[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$f_nKOYrRyX1LCYodqU77KdNHZKNa1o6oJ6pj3nZ0Llgc":8,"$fYuNs60NbEbbK_FC0XvCtyQPy-IuGtetgfzWogBqjYl4":60,"$fvG43iUPtBqML53z_J2l8K3yAXSpWHTaNJeZHt3i8V44":61,"$fQIlisqzHC78VsCHklTduopI5YDmj_Kizaoih2uRTwxY":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":59},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"roleType":17,"adept":18,"hospital":19,"department":6,"postsTitle":20,"materialTotal":21,"videoTotal":22,"isConcern":7,"title":23,"coverVertical":24,"coverAcross":25,"directionMarker":26,"description":27,"vid":28,"time":29,"mediaType":21,"views":30,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":31,"seoTitle":32,"seoKeywords":33,"seoDescription":34,"shelvesTime":35,"menus":36,"menuId":38,"type":26,"quality":56,"commentCount":17,"isComment":21,"deviceType":57,"url":58},4684,864495,[],"https://ystcdn.venuertc.com/learnMaterial/ystApp//nGRul2r5LNiQ6Buzs58t8EVOWH6Almu8.png","徐达夫",0,"食管癌、贲门癌、纵膈肿瘤、气胸、手汗症微创治疗。","淮安市第一人民医院","副主任医师",1,27,"70岁也别轻视！这些症状可能预示食管癌！","https://cdn.yishi-tong.com/console/3/1-94G9ykOva5PszvOnE2cNlSL5o7ciOp.png","https://cdn.yishi-tong.com/console/3/nuugGAYQb2UowkI_2uD39Ns4-RBOWwBd.png",2,"  \n大家好，今天想和大家聊一聊一个不容忽视的问题——食管癌。刚才看到的病例是一位70岁的患者，诊断为食管中上段恶性肿瘤，也就是我们常说的食管癌。这个问题并不是一两天就形成的，而是长期积累下来的结果，很多人对它缺乏了解，从而错过了最佳的治疗时机。  \n首先我们说一说食管癌的常见表现。很多患者早期没有明显症状，仅仅感觉吞咽食物的时候有点困难，好像咽喉卡住了一样，这种感觉可能时有时无，持续时间不长，很多人不以为意。但如果这种现象持续并且逐渐加重，甚至发展到喝水时也会感到吞咽困难，那就需要尽早到医院检查了。  \n再来看看食管癌的高危因素有哪些。像这位病人，已经70岁了，食管癌的发病率会随着年龄的增加而上升。长期抽烟喝酒、偏爱烫食或腌制食物、饮食习惯不规律，都会加大食管癌的患病风险。另外，慢性胃液反流对食管的刺激，或是有食管炎症状的人群，也需要特别关注。  \n影像学检查是食管癌诊断的重要手段之一。在这个病例中，通过增强CT检查，可以看到患者食管壁明显增厚、管腔狭窄，并伴有周围脂肪间隙模糊。这样的影像提示了强烈的恶性可能，进一步检查确诊的意义就尤为重要。  \n我们再来聊一下食管癌的治疗。目前，治疗主要有三大方向：外科手术、放化疗以及靶向治疗。从治疗效果来看，如果发现早期食管癌，手术切除是比较理想的选择，但如果已经是中晚期，可能需要结合化疗和靶向药物来控制病情。像这位患者，通过静脉滴注抗肿瘤药物，如顺铂等进行规范的化疗，是已经开始治疗计划的一部分。  \n特别提醒，早期发现对于所有癌症来说都是至关重要的。如果出现症状，比如吞咽困难、胸痛或频繁呕吐，千万不能大意。平时要保持健康的生活方式，多吃新鲜蔬菜水果，避免不健康饮食。如果年龄较大或有家族病史，可以定期做胃镜等筛查。  \n像这个患者的影像报告中还提到两肺有微小结节，虽然目前还算是良性病变，但也提示我们，当癌症存在时，转移的可能也是需要关注的。这也是为什么医生会建议患者定期复查，这样可以动态评估病情变化。  \n最后，希望大家能够重视健康管理，特别是像食管癌这样的疾病，发现时往往已到中晚期。通过定期体检、早期干预，我们能大大提高治愈的几率。今天的分享就到这里，祝大家身体健康，有问题可以随时留言，我们下期再见！  ","v0347cg10004cvub4miljht3am3qc5cg",162,538,"2025-04-07 20:56:58"," 70岁也别轻视！这些症状可能预示食管癌"," 食管癌症状, 70岁食管癌, 食管癌预警, 食管癌早期征兆, 老年人食管癌"," 70岁及以上老年人需警惕！这些症状可能预示食管癌。了解食管癌的早期征兆，及时就医，提高治愈率。关注老年人健康，预防食管癌从识别症状开始。","2025-04-24 17:05:00",[37],{"menuId":38,"menuName":39,"parentId":17,"orderNum":40,"path":41,"component":42,"isFrame":43,"isCache":44,"menuType":45,"visible":21,"status":17,"createDept":6,"remark":46,"createTime":47,"children":48,"columnImage":49,"columnLogo":50,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":51,"seoKeywords":52,"seoDescription":53,"contentNum":6,"promotionalPoster":54,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":55,"routerPath":41,"componentInfo":42},"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,重大疾病",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/864495/acc8926f-5876-406e-9073-bdcae927cc05.tmp?a=0&auth_key=1789021102-8cbf15ebbcc04d109731da7a9890dfe5-0-fa6e5e82b7aec0c7e137533b87754fde&br=768&bt=768&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=4&eid=v0347cg10004cvub4miljht3am3qc5cg&er=0&l=2026081104153450334753B92A9B84743D&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=ajh0cDZrb3BleTczNGY3M0ApZmY2ZHdtbDd4ZjMzajo2eWdgYDBecWdmMXJgLS1kNDBzc2QybmowZWlqX3MxLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":58,"message":6,"data":6,"success":59},{"code":9,"msg":10,"message":6,"data":62,"success":59},{"pageNo":21,"pageSize":63,"result":64,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":66,"success":59},{"authors":67,"appraiseDimensionScoresVos":68},[],[]]