[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fC2ooIJtFrsWsikKPyc6FCSLySyNcfB3VB4jYT5_tGM8":8,"$fqZpXwYNIfrivzJatc5SqZRboprg2VM5M7zi21hd74TQ":61,"$fZKg4GJMFFLdjWUMVFO-WO-Dlt_Qnp_d_Sj2nMyr7aFM":62,"$fep04i4TmDNFYHdlZogyfjqkBTjINOABqU-ow6vLfucs":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},7147,868454,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//JBchb9rh2Ur5vnkWVHhYYGbYNDo9RJ5K.png","汪东良",0,"临床麻醉，小儿麻醉等麻醉","七台河市人民医院","麻醉科","主治医师",6,"3大关键点：乳腺癌根治术全麻中瑞芬太尼的安全使用与效果评估","https://cdn.yishi-tong.com/console/3/BDB9B1ZGnH5V8c6NVTgiUqeaNS7aYm4d.png","https://cdn.yishi-tong.com/console/3/V6gTd4W1LEUL338nHFTV-JHw_hG6nNHm.png",2,"3大关键点：乳腺癌根治术全麻中瑞芬太尼的安全使用与效果评估\n\n大家好，我是汪东良，来自七台河市人民医院麻醉科。今天我将为大家分享一个关于乳腺癌根治术中麻醉药物使用的案例，特别是全麻中瑞芬太尼的应用。\n\n我们接下来讨论的病例是一位54岁的女性患者，因发现左侧无痛性乳腺包块入院，经过检查确诊为左侧乳腺恶性肿瘤。患者在入院时，肿瘤大小约为5.0x4.0 cm，边界不清，质地较硬，经过进一步的影像学检查，提示存在中度恶性可能。\n\n在2025年4月3日，患者接受了全身麻醉下的左侧乳腺癌改良根治术。在手术过程中，我们使用了盐酸瑞芬太尼作为麻醉药物，采用静脉持续泵注的方式。这种麻醉药物在手术中具有几个显著的优点。\n\n首先，瑞芬太尼的起效迅速，能够在短时间内达到麻醉效果，适合需要快速麻醉的手术。其次，它的镇痛效果强，能够有效控制术中疼痛，减少患者的不适感。此外，瑞芬太尼的半衰期较短，术后恢复快，患者在手术结束后能够较快清醒，减少了术后并发症的风险。\n\n然而，使用瑞芬太尼也有其适用条件和注意事项。由于其强效的镇痛作用，使用时需要严格监测患者的生命体征，避免出现呼吸抑制等不良反应。此外，患者的基础疾病、年龄、体重等因素也会影响麻醉药物的使用剂量和效果，因此在麻醉前的评估至关重要。\n\n在本例中，患者术后恢复良好，虽然出现了术区皮肤麻木感，但总体状态稳定。出院后，患者需定期随访并继续后续化疗，以降低复发风险。\n\n总结来说，瑞芬太尼在乳腺癌根治术中的应用，凭借其快速起效和良好的镇痛效果，为患者提供了安全舒适的手术体验。希望通过这个案例，能够让大家对全麻中瑞芬太尼的使用有更深入的了解。","v0247cg10004d1cvpaqljhtdgojj1lc0",206,1,566,"2025-06-16 14:48:43"," 乳腺癌根治术全麻中瑞芬太尼的安全使用与效果评估 - 3大关键点解析  "," 乳腺癌根治术, 瑞芬太尼, 全麻安全, 麻醉效果评估, 术后恢复, 镇痛管理, 麻醉药物  "," 本文深入探讨乳腺癌根治术全麻中瑞芬太尼的安全使用与效果评估，涵盖药物剂量控制、术中监测及术后恢复三大关键点，为临床麻醉提供科学依据与优化方案。","2025-07-01 21:14:00",[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","癌症肿瘤,重大疾病",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/868454/d6413db2-f8bd-4127-abc1-8cea7022e1b6.tmp?a=0&auth_key=1789064657-060fbee225064355b004a7c2e53001e2-0-6bbfc0559c30237eb71ffd0354094ae1&br=530&bt=530&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0247cg10004d1cvpaqljhtdgojj1lc0&er=0&l=2026081116204600DDC3FBE77789B7C3DA&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=M29tcmdrb2R5NDczNGY3M0ApZjRtandtdHNmZzMzajo1eWdgLmdkcWdubWBhLS1kNC9zcy1pZ2xhZWlecy4xLS5gMS06Yw%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},[],[]]