[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fML77YBcoCv3Ng8VGF93L1A5q4RNJsAMb9oLv7brkq8s":8,"$f3zqMgIzqiCCpZiyC2bHKTd3e4Q3b51MjoheC0XtMTCQ":62,"$fVDFkRolnlkJ8Y1jAwMWt03cE97wPSqw8McM4ZXpe77Q":63,"$fv8KY15JTEQi77i9aLsi2lmXtOgn5tLugq75f6_ZlW20":86},{"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":61},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":58,"commentCount":17,"isComment":31,"deviceType":59,"url":60},7505,864617,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//fto9eaz2rNikFaEtXeiXTWxYYPo8p6nu.png","闫玉伦",0,"各类手术麻醉以及围术期疼痛治疗。普外科麻醉，骨科麻醉等、麻醉手术、麻醉用药及疾病治疗。","苏州市中医医院","麻醉科","主治医师",27,12,"73岁老人膝关节置换术的麻醉管理，这些关键点你了解吗？","https://cdn.yishi-tong.com/console/3/E-mIsxCFOhzCZrDaLE7msNx1u_pjCF7-.png","https://cdn.yishi-tong.com/console/3/5WMEiwivVZ6BbXs6UVh-SDwDEkWaBvfs.png",2,"\u003Cdiv style=\"font-family: 'Helvetica Neue', Arial, sans-serif; max-width: 800px; margin: 0 auto; padding: 20px; background-color: #f9f9f9; border-radius: 10px; box-shadow: 0 2px 10px rgba(0,0,0,0.05);\">\n    \u003Ch1 id=\"material_title\" style=\"color: #2c7be5; border-bottom: 2px solid #e1e5ee; padding-bottom: 10px; margin-bottom: 20px;\">73岁老人膝关节置换术的麻醉管理，这些关键点你了解吗？\u003C/h1>\n    \n    \u003Cdiv style=\"background-color: #f0f7ff; padding: 15px; border-radius: 8px; margin-bottom: 20px;\">\n        \u003Cp style=\"font-size: 1.1em; line-height: 1.6; color: #333;\">我是苏州市中医医院的闫玉伦医生。最近在门诊遇到不少老年患者咨询膝关节置换手术的麻醉问题。今天咱们就来聊聊这个话题，希望能帮助大家消除一些顾虑。\u003C/p>\n    \u003C/div>\n    \n    \u003Cdiv style=\"background-color: #fff; padding: 15px; border-radius: 8px; margin-bottom: 20px; border-left: 4px solid #2c7be5;\">\n        \u003Ch2 style=\"color: #2c7be5; margin-top: 0;\">🔍 麻醉不是简单的\"睡一觉\"\u003C/h2>\n        \u003Cp style=\"line-height: 1.6;\">很多人以为麻醉就是打一针睡过去这么简单，其实对老年人来说，麻醉管理就像在走钢丝——既要保证手术顺利进行，又要兼顾基础疾病的控制。我们术前会做全面评估，包括心肺功能、血糖控制情况等，确保他能够耐受手术。\u003C/p>\n    \u003C/div>\n    \n    \u003Cdiv style=\"background-color: #fff; padding: 15px; border-radius: 8px; margin-bottom: 20px; border-left: 4px solid #e67e22;\">\n        \u003Ch2 style=\"color: #e67e22; margin-top: 0;\">麻醉的选择\u003C/h2>\n        \u003Cp style=\"line-height: 1.6;\">我们采用全身麻醉时，会像调节精密仪器一样，随时调整药物用量，保持生命体征平稳。张大爷手术中血氧和血压都维持在理想范围，这得益于严密的监测。\u003C/p>\n    \u003C/div>\n    \n    \u003Cdiv style=\"background-color: #fff; padding: 15px; border-radius: 8px; margin-bottom: 20px; border-left: 4px solid #27ae60;\">\n        \u003Ch2 style=\"color: #27ae60; margin-top: 0;\">💡 术后恢复同样关键\u003C/h2>\n        \u003Cp style=\"line-height: 1.6;\">手术结束只是成功了一半！老年人术后容易出现谵妄、肺部感染等问题。我们会继续监测至少24小时，必要时给予氧气支持。术后带着气管插管，这是为了确保呼吸道通畅。家属要注意观察老人意识状态，鼓励尽早活动下肢预防血栓。\u003C/p>\n    \u003C/div>\n    \n    \u003Cdiv style=\"background-color: #f0f7ff; padding: 15px; border-radius: 8px;\">\n        \u003Ch2 style=\"color: #2c7be5; margin-top: 0;\">🌟 给老年患者的建议\u003C/h2>\n        \u003Cp style=\"line-height: 1.6;\">1. 术前把基础疾病控制稳定\u003Cbr>\n        2. 如实告知医生所有用药情况\u003Cbr>\n        3. 术后尽早开始康复训练\u003Cbr>\n        4. 家人要多陪伴观察\u003Cbr>\u003Cbr>\n        记住，年龄不是手术的绝对禁忌，关键是要做好充分准备。现在麻醉技术很成熟，高龄也能安全度过手术期。