[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fqN1oEjnESH6wy7GhFLu8Ny3IKy8GO8x9q88OKz3mJpo":8,"$fkNxjsVC7meO4DsutBpv0j4OOeQTKJIIIAJ56OZEnnl4":61,"$f8aAITJkTah1QEEr0MFnTG7C6q_g6Dj1FgwbnJn7apRs":62,"$fmhlIabqpsVgYzcjPabDoRoKD45nLHfXPKBnfRb1e9W4":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":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},4389,827112,[],"https://ystcdn.venuertc.com/medical/ystApp/SOiCDC94nSXZfo8cPyi3WIINisnhtmp9.png","王芬",0,"ERAS 危重症患者管理","上海市第十人民医院","麻醉科","副主任医师",30,"63岁高血压患者竟然做了这个手术！——腹股沟疝的真相揭秘","https://cdn.yishi-tong.com/console/3/KCxuIGPWmTAgfFcXI5QarktuyuVcPto4.png","https://cdn.yishi-tong.com/console/3/VxVw0lW-2wT-VKZdS26fmOfBq8KfVnO2.png",2,"\n\n嘿，大家好，我是你的医生。今天我们来聊聊一个常见但是大家可能不太了解的问题——腹股沟疝，特别是老年人腹股沟疝的处理和注意事项。\n\n你知道吗？刚刚我们有个63岁的患者进行了腹腔镜下经腹膜前腹股沟疝补片修补术，而且他还有高血压病史。这个手术的英文缩写是TAPP，可能听起来很专业，但其实就是我们通过微创手术来修补腹股沟疝。\n\n首先，什么是腹股沟疝呢？简单来说，腹股沟疝是一种腹腔内容物通过薄弱的腹壁向外突出形成的包块，主要发生在腹股沟区域。大多数人会在走路、站立或咳嗽时发现自己腹股沟位置有一个突出的“小包”。这不仅仅是看上去不美观，更重要的是它可能会引起疼痛或其他并发症，严重时甚至可能会影响肠道的血供，引发危及生命的情况。\n\n为什么老年人容易患腹股沟疝呢？主要是因为随着年龄的增长，腹壁肌肉逐渐变得薄弱，加上我们的腹压增高，比如长时间站立、咳嗽、便秘等，都可能导致疝气的发生。我们的患者就是由于慢性高血压，平时需要口服药物控制血压，这些都是容易诱发疝气的因素。\n\n对于腹股沟疝的治疗，微创手术已经成为主要的手段之一。腹腔镜下经腹膜前腹股沟疝补片修补术（TAPP）是一种典型的微创手术，它通过几个小切口解决大问题。我们的患者就是通过这种手术顺利修补了疝气。\n\n那么，这个手术有什么优点呢？首先，切口小，恢复快。传统的开放手术需要一个较大的切口，而TAPP只需要几个小孔，创伤小，术后疼痛也会相对减轻。其次，手术过程中使用补片对腹壁进行修补，可以有效防止疝气的复发。最后，患者可以更快地恢复正常活动，减少了住院时间和医疗费用。\n\n对于患有高血压的病人来说，手术前后的准备和监控尤为重要。我们的患者有10年的高血压病史，平时服用苯磺酸左旋氨氯地平来控制血压。术前会详细评估他的心功能和血压控制情况，确保手术的安全性。在手术过程中，我们使用全麻喉罩和超声引导下麻醉，这种麻醉方法安全高效，适合手术时间较短、创伤较小的微创手术。\n\n大家可能还关心术后的事项。其实，像我们的患者术后恢复非常顺利，手术仅仅一个多小时，术后恢复也非常快。医生通常会建议他短期内避免重体力活动，饮食方面保持清淡，多喝水，避免便秘。\n\n最后，几句提醒送给大家，如果你或者家人有类似的症状，一定要及时就诊。腹股沟疝并不可怕，及时治疗是关键。万一需要手术，也不要过于担心，现代微创技术已经非常成熟，术后恢复快，不影响生活质量。\n\n好了，今天的分享就到这里，希望大家对腹股沟疝有了更多了解。如果你有其他问题，欢迎留言，我会一一解答。记得关注我们，获取更多健康知识哦！","v0d47cg10004cvejnq2ljhtffe59v1j0",133,1,517,"2025-03-21 17:10:55"," 63岁高血压患者腹股沟疝手术真相揭秘——专家解析手术风险与康复指南  "," 高血压患者, 腹股沟疝手术, 63岁手术案例, 疝气治疗, 手术风险, 术后康复, 疝气真相  "," 一位63岁的高血压患者成功完成腹股沟疝手术，本文揭秘手术过程、风险及术后康复要点，帮助患者及家属了解疝气治疗的真相与注意事项。","2025-03-23 14:55:00",[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/ocATzx3pERNo9hQHeAPZxfvPYIHxgo6UndBxmV?a=0&auth_key=1789014498-778d3f2f8a6b4fe4a36ad90d57f68f33-0-22a5215c199f8c1efc4726ae4dd4650f&br=922&bt=922&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=6fbd4c381af9499d862904198f306ad8&er=0&l=202608110226006330DFEFCCC253F9FB76&lr=&mime_type=video_mp4&net=0&pl=0&qs=0&rc=MzQ8aGlrb3RteTczNGY3M0ApZzk2OzQzNTs8N2k0NjdlOWdnczJjcWcva2JgLS1kNGFzczVeLWM2MTYzYTY2XjVgYWM6Yw%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},[],[]]