[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$frkeKZnfplpvIUpjjCP7XPwplDpj85Xekf6pgJY2XQuw":8,"$f6D17tegoOs7i4i20X9MIVCLGfn0sjHMR8ZRbzhi4FtA":62,"$fanYLaHu8nR8BFs26S7tCCF5MJorGu8NEoYDgT79AJss":63,"$fOSHdVodz13z6IFC_OgN26tBOYYa4tb_ADYxVAVL10iE":94},{"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},7507,864617,[],"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,"🩺 60岁高风险患者全髋翻修术的麻醉管理","https://cdn.yishi-tong.com/console/3/fVXtd4PJAa2DFGybPQWIIoWzLkYBLg4R.png","https://cdn.yishi-tong.com/console/3/5YP-X5r8qOzHwza-06f6qc6NKl9AGj_O.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: #2c3e50; border-bottom: 2px solid #3498db; padding-bottom: 10px; margin-bottom: 20px;\">🩺 60岁高风险患者全髋翻修术的麻醉管理\u003C/h1>\n  \n  \u003Cdiv style=\"background-color: #e8f4f8; padding: 15px; border-radius: 8px; margin-bottom: 20px; border-left: 4px solid #3498db;\">\n    \u003Cp style=\"margin: 0; color: #2c3e50; font-weight: 500;\">我是苏州市中医医院的闫玉伦医生，今天想和大家聊聊一个特别值得关注的病例。上周我们接诊了一位60岁的阿姨，要做髋关节翻修手术，具体聊聊麻醉的相关信息。\u003C/p>\n  \u003C/div>\n\n  \u003Cdiv style=\"background-color: #f5f5f5; padding: 15px; border-radius: 8px; margin-bottom: 20px;\">\n    \u003Ch3 style=\"color: #2980b9; margin-top: 0;\">🔍 麻醉就像精准导航\u003C/h3>\n    \u003Cp>很多人以为麻醉就是\"打一针睡一觉\"，其实它更像给身体装了个智能导航系统。特别是对这种多病缠身的患者，我们得同时监控血压、心率、血氧等6-7个生命指标，就像开车时要同时看导航、油表和胎压。这位阿姨的血氧一直保持在97%-100%，说明我们的\"导航系统\"调校得很精准。\u003C/p>\n  \u003C/div>\n\n  \u003Cdiv style=\"background-color: #f5f5f5; padding: 15px; border-radius: 8px; margin-bottom: 20px;\">\n    \u003Ch3 style=\"color: #2980b9; margin-top: 0;\">⚠️ 多重风险叠加的挑战\u003C/h3>\n    \u003Cp>髋关节翻修术，一般出血量很大，手术时间很长。我们采用了自体血回收技术，把术中出的600ml血过滤后回输，相当于给身体开了个\"血液银行\"，既安全又经济。\u003C/p>\n  \u003C/div>\n\n  \u003Cdiv style=\"background-color: #f5f5f5; padding: 15px; border-radius: 8px; margin-bottom: 20px;\">\n    \u003Ch3 style=\"color: #2980b9; margin-top: 0;\">💊 麻醉药物的\"鸡尾酒疗法\"\u003C/h3>\n    \u003Cp>不同基础病需要不同的药物组合，就像调一杯个性化鸡尾酒。芬太尼镇痛但不影响血压，瑞马唑仑让人入睡却呼吸平稳，每种药物都精确到微克级别。2小时手术用了1700ml输液和850ml输血，相当于给身体做了次精准的\"液体管理\"。\u003C/p>\n  \u003C/div>\n\n  \u003Cdiv style=\"background-color: #e8f4f8; padding: 15px; border-radius: 8px; margin-top: 20px;\">\n    \u003Cp style=\"margin: 0; color: #2c3e50;\">现代麻醉技术已经能让高风险手术变得很安全，但关键是要提前评估、充分准备。如果家里有长辈要做类似手术，记得提醒医生全面告知病史，专业的麻醉团队完全有能力化解这些\"连环套\"式的风险。