\u003C/p>\n    \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n    @media (max-width: 600px) {\n        div {\n            padding: 15px !important;\n        }\n        h1 {\n            font-size: 1.5em !important;\n        }\n        h2 {\n            font-size: 1.2em !important;\n        }\n    }\n\u003C/style>","v0247cg10004d1r0s0iljhtcb9upbuu0",130,1,534,"2025-07-15 16:05:42","73岁老人膝关节置换术的麻醉管理关键点解析  ","膝关节置换术麻醉,老年患者麻醉管理,73岁麻醉风险,骨科手术麻醉要点,围术期麻醉方案  ","本文详细解析73岁高龄患者行膝关节置换术的麻醉管理关键点，包括术前评估、麻醉方式选择、术中监测及术后镇痛策略，帮助临床医生优化老年骨科手术麻醉方案。","2025-07-19 20:22:00",[39],{"menuId":40,"menuName":41,"parentId":17,"orderNum":42,"path":43,"component":44,"isFrame":45,"isCache":46,"menuType":47,"visible":31,"status":17,"createDept":6,"remark":48,"createTime":49,"children":50,"columnImage":51,"columnLogo":52,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":53,"seoKeywords":54,"seoDescription":55,"contentNum":6,"promotionalPoster":56,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":57,"routerPath":43,"componentInfo":44},"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","重大疾病",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/864617/e54f88ac-6a3a-4dae-9b23-91c20fd6da6d.tmp?a=0&auth_key=1789021119-7c37a9117d5d41ecbcf6e2fc204f8cfe-0-d41e76ad83073e358e8a1a99dd23b96b&br=495&bt=495&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=4&eid=v0247cg10004d1r0s0iljhtcb9upbuu0&er=0&l=202608110416248596CF9437D0761A3303&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=M3hzPGZrbzMzNDczNGY3M0ApeGV4ZXdtbHZ1ZzMzajo1eWdyX3JfcWdmcG9hLS1kNC9zcy1ybTZgZWktLS4xLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":60,"message":6,"data":6,"success":61},{"code":9,"msg":10,"message":6,"data":64,"success":61},{"pageNo":31,"pageSize":65,"result":66,"totalSize":27},10,[67,76],{"id":68,"updateTime":69,"averageScore":70,"posts":71,"specialistId":72,"userName":73,"hospital":74,"avatar":48,"description":75,"department":20},26752,"2026-03-10 16:05:28",9,"副主任医师",875295,"李艳琼","苏州市立医院","聚焦老年膝关节置换术的麻醉管理，用“走钢丝”“调节精密仪器”等比喻，精准点出老年麻醉的双重挑战。它从术前评估、术中精细调控到术后24小时监测层层递进，结合谵妄、血栓等老年特有风险，给出了控制基础病、尽早康复等可操作建议，既专业严谨又充满人文关怀，能有效缓解老年患者及家属的焦虑。",{"id":77,"updateTime":78,"averageScore":79,"posts":71,"specialistId":80,"userName":81,"hospital":82,"avatar":83,"description":84,"department":85},24643,"2026-02-25 15:49:02",9.4,871183,"李举","徐州医科大学附属医院","https://ystcdn.venuertc.com/venue/app/31953/2025-11-14/59cc0aea-16da-425f-b2e4-7203a6c347fd.png","这篇科普聚焦老年膝关节置换术的麻醉管理，用“走钢丝”“调节精密仪器”等比喻，生动展现了老年麻醉的复杂性与专业性，既回应了患者对麻醉风险的顾虑，也强调了术前评估、术中监测与术后恢复的全流程管理，兼具专业性与人文关怀，为医患沟通提供了清晰易懂的参考范本。","重症",{"code":9,"msg":10,"message":6,"data":87,"success":61},{"authors":88,"appraiseDimensionScoresVos":93},[89,91],{"profilePhoto":83,"specialistId":90},"871183",{"profilePhoto":48,"specialistId":92},"875295",[94,100,106,110,115],{"id":95,"scores":96,"value":97,"dimensionId":6,"avgs":98,"title":99},230794,30,28,9.16667,"内容准确性",{"id":101,"scores":102,"value":103,"dimensionId":6,"avgs":104,"title":105},230795,20,19,9.5,"内容深度与广度",{"id":107,"scores":102,"value":103,"dimensionId":6,"avgs":108,"title":109},230796,9.25,"语言表达",{"id":111,"scores":112,"value":113,"dimensionId":6,"avgs":70,"title":114},230797,15,14,"呈现形式",{"id":116,"scores":112,"value":113,"dimensionId":6,"avgs":70,"title":117},230798,"教育价值"]