[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$foqI3Cx7yPEILaofDa8a0YskeLITiCAM9OBvXeycdeAg":8,"$fnX8Uz25juV4JBYybVD-cR44wnjyFS-AwjTc-AOENZI8":59,"$fj7UXBnpG_P6CmGQizWYP4AeGVpftG5RF3APeBSmcmoo":60,"$fPD-rz1IIqMrljGrccXH3cMaVwnG-CIrOt5hf4GAw-9k":64},{"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":58},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":22,"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":22,"quality":6,"commentCount":17,"isComment":29,"deviceType":56,"url":57},6984,869443,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//8IHFUxiWh5KMS564xikr8RtDshC4zCPs.png","代贵超",0,"麻醉相关操作用药及手术","七台河市人民医院","麻醉科","主治医师",2,"孕晚期椎管内麻醉：为何90%的产妇会错过最佳时机？","https://cdn.yishi-tong.com/console/3/p29YV23pdbL1yGMnm_9BuWJBqmMjE4oz.png","https://cdn.yishi-tong.com/console/3/G29JGZon6QBGfYp8fKxYhcc9Y-ymJpCW.png","\n\n大家好，我是七台河市人民医院麻醉科的代贵超医生。今天我们来聊聊剖宫产手术中常用的麻醉方式——椎管内麻醉，以及它为何受到众多产妇的青睐。\n\n以一位30岁女性患者为例，她在妊娠37周时选择剖宫产，身高162cm，体重75kg，属于老年孕妇。她在入院时，医生确认其临床诊断为孕足月，并提到她在待产前未及时到达医院，这可能会影响到母婴安全。经过详细的生化报告分析，医生为她制定了合适的手术方案。\n\n椎管内麻醉是剖宫产中最常用的麻醉方式之一，主要包括硬膜外麻醉和脊髓麻醉。相较于全身麻醉，椎管内麻醉具有多项优势。首先，它能够有效控制术中疼痛，产妇在手术过程中保持清醒，能够及时与医生沟通，感受到宝宝的出生瞬间。其次，椎管内麻醉对母体的影响较小，术后恢复较快，减少了全身麻醉可能带来的并发症。\n\n当然，椎管内麻醉也并非没有风险。对于我们的患者，医生在手术前详细告知了可能出现的风险，包括胎心消失、药物反应、麻醉风险、术中出血等。通过与医生的充分沟通，患者能够更好地理解手术过程及可能的后果，从而减轻心理负担。\n\n在手术中，患者使用了枸橼酸舒芬太尼作为麻醉药物，术后继续静脉注药48小时，以控制疼痛。这样的麻醉方案不仅有效缓解了术后疼痛，还确保了患者的舒适度。\n\n总结来说，椎管内麻醉因其安全性和舒适性，成为了90%产妇的首选。对于选择剖宫产的孕妇来说，了解麻醉方式的优缺点，能够帮助她们做出更明智的决策。希望每位准妈妈都能在医生的指导下，顺利迎接新生命的到来。","v0347cg10004d0skmo2ljht37vbshpg0",125,1,523,"2025-05-30 09:05:46"," 孕晚期椎管内麻醉：为何90%的产妇会错过最佳时机？  "," 孕晚期麻醉,椎管内麻醉时机,分娩镇痛,产妇麻醉风险,最佳麻醉时间  "," 本文探讨孕晚期椎管内麻醉的关键时机，分析90%产妇错过最佳麻醉时间的原因，并提供专业建议帮助准妈妈更好地规划分娩镇痛方案。","2025-06-03 15:28:00",[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",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/869443/66b00376-45f1-40af-9493-7a91c85d0455.tmp?a=0&auth_key=1789013764-ee3f077e39364a46a75c9b1c26e3aec0-0-b782584988018e345c3299f2fbb08a07&br=744&bt=744&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0347cg10004d0skmo2ljht37vbshpg0&er=0&l=20260811021354BAA80D6FD8E06980F4F4&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=M3N2eTZrb3JuMzczNGY3M0ApamtlOndtNXB2ZzMzajo2eWdkZV80cWcvanBhLS1kNDBzcy1tcHMwZWlsaC0xLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":57,"message":6,"data":6,"success":58},{"code":9,"msg":10,"message":6,"data":61,"success":58},{"pageNo":29,"pageSize":62,"result":63,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":65,"success":58},{"authors":66,"appraiseDimensionScoresVos":67},[],[]]