[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fpDN7pAohAaG4jwhmABgMLzcXb2Dnf9lSxvX2qKJ_6ic":8,"$fHT0aTZv1OHIU4aWM5iYYN0nba0wj-XiVKEFzASMH6ew":61,"$f8BUp8lWWzFwb_7vQETug1n1Hbq0qbxc8wd6DWFwiklo":62,"$fSZUqbcl5rARHfFznn7wi-T_75tOtEHs9SGn9DF9_RqU":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":22,"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":22,"quality":57,"commentCount":17,"isComment":30,"deviceType":58,"url":59},7132,863761,[],"https://ystcdn.venuertc.com/medical/ystApp/9mmNVCgOkpSlyCFnXAWOy0cAMOwlE9Lt.png","陈玉娇",0,"老年慢性病的诊断和治疗","上海市静安区江宁路街道社区卫生服务中心","全科医疗","主治医师",2,8,"脑卒中患者的多重挑战：87岁男性的真实案例分析","https://cdn.yishi-tong.com/console/3/68ofVFTQjFUhbQNalqr6JMEBI8-r82eT.png","https://cdn.yishi-tong.com/console/3/jtMy4rO-11k2qlpLlcs14mVFPr2HL5Go.png","脑卒中患者的多重挑战：87岁男性的真实案例分析\n\n大家好，我是陈玉娇，来自上海市静安区江宁路街道社区卫生服务中心的全科医生。今天，我想和大家分享一个87岁男性患者的真实案例，帮助大家更好地理解脑卒中及其相关并发症的管理。\n\n这位患者在临床上被诊断为脑卒中，同时还伴有前列腺增生、急性支气管炎和耳鸣等症状。他的既往病史包括脑梗死、2型糖尿病、慢性胃炎、高脂血症和老年性骨质疏松等。这些慢性病的存在，使得他的身体状况相对较为复杂，治疗和管理都需要特别谨慎。\n\n在这位患者的用药方面，他正在服用银杏叶提取物片和甲磺酸多沙唑嗓。银杏叶提取物常用于改善血液循环，可能对脑卒中后的康复有一定帮助；而甲磺酸多沙唑嗓则用于缓解呼吸道症状，适合急性支气管炎患者。然而，老年患者在用药时需要特别注意药物的相互作用和副作用，定期随访和评估病情变化是非常必要的。\n\n近期，这位患者出现了咳嗽和咳痰的症状，但没有发热。家属对此表示担忧，并要求代配药。对于老年患者，呼吸道感染的风险较高，及时就医和合理用药至关重要。我们建议患者在购药时注意药品的有效截止时间，并选择信誉良好的药店。\n\n脑卒中患者的管理不仅仅是针对脑部的治疗，还需要综合考虑其他慢性病的影响。例如，前列腺增生可能导致排尿困难，而急性支气管炎则可能加重呼吸道症状。这些并发症的存在，可能会影响患者的生活质量和康复进程。\n\n在处理这类复杂病例时，医生需要与患者及其家属进行充分沟通，确保他们了解病情的严重性和治疗的必要性。同时，制定个性化的治疗方案，关注患者的整体健康状况，才能更好地帮助他们度过难关。\n\n通过这个案例，我们可以看到，脑卒中患者的管理是一个多方面的挑战。希望大家能够重视脑卒中的早期识别和干预，及时就医，合理用药，以降低并发症的风险，提升生活质量。","v0247cg10004d2v7urqljhtaphm66q00",181,1,476,"2025-06-14 10:46:58"," 87岁脑卒中患者的多重挑战：真实案例分析与康复策略  \n"," 脑卒中康复,老年脑卒中案例,脑卒中患者挑战,87岁脑卒中治疗,脑卒中后遗症管理  \n"," 本文通过一位87岁男性脑卒中患者的真实案例，深入分析老年脑卒中患者面临的多重挑战，包括运动功能障碍、言语障碍和日常护理难题，并提供专业的康复建议和治疗方案，帮助患者家属更好地应对脑卒中后的照护需求。","2025-06-24 20:03:20",[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","慢性病,重大疾病",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/863761/799cc430-aaa6-4f0e-b0f8-efa49be503e6.tmp?a=0&auth_key=1789015338-028c5cb31a2a42dd95add86946dfc5ed-0-9b1a610089b6a8f769d0bd84a8d80c52&br=809&bt=809&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=4&eid=v0247cg10004d2v7urqljhtaphm66q00&er=0&l=2026081102391250D7DA0A3FC5DE2FD39E&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=M3Q5a2Rrb3U6NTczNGY3M0ApMzlwc3dtdHh5ZzMzajo1eWctM2ptcWducnNhLS1kNC9zcy1uM2VeZWlvNC8xLS5gMS06Yw%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},[],[]]