[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fnY_l8qGwZ1yEb9CmaeqzH7rE5jI30U1X1L8JTiF_NsI":8,"$f0hAewkToVJaIB_qKhbPeYrALH31qDqtSj9tkGyMkkDI":61,"$fkLNJkG4gIUPYnY_NFkanDnIdse_DGzKJWzGKHZq9k8s":62,"$fnfclwpajFfi-Tj0gy166KtM_z28cTzxP2BQGrbs7eag":91},{"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":31,"views":32,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":33,"seoTitle":34,"seoKeywords":35,"seoDescription":36,"shelvesTime":37,"menus":38,"menuId":40,"type":27,"quality":57,"commentCount":17,"isComment":31,"deviceType":58,"url":59},7466,866292,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//3j7tUzep2FpN5twoNhjOJcvAzwhQGIOs.png","徐雪芬",0,"精通全身麻醉、椎管内麻醉、神经阻滞等各种麻醉操作技术，熟练掌握超声引导下神经阻滞、动静脉穿刺等操作。擅长围术期急慢性疼痛治疗，包括术后镇痛、癌痛治疗、神经病理性疼痛等。具备丰富的危重病患者手术麻醉经验，熟练掌握危重病患者循环、呼吸管理等生命支持技术。","苏州市中医医院","麻醉科","副主任医师",9,3,"61岁阿姨的腰椎手术：麻醉医生没告诉你的那些事儿","https://cdn.yishi-tong.com/console/3/d9fU-RM6aJOyAJ-bzEKPKgzJ2A8rnBRa.png","https://cdn.yishi-tong.com/console/3/BucCNmMr626jMxGhSmtOYjH15IEUTboP.png",2,"\n\u003Cdiv class=\"medical-container\">\n  \u003Ch1 id=\"material_title\">61岁阿姨的腰椎手术：麻醉医生没告诉你的那些事儿\u003C/h1>\n\n  \u003Cdiv class=\"section intro-section\">\n    \u003Cp>我是苏州市中医医院的徐雪芬医生，在麻醉科工作20年了。上周遇到位61岁的阿姨，因为腰椎滑脱要做微创手术，她紧张得直搓手：\"徐医生啊，我这把年纪全麻会不会醒不过来？\"其实啊，像阿姨这样的手术，我们每天都要做三四台，今天就跟大家聊聊手术麻醉那些你可能不知道的细节。\u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"section knowledge-section\">\n    \u003Ch2>🔍 麻醉不是\"睡一觉\"那么简单\u003C/h2>\n    \u003Cp>很多人以为麻醉就是打一针睡过去，其实像阿姨做的这种3个多小时的手术，我们得像空中交通管制员一样全程监控。她的用药方案就像精心调配的鸡尾酒：环泊酚负责让意识\"温柔关机\"，芬太尼管住疼痛信号，瑞马唑仑消除紧张情绪。手术中我们盯着6台监护仪，血压、血氧、心率这些数字跳动的规律，比股票K线图还重要呢！\u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"section case-section\">\n    \u003Ch2>⚠️ 俯卧位手术的隐藏挑战\u003C/h2>\n    \u003Cp>阿姨手术要趴着做，这个姿势对麻醉考验很大。就像把手机正面朝下放着充电，散热会受影响。我们得特别注意她的呼吸是否通畅，每隔15分钟就要调整一次头部位置。去年有个类似病例，因为手术单遮挡了监护仪报警声，差点出问题，现在我们都要求报警音量必须调到最大。\u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"section advice-section\">\n    \u003Ch2>💡 中老年手术前的3个准备\u003C/h2>\n    \u003Cp>1️⃣ \u003Cstrong>体重管理\u003C/strong>：阿姨BMI 24.6刚好达标，超重会增加麻醉风险\u003Cbr>\n    2️⃣ \u003Cstrong>慢性病控制\u003C/strong>：她的血压血糖术前都调整到了安全范围\u003Cbr>\n    3️⃣ \u003Cstrong>心理建设\u003C/strong>：提前带她参观了麻醉准备室，熟悉各种设备的声音\u003C/p>\n    \u003Cp>术后恢复室(PACU)我们准备了加热毯，阿姨醒来第一句话是：\"我梦见在海南晒太阳呢！\"\u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"section outro-section\">\n    \u003Cp>其实现代麻醉技术已经非常安全，像阿姨这样的II级患者，严重并发症概率不到0.1%。关键是要找对医院、配合医生。如果你身边有要做手术的中老年人，不妨把这条内容转给他们看看——知道越多，担心越少嘛！\u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n.medical-container {\n  max-width: 800px;\n  margin: 0 auto;\n  font-family: 'Helvetica Neue', Arial, sans-serif;\n  line-height: 1.6;\n  color: #333;\n}\n#material_title {\n  color: #2c7873;\n  text-align: center;\n  padding-bottom: 15px;\n  border-bottom: 1px dashed #ccc;\n}\n.section {\n  padding: 20px;\n  margin-bottom: 20px;\n  border-radius: 8px;\n}\n.intro-section {\n  background-color: #f8f9fa;\n}\n.knowledge-section {\n  background-color: #f0f7ff;\n}\n.case-section {\n  background-color: #fff4f4;\n}\n.advice-section {\n  background-color: #f0fff4;\n}\n.outro-section {\n  background-color: #f9f0ff;\n}\nh2 {\n  color: #5a67d8;\n  margin-top: 0;\n}\nstrong {\n  color: #e53e3e;\n}\n\u003C/style>\n","v0247cg10004d1oc7t2ljhtetjpkn82g",177,1,507,"2025-07-11 15:41:38","61岁阿姨的腰椎手术：麻醉医生没告诉你的那些事儿 - 深度解析与风险提示  ","腰椎手术麻醉风险,老年人腰椎手术,麻醉注意事项,61岁手术案例,麻醉医生建议,腰椎手术准备,术后恢复指南  ","一位61岁阿姨的腰椎手术真实经历，揭秘麻醉医生未明确告知的关键细节。