[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fEImR3NZKAmLDbmh363aJDvBoqOJlRr_u3mVQ2YeYLDE":8,"$frt3Z5mPhBQeR5PGe_CuHzPQWSx11_G9hBGz5yeG6LEQ":61,"$fDDYlVdozublaz74btiS0MZVloZMEVAJpXwuH3owkhq4":62,"$fnWbusmEr-cxQCz4XhlRMsuZsHzzanmsVkuEUiLZ-Qws":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},5038,866389,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//uGZs2N2B9CRGTeM2GBv4SYUzRnquJaJt.png","王敏",0,"老年麻醉，危重症麻醉，产科麻醉。普外科麻醉，骨科麻醉等、麻醉手术、麻醉用药及疾病治疗","太仓市第一人民医院","麻醉科","副主任医师",5,"骨折手术不可怕！掌握手术与麻醉的细节","https://cdn.yishi-tong.com/console/3/5-HDVKRwfKEYCh1_z77QZKrVcwHMSZgA.png","https://cdn.yishi-tong.com/console/3/sT5p4NqjlifhJrLr3kKN5Iy-S6bJ3YFH.png",2,"  \n今天我们来聊聊一个非常常见的骨科问题——肱骨近端多发性骨折。可能有些朋友听着有点陌生，其实简单来说，就是上臂的大骨头受伤了，出现了多处骨折。骨折后，如果需要手术治疗，大多数人都会对手术和麻醉感到紧张。现在让我来为大家详细解释一下这个手术的过程和相关的注意事项。  \n这位患者的诊断是肱骨近端多发性骨折，在临床上，我们会根据骨折的位置、严重程度和患者的整体健康状况，选择合适的治疗方法。如果骨折移位严重或者骨头对位困难，医生通常会建议进行肱骨切开复位内固定手术。手术的原理是通过切开皮肤和软组织，将骨折端复位到正确的位置，并用金属内部固定物固定起来，确保骨头愈合的稳定性。  \n说到这里，有些人可能最关心的是麻醉方式和安全性。这次的手术麻醉方案是“全身麻醉联合臂丛神经阻滞”。全麻的作用是让患者在手术过程中完全无痛且进入睡眠状态，而臂丛神经阻滞可以更精确地控制手术部位的疼痛，进一步提高术后舒适度。这种结合方式是非常成熟的技术，不需要额外担心。  \n手术过程中，为提高患者的安全性和保障生命体征稳定，我们会有详细的监测，比如血压、脉搏、体温以及呼吸情况。整个术前、术中和术后阶段都有专业的麻醉医生和护理团队全程陪伴和观察。比如在这个病例中，医生在麻醉开始前会做一些必要准备，包括静脉穿刺、气管插管等操作，并对术中可能出现的疼痛、低血压等问题及时用药处理。  \n关于术中液体管理，这是另一个非常重要的过程。病例中使用了乳酸钠林格液和琥珀酰明胶等补液，目的是维持患者血液循环的稳定，同时补充因术中出血等原因导致的液体丢失。此外，对于术中失血，医生也会实时评估，根据患者情况决定是否需要输血。  \n术后患者的恢复也是非常关键的一环。手术顺利完成后，患者会进入苏醒室，我们会观察他的意识是否清楚、是否能够自主呼吸、生命体征是否稳定。这位患者在手术后病情良好，失血量控制在可接受范围内，尿量也正常，证明肾功能没有受到影响。医生会交代清晰的术后护理和康复措施，确保患者能更好恢复。  \n最后我要提醒大家，骨折后选择合适的治疗方案非常重要，而麻醉与手术也是整个治疗中不可忽略的环节。如果您或者家人有类似的问题，不要害怕手术及其麻醉，只需要选择有经验的医生和正规医院，听从专业建议，就能大大降低手术风险，提高恢复的质量。  \n希望今天的分享可以消除您对骨折手术的疑虑。如果还有其他健康相关的问题，可以随时留言提问哦！祝大家平安健康。  ","v0247cg10004cvsbmfaljht5m5p5823g",175,1,543,"2025-04-07 21:17:29"," 骨折手术不可怕！掌握手术与麻醉的细节，轻松应对治疗过程  "," 骨折手术, 麻醉细节, 手术过程, 骨折治疗, 术后恢复, 手术注意事项  "," 骨折手术并不可怕，了解手术与麻醉的细节可以帮助您更好地应对治疗过程。本文详细介绍了骨折手术的步骤、麻醉方式以及术后恢复的注意事项，助您轻松面对治疗，快速恢复健康。","2025-04-20 17:10:00",[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","运动损伤",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/866389/1484b571-d30d-4f6c-8a4c-bc78bcd04f24.tmp?a=0&auth_key=1789003575-8e93ca595158400481cf2df4befca0a5-0-0c06cf41a4538065c454445b2b393b47&br=672&bt=672&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=4&eid=v0247cg10004cvsbmfaljht5m5p5823g&er=0&l=20260810232314EA678ED126A7B3F0FBC4&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=ajU4ODhrb2lleTczNGY3M0ApNjtzcHdtZHB2ZjMzajo1eWcwNW1qcWdeanBgLS1kNC9zc2QvMjIyZWljX3MxLS5gMS06Yw%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},[],[]]