\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: 1.5rem !important;\n    }\n    h3 {\n      font-size: 1.2rem !important;\n    }\n  }\n\u003C/style>","v0247cg10004d1rmb9aljhtcb9uqe9sg",153,1,503,"2025-07-15 16:12:06","60岁高风险患者全髋翻修术的麻醉管理要点与风险控制  \n","全髋翻修术麻醉, 高风险患者麻醉, 老年骨科麻醉, 术中循环管理, 术后镇痛方案, 麻醉前评估  \n","本文针对60岁以上高风险患者的全髋关节翻修术，详细解析麻醉方案选择、术中生命体征维护、出血量控制及多模式镇痛策略，重点探讨合并心血管疾病患者的循环管理技巧与围术期并发症预防措施。","2025-07-17 10:28:00",[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/864617/68912b8d-e06d-42c2-933a-05753dff9c15.tmp?a=0&auth_key=1791758935-8870fecbd2094d69a7c19fc5ab5d3f08-0-99d727027a3ce24a0b9fa90d85d56253&br=495&bt=495&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=4&eid=v0247cg10004d1rmb9aljhtcb9uqe9sg&er=0&l=20260911204616C0F9BDBB194A555DDA3B&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=ajx0PGZrbzxwNDczNGY3M0Apdmh4ZXdtZGV1ZzMzajo1eWdwYnJfcWdeX29hLS1kNC9zc2Q2bjZgZWk2ai4xLS5gMS06Yw%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":42},10,[67,76,86],{"id":68,"updateTime":69,"averageScore":70,"posts":21,"specialistId":71,"userName":72,"hospital":73,"avatar":48,"description":74,"department":75},34057,"2026-05-09 16:44:33",8.1,880516,"刘彬","东南大学附属中大医院","本科普视频骨科高风险手术麻醉主题科普，教育价值突出，科普引导效果优异。视频聚焦髋关节翻修这类高出血、长时长的复杂手术，结合自体血回收、个体化鸡尾酒式精准麻醉用药、术中精细化液体管理等临床硬核技术，用生活化趣味类比拆解专业麻醉操作，大幅降低理解门槛。\n 内容直面高龄、合并基础疾病患者的多重手术麻醉风险，客观展现现代麻醉医学化解高难度风险的专业能力，同时面向大众给出实用就医提示，引导患者及家属主动配合、如实告知病史。视频专业严谨、真实可信，既破除大众对大型骨科手术麻醉的恐惧误区，又传递了科学、先进的围术期安全理念，有效培养大众科学就医认知，兼具临床专业性、科普通俗性与暖心人文关怀，健康宣教与医学科普教育意义十分显著。","心胸外科",{"id":77,"updateTime":78,"averageScore":79,"posts":80,"specialistId":81,"userName":82,"hospital":83,"avatar":84,"description":85,"department":20},29207,"2026-03-21 18:19:45",9.7,"副主任医师",868172,"宋莉莉","苏州大学附属儿童医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//nAzT05Bz8BuYz1znA2c8g5InCJyRONwG.png","这篇《翻修术的麻醉管理》以真实病例切入，用“精准导航”“血液银行”“鸡尾酒疗法”等生动比喻，把专业的麻醉管理讲得通俗易懂，既展现了髋关节翻修术的复杂风险，又突出了麻醉团队的精细化操作。内容紧扣临床，数据详实，既科普了现代麻醉技术的安全性，也传递了术前充分告知病史的重要性，能有效缓解患者及家属的焦虑，是一篇兼具专业性与传播力的优质科普。",{"id":87,"updateTime":88,"averageScore":89,"posts":80,"specialistId":90,"userName":91,"hospital":92,"avatar":48,"description":93,"department":20},26753,"2026-03-10 16:05:53",9.1,875295,"李艳琼","苏州市立医院","这篇科普以60岁高风险患者的全髋翻修术为案例，用“精准导航”“鸡尾酒疗法”等生动比喻，将复杂的麻醉管理讲得清晰易懂。它既点明了手术大出血、多重基础病等叠加风险，又展示了自体血回收、精准液体管理等现代技术，既专业严谨又充满人文关。",{"code":9,"msg":10,"message":6,"data":95,"success":61},{"authors":96,"appraiseDimensionScoresVos":103},[97,99,101],{"profilePhoto":48,"specialistId":98},"875295",{"profilePhoto":84,"specialistId":100},"868172",{"profilePhoto":48,"specialistId":102},"880516",[104,110,116,121,127],{"id":105,"scores":106,"value":107,"dimensionId":6,"avgs":108,"title":109},250787,30,29,26.75,"内容准确性",{"id":111,"scores":112,"value":113,"dimensionId":6,"avgs":114,"title":115},250788,20,19,17.75,"内容深度与广度",{"id":117,"scores":112,"value":118,"dimensionId":6,"avgs":119,"title":120},250789,18,17.5,"语言表达",{"id":122,"scores":123,"value":124,"dimensionId":6,"avgs":125,"title":126},250790,15,13,12.75,"呈现形式",{"id":128,"scores":123,"value":124,"dimensionId":6,"avgs":129,"title":130},250791,13.25,"教育价值"]