[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fKyL41ZF3x6O_T_GQBkg1ALo9aDbdJH25jyP3fnNdSj8":8,"$fLE9KyCKHfjkb2q-inH-s1BCybdnUgDmH617FbkqWdwI":60,"$fOYr7MOlm3TsqMbUkbs04P88bFsiySlf1a3pdi0l8K44":61,"$f3cs9P8HZrDbhzVJepC2Oyt-HbLng2pPX6Y5E9uvjL0Q":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":17,"videoTotal":21,"isConcern":7,"title":22,"coverVertical":23,"coverAcross":24,"directionMarker":25,"description":26,"vid":27,"time":28,"mediaType":29,"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":25,"quality":56,"commentCount":17,"isComment":29,"deviceType":57,"url":58},6088,863658,[],"https://ystcdn.venuertc.com/learnMaterial/ystApp//cp2wGwodgdetQX0yyVtENd4IkV4eV2VL.png","嵇建",0,"普胸外科常见疾病的诊治。包括：食管及贲门良恶性肿瘤的诊治，肺良恶性肿瘤的诊治，胸外伤的救治，纵隔肿瘤、肋骨肿瘤及手汗症的诊治等。","淮安市第一人民医院","副主任医师",28,"食管癌与多器官健康——79岁患者的病情揭秘！","https://cdn.yishi-tong.com/console/3/KAa21hox8OfHtEMSpWAKm6i82zZObrGg.png","https://cdn.yishi-tong.com/console/3/QMUjIfq16tV1kn6dkAprlX4RI8OVhQtI.png",2,"\n\n大家好，今天我们来聊聊一位79岁患者的病情。这位患者的主要问题是食管中段的恶性肿瘤。食管癌是一种常见的消化道肿瘤，尤其在老年人中更为多见。食管中段的肿瘤通常会导致管壁增厚、管腔狭窄，进而影响患者的吞咽功能。CT检查显示，患者的食管中段管壁明显增厚，并伴有中度强化，这提示肿瘤的可能性很大。\n\n除了食管问题，患者的肺部也发现了一些异常。CT显示，患者的右肺上叶有局部支气管扩张，两肺多发实性结节，较大者位于右肺上叶，约22×14mm。这些结节需要进一步随诊，以排除恶性病变的可能。此外，患者的两肺散在条索影，提示可能存在陈旧性病灶。支气管扩张和肺结节都是需要密切关注的病变，尤其是对于高龄患者。\n\n患者的肝脏和肾脏也发现了一些问题。肝脏内有多发小圆形无强化低密度影，提示可能存在肝囊肿。肝右叶还发现了钙化灶，这是一种常见的良性病变。右肾也发现了一个类圆形无强化低密度影，直径约6mm，提示可能存在肾囊肿。这些囊肿通常是良性的，但也需要定期复查，以监测其变化。\n\n患者的颅内也发现了一些问题。CT显示，双侧基底节、半卵圆中心多发小斑片状低密度影，边缘模糊不清，提示可能存在多发腔隙性脑梗死。脑室系统稍扩张，脑沟裂加深，这些都是老年脑改变的表现。腔隙性脑梗死是老年人常见的脑血管病变，通常与高血压、动脉硬化有关，需要积极控制血压和血脂，以预防进一步的脑损伤。\n\n患者的冠状动脉也发现了一些问题。CT显示，左侧冠状动脉多发钙化，钙化积分为159.00。CTA显示，左前降支、左旋支和右冠状动脉的近中段管壁均有不同程度的斑块，管腔轻度狭窄。冠状动脉粥样硬化是冠心病的主要病因，轻度狭窄虽然不一定会引起明显的症状，但也需要积极干预，以预防心肌梗死的发生。\n\n综合来看，这位患者的病情比较复杂，涉及多个器官系统。食管癌是主要的病变，但肺部、肝脏、肾脏和脑血管的问题也不容忽视。对于这样的患者，治疗需要多学科协作，制定个体化的治疗方案。希望通过今天的讲解，大家能对食管癌及相关并发症有更深入的了解。如果有任何疑问，欢迎随时咨询您的医生。谢谢大家的观看！","v0247cg10004d0ip7haljhted6qtiti0",164,1,524,"2025-05-08 17:35:14"," 食管癌与多器官健康——79岁患者病情解析与治疗指南  "," 食管癌症状,老年癌症治疗,多器官健康,79岁患者案例,食管癌诊断,癌症康复  "," 本文深入解析79岁老年患者的食管癌病情，探讨食管癌对多器官健康的影响，提供症状识别、诊断方法和治疗建议，帮助患者及家属了解疾病管理与康复要点。","2025-05-17 18:04:00",[37],{"menuId":38,"menuName":39,"parentId":17,"orderNum":40,"path":41,"component":42,"isFrame":43,"isCache":44,"menuType":45,"visible":29,"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/863658/d9073404-4cf4-4d46-9903-c902df498a34.tmp?a=0&auth_key=1789023861-9c111a61fd6140b0851a83ec22c49d3b-0-fa1b61b5499365715743039c57520950&br=582&bt=582&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=4&eid=v0247cg10004d0ip7haljhted6qtiti0&er=0&l=2026081105013129EC70A5A77E8885551A&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=M3d3OWhrb2tzMzczNGY3M0ApbGx0Z3dtZDpsZzMzajo1eWdmZm5hcWdeNGZhLS1kNC9zcy1xcTNiZWllbS0xLS5gMS06Yw%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":29,"pageSize":63,"result":64,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":66,"success":59},{"authors":67,"appraiseDimensionScoresVos":68},[],[]]