[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fd604tIaeMDr3rYAAyTsYLCgIVDBFimAHY7jtU0_P6Zo":8,"$ffZ5Nd2csCshVLUbFmOUDcPFATijTwcV8twX0mKu5xCE":62,"$fF1xKmli3Gk_ZJaMKd62YqCTjyLBrr91vmMpifE0EI6s":63,"$fKtMCYFO9Y8CdPQF0MUfjYuu08D3mubgCul8Wt8zjo3Q":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},4519,865969,[],"https://ystcdn.venuertc.com/learnMaterial/ystApp//1GlJut1m5HPStEEoXkC5uFC4lkurqG2f.png","季君慧",0,"各科手术全身麻醉，神经阻滞等。普外科麻醉，骨科麻醉等、麻醉手术、麻醉用药及疾病治疗","苏州大学附属第一医院","麻醉科","副主任医师",16,6,"脑梗死的秘密——你的颈动脉在警告你！","https://cdn.yishi-tong.com/console/3/f6wo5_JcQ6momAiGKUPgAkCyviPrVDxU.png","https://cdn.yishi-tong.com/console/3/fHSUXZQHegGj0BpjAiSGrcvWpUwgGaaH.png",2," \n\n大家好，我是神经外科的医生。今天我们来聊聊一个非常重要但却容易被忽视的问题——脑梗死，尤其是它与颈动脉问题息息相关的秘密。或许有朋友会问，什么是脑梗死？字面听起来吓人，实际上它是一种由于脑供血不足而导致的脑组织损伤，常常是中老年人健康道路上的大敌！ \n\n脑梗死和颈部血管密不可分，尤其是颈内动脉。颈内动脉就好比是“高速公路”，它为大脑输送血液。然而，如果这条“高速公路”被堵住了，大脑就会失去足够的氧气，最终可能引发脑梗死。在病例里，患者的左侧颈内动脉闭塞，右侧颈内动脉虹吸部中度狭窄。听起来复杂，但通俗地说，就是一条“主路”完全堵住了，另一条“主路”也变得狭窄了，交通压力非常大，这就很容易导致不好的后果。 \n\n有些朋友可能会好奇，我们的身体不会自己“想办法”吗？当然会的！身体会试图通过侧支循环建立血液的“迂回小路”，就像城市里的“旁路”。不过，这样的补救措施往往是杯水车薪，真正的供血障碍依然难以解决。所以，及早发现并处理颈内动脉问题是预防脑梗死非常关键的一步。 \n\n再来说说常见的表现，如果有一侧动脉出现堵塞或者狭窄，可能会有头晕、视力模糊、偏瘫、言语不清等症状。如果这些症状突然出现并且持续几分钟以上，请务必引起重视，这可能是短暂性脑缺血发作，俗称“小中风”，是脑梗死的警报器！ \n\n有朋友可能会问，如何知道自己的颈动脉有没有问题呢？目前比较常用的检查方法是颈动脉超声。就像病例中，我们通过经颅多普勒检测到了患者的颈动脉状况，包括血流速、血流方向等。这种检查无创、安全、方便，是筛查颈动脉问题的重要工具。对于高危人群，比如有高血压、糖尿病、高脂血症、吸烟史等人群，建议定期做一次。 \n\n当确诊颈动脉狭窄或闭塞后，我们就要采取干预措施了。如果是轻度狭窄，通常通过严格控制血压、血糖、血脂，加上抗血小板聚集药物治疗就可以改善。如果是重度狭窄甚至闭塞，可能需要考虑手术，比如颈动脉内膜剥脱术、颈动脉支架植入术等。这些听起来复杂的手术，其实就是在为你的“大脑高速公路”疏通车道，保障交通正常运行。 \n\n最后要提醒大家，脑梗死并不是老年人专属的风险，年轻人如果长期不健康饮食、作息紊乱、吸烟酗酒，也会增加患病概率。所以，健康的生活习惯和积极的体检对每个人都至关重要！ \n\n保护你的颈动脉，就是保护你的大脑！希望今天的分享能够帮到你，如果有相关的问题或者症状，一定要尽早去医院进行检查和咨询。感谢大家收看，我们下次见！ ","v0347cg10004cvubclaljhtbb8q8g60g",222,1,552,"2025-04-07 20:47:26"," 脑梗死的秘密——你的颈动脉在警告你！  "," 脑梗死, 颈动脉, 脑卒中, 脑血管疾病, 健康预警, 预防脑梗, 颈动脉斑块  "," 了解脑梗死的早期预警信号，关注颈动脉健康。本文揭示颈动脉斑块与脑梗死的关系，提供预防脑卒中的实用建议，帮助您及时识别风险，保护脑血管健康。","2025-04-19 17:15:00",[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","慢性病,重大疾病",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/865969/e9dfb5ac-93fe-40d0-ae11-6043ece4fbcb.tmp?a=0&auth_key=1789007441-10d4cff8e517465b8d5d0c8c4c416c51-0-ff42f10327179d3453b8d51e7715771c&br=841&bt=841&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0347cg10004cvubclaljhtbb8q8g60g&er=0&l=202608110026530BD9806955A946268CAB&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=ajk7O2Vrb29leTczNGY3M0ApM2p0ZXdtZGZ4ZjMzajo2eWctZG5fcWdeYHJgLS1kNDBzc2QzNTVfZWlpX3MxLS5gMS06Yw%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},[],[]]