[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$foTIBKdAzkVSJwAPehNUpzOJfNaXMlJaz6eID6ElSioE":8,"$foM8aCOzBwdpkP3xo9M2dY17K8t5Dg3DwXg0N4P94eak":61,"$fIhk0lfC7oDFpplLK6KND1PGrMCrXewQDAVgQC-5mywQ":62,"$f6JpTApMs-TbmpSixmpaxNZjXg4AV0X6gl-lbOcdGvrE":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":22,"videoTotal":23,"isConcern":7,"title":24,"coverVertical":25,"coverAcross":26,"directionMarker":27,"description":28,"vid":29,"time":30,"mediaType":22,"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":27,"quality":57,"commentCount":17,"isComment":22,"deviceType":58,"url":59},5309,864499,[],"https://ystcdn.venuertc.com/learnMaterial/ystApp//O9m0wE7IWfyur7WxbsixpXuYM5yCsuSm.png","袁维栋",0,"擅长：肝胆胰脾外科常见病的规范化诊疗，成熟开展腹腔镜下胆囊切除、腹腔镜下肝部分切除、解剖性肝切除、腹腔镜下保胆取石手术、腹腔镜下胆总管切开取石一期缝合（不保留T管）、经皮胆道镜取","淮安市第一人民医院","普外科","副主任医师",1,24,"74岁高龄患者竟患多种疾病！胆囊结石、脑梗塞、颈静脉血栓如何威胁健康？！","https://cdn.yishi-tong.com/console/3/t5oTbK0-Z8YoE1iC6uNptfEB-yk8aI_6.png","https://cdn.yishi-tong.com/console/3/yKtPr3myFNOvyVIOMEHLAFP0uc8t6oR_.png",2,"\n\n大家好，我是您的健康守护者医生，今天想跟大家聊一聊一个非常复杂的病例。相信很多人对胆囊结石、脑梗塞、心血管疾病都或多或少有所耳闻，但如果这些疾病集中发生在一个人身上，会是什么样的状况呢？今天这个病例真的给我们敲响了健康警钟。 \n\n这位患者是74岁的老年人，同时伴有多种慢性疾病，包括胆囊结石、高血压、冠心病、房性期前收缩以及脑动脉瘤等。在影像检查中还发现患者脑部有腔隙性脑梗塞的情况，肝脏部分异常信号，双肾还有多发囊肿。这种复杂的疾病状态，在医学上称之为多合并症患者，处理起来难度非常大。 \n\n我们来说说胆囊结石。胆囊是帮助人体储存和排放胆汁的器官，胆汁对于消化脂肪特别重要。饮食不规律、过多进食油腻食物，或者是长期高脂饮食会导致胆汁成分的改变，形成结晶体，逐渐沉积就成了胆囊结石。胆囊结石会引发胆囊炎，疼痛、恶心、呕吐、发热等症状就会接踵而来。对于老年患者来说，胆囊结石如果不及时处理，极有可能造成更严重的感染甚至穿孔。 \n\n再来说说脑梗塞，特别是腔隙性脑梗塞。它的形成是由于脑血管小动脉受到了慢性损害，血流中断导致的。很多高血压、糖尿病患者都可能是高危人群。这种脑梗塞可以是无声的，但却不可小觑，它会导致慢性脑组织损伤，表现为记忆力下降、行动迟缓，甚至引起脑卒中。 \n\n这位患者的另一个重大威胁是心血管疾病。冠状动脉狭窄这种情况下，心脏的供血会受到严重影响，因此容易发生胸痛、气急甚至心梗。另外房性期前收缩是一种心律不齐的表现，它增加了发生血栓的风险，而血栓进一步可能引发中风，甚至心脏衰竭。  \n\n我们还需要注意到，患者桌面上的颈静脉血栓问题。这是一种可能引起致命风险的疾病。一旦血栓脱落，随血液流动到肺部，就可能造成肺栓塞，严重时可危及生命。这种情况下，不仅需要监控血液的凝固状态，还需要进行积极的抗凝治疗。  \n\n很多人可能很疑惑，这位患者为什么会出现这么多问题？其实，生活方式和慢性病管理是关键因素。比如饮食中高脂肪含量、缺乏运动、长期高血压控制不理想等都可能是潜在原因。对于70岁以上的老年人，每年体检和及时调整生活方式至关重要。如果您或者您的家人有类似的症状或者问题，一定要尽早就医，以免延误病情。  \n\n以上就是今天内容的分享，希望借这位患者的病例提醒大家保持良好的生活习惯，坚持健康饮食、适当运动，同时对自身的慢性病管理保持重视。健康不仅仅是生命的财富，更是幸福的基础。希望大家都能拥有健康长寿的生活！","v0247cg10004cvsb8naljht5m5p5795g",189,530,"2025-04-07 21:30:41"," 74岁高龄患者胆囊结石、脑梗塞、颈静脉血栓多重疾病威胁健康解析"," 74岁高龄患者, 胆囊结石, 脑梗塞, 颈静脉血栓, 多重疾病, 健康威胁"," 本文深入解析74岁高龄患者同时患有胆囊结石、脑梗塞和颈静脉血栓的多重疾病，探讨这些疾病如何共同威胁患者健康，并提供预防和治疗建议。","2025-04-24 06:05:00",[38],{"menuId":39,"menuName":40,"parentId":17,"orderNum":41,"path":42,"component":43,"isFrame":44,"isCache":45,"menuType":46,"visible":22,"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","慢性病,重大疾病",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/864499/8ed530eb-b294-4bc6-9e22-83fb34749f9a.tmp?a=0&auth_key=1789026268-a7c1a8f080624dd68669ef9ec2e6d8a3-0-ee7235721295ac07d23c4a187d6b8591&br=474&bt=474&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=4&eid=v0247cg10004cvsb8naljht5m5p5795g&er=0&l=2026081105411493AF32FC367708044828&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=ajw4ODhrb3FleTczNGY3M0ApODpzcHdtZDt2ZjMzajo1eWcyNG1qcWdeNXBgLS1kNC9zc2Q2MjIyZWlrX3MxLS5gMS06Yw%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":22,"pageSize":64,"result":65,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":67,"success":60},{"authors":68,"appraiseDimensionScoresVos":69},[],[]]