和手术器械伸入患者体内，医生可以在屏幕上查看内部情况并进行手术。这种方法创伤小、恢复快，特别适合老年患者。\n\n在这位患者进行手术前，需要做很多准备工作。她通过静脉滴注NS250毫升加头孢呋辛钠1.5克来预防感染。这是常规的术前用药，目的是保证手术过程中的安全。麻醉方面，这次采用的是全麻复合神经阻滞，主要麻药有罗库溴铵、舒芬太尼、地佐辛和丙泊酚，其中丙泊酚是通过目标控制输注（TCI）的方式给药。在手术中，医生会经过精确的计算，使用不同的麻药组合来保证患者的感受舒适，同时保持心肺功能的稳定。\n\n在手术过程中，患者需要稳定的血液循环和供氧。这次手术中，使用了氧气复合空气，浓度为60%，以确保患者体内的氧气供应。另外，通过乳酸钠林格注射液进行补液，术中总共输液1000毫升，来维持血液容量。这些措施都是为了保证手术顺利进行，减少术中风险。\n\n手术的关键步骤之一是动脉穿刺和中心静脉穿刺，在术中这能提供更精确的血压监测和药物输注。此外，还需要进行气管插管，这次使用的是可视喉镜引导下气管插管，可以更直观地保证气管插管位置的准确性。整个过程有大量的监测和记录，以确保手术的每个环节都在预期中进行。\n\n对于麻醉的管理，这次采用了BIS监测，通过脑电双频指数（BIS）来监测麻醉深度。这个技术可以帮助我们更好地控制麻醉深度，减少术中知觉恢复的风险。这对于患者的舒适度和手术的顺利进行都有非常重要的作用。\n\n可以看到，手术的每一个环节都在医生和护理团队的精心准备和实时监控下进行，整个过程都极其严谨和科学。在接受手术的过程中，尽管需要很多医学手段和复杂的操作，但这一切都是为了患者的健康和术后的快速恢复。\n\n通过这个案例，我们可以看到现代医学技术的进步和应用在实际中的具体体现。这也让我们对肺肿瘤这样的疾病和其治疗手段有了更深入的了解。如果您的家人或朋友面临类似的情况，希望这个视频能帮助他们更好地理解治疗过程，从而减少焦虑和恐惧。\n\n感谢大家的观看和支持！我是你的医生，希望大家保持健康，有任何医学问题都可以在评论区留言，我会尽力为大家解答。祝大家生活愉快！","v0d47cg10004cvejqlqljhtb6p5sh0hg",171,1,509,"2025-03-21 16:15:02","震惊！肺肿瘤手术过程全揭秘，了解手术细节与风险","肺肿瘤手术, 肺癌手术, 肺部手术过程, 肿瘤切除, 手术风险, 术后恢复","深入了解肺肿瘤手术的全过程，包括手术步骤、潜在风险及术后恢复。掌握关键信息，为肺肿瘤患者及其家属提供全面的手术指导与建议。","2025-03-24 15:01:00",[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/oQXjjqpdIQr44WREQvrsIrAmPg7eIpMkzg6NUP?a=0&auth_key=1789009214-6c161f23b7a443688cb68e44e45440f0-0-10a2faed8493c5b4144a764863ae046a&br=802&bt=802&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=37cb055bfc904139af6cf88cb7dae066&er=0&l=20260811005718C2D52BE5DC92897F17A6&lr=&mime_type=video_mp4&net=0&pl=0&qs=0&rc=ajN2c2Vrb29teTczNGY3M0ApOWhnZTtpOWQ2NzxpODNmNmdlZTIzcWdubmJgLS1kNGFzczMtXjRgNWBjNi4tYF8yXzQ6Yw%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},[],[]]