了解老年人腰椎手术的麻醉风险、术前准备要点及术后恢复注意事项，帮助患者和家属做出更明智的决策。","2025-07-12 16:41:01",[39],{"menuId":40,"menuName":41,"parentId":17,"orderNum":23,"path":42,"component":43,"isFrame":44,"isCache":45,"menuType":46,"visible":31,"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","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","重大疾病",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/866292/b80fbc0b-dac8-480c-83a6-779e01521436.tmp?a=0&auth_key=1789026265-772ca4e4446c4aeb8a157f7c5a2ef839-0-cb79235db2b8f6bcf6bbf6118ce6bd34&br=898&bt=898&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0247cg10004d1oc7t2ljhtetjpkn82g&er=0&l=2026081105412343F64BF7DA4147049C33&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=ajtubWhrb3dmNDczNGY3M0ApNXFzd3dtNTpyZzMzajo1eWcva21xcWcvNGxhLS1kNC9zc2Q1aGdiZWlxYC4xLS5gMS06Yw%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":31,"pageSize":64,"result":65,"totalSize":23},10,[66,75,83],{"id":67,"updateTime":68,"averageScore":69,"posts":21,"specialistId":70,"userName":71,"hospital":72,"avatar":73,"description":74,"department":20},29118,"2026-03-21 18:16:55",7.8,866849,"吴春培","江苏省肿瘤医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//ukiDafe9tl2pcQpZxtIzPbwrLL9UvMkj.png","视频紧扣临床麻醉核心逻辑，涵盖麻醉药物协同机制、术中多参数监护价值、特殊体位（俯卧位）对呼吸的影响及应对、中老年围术期管理要点等关键知识，且“ASAⅡ级患者严重并发症概率＜0.1%”等数据与麻醉安全性的临床共识一致，专业知识传递严谨、经得住医学循证检验。建议补充权威理论背书，如对“ASAⅡ级”明确定义（美国麻醉医师协会体格分级中，“ASA Ⅱ级”代表“有轻度系统性疾病，但功能代偿良好”），或引用《米勒麻醉学》等教材中“全凭静脉麻醉药物组合”的规范表述，强化专业可信度；对“监护仪数据优先级”补充阈值型知识（如“血压波动＞基础值20%、血氧饱和度＜90%需立即干预”），让科学边界更清晰。",{"id":76,"updateTime":77,"averageScore":78,"posts":21,"specialistId":79,"userName":80,"hospital":72,"avatar":81,"description":82,"department":20},29016,"2026-03-21 18:13:09",8.2,866845,"宋正环","https://cdn.haohuanjiao.com/learnMaterial/ystApp//iXABGrGZtQY1ZNkpkkwoStsfIMaAu4BP.png","视频紧扣临床麻醉实践逻辑，对“麻醉是系统化医疗行为”的核心认知体现充分。药物选择（环泊酚、芬太尼、瑞马唑仑的分工）、麻醉监测（多参数监护仪全程跟踪）、俯卧位手术风险点（呼吸管理）、术前准备逻辑（体重/慢性病/心理）、麻醉分级与并发症概率（ASA II级）等关键信息，均符合麻醉学科理论与临床规范，展现了“麻醉≠单一给药，而是全程动态调控”的科学本质。建议补充“麻醉阶段划分”（诱导期、维持期、苏醒期的核心任务），让“全程监控”的科学逻辑更完整，还有专业术语，增加通俗定义，降低理解门槛。",{"id":84,"updateTime":85,"averageScore":86,"posts":21,"specialistId":87,"userName":88,"hospital":89,"avatar":47,"description":90,"department":20},26748,"2026-03-10 16:04:05",9.3,875295,"李艳琼","苏州市立医院","这篇科普以61岁阿姨的腰椎手术为切入点，用“空中交通管制员”“精心调配的鸡尾酒”等生动比喻，把复杂的麻醉管理讲得清晰易懂。它既点明了俯卧位手术的隐藏挑战，又给出了中老年术前体重管理、慢病控制、心理建设的可操作建议，既专业严谨又充满人文关怀，能有效缓解患者对麻醉的焦虑",{"code":9,"msg":10,"message":6,"data":92,"success":60},{"authors":93,"appraiseDimensionScoresVos":100},[94,96,98],{"profilePhoto":47,"specialistId":95},"875295",{"profilePhoto":81,"specialistId":97},"866845",{"profilePhoto":73,"specialistId":99},"866849",[101,107,113,117,122],{"id":102,"scores":103,"value":104,"dimensionId":6,"avgs":105,"title":106},250759,30,26,8.22222,"内容准确性",{"id":108,"scores":109,"value":110,"dimensionId":6,"avgs":111,"title":112},250760,20,19,8.33333,"内容深度与广度",{"id":114,"scores":109,"value":115,"dimensionId":6,"avgs":111,"title":116},250761,18,"语言表达",{"id":118,"scores":119,"value":119,"dimensionId":6,"avgs":120,"title":121},250762,15,8.88889,"呈现形式",{"id":123,"scores":119,"value":124,"dimensionId":6,"avgs":125,"title":126},250763,14,8.44444,"教育价值"]