[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fHhLcHWYio4VyB8esqJgTwRxNvbVskUeNK3HbRNVk0Ew":8,"$frgBg3nS-vtfGHQa3fha6Po-da_z5PEr6NsiHQlVsKxo":60,"$f_eC1FhtLNbWvSeYqVodJ6eZ-wpTiqvW24zGAbe4IdaY":61,"$f8T3hekjysyY4jrcTeeTK2geIa3wfWuF0vwrW7NN8r2w":81},{"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":59},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":23,"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":27,"quality":56,"commentCount":17,"isComment":23,"deviceType":57,"url":58},7603,866797,[],"https://cdn.yishi-tong.com/console/store-unknown/uF7OMd0P_hB1LaAPsAH23kXFsYY6stA4.png","何颖",0,"临床麻醉，普外科麻醉，骨科麻醉等、麻醉手术、麻醉用药及疾病治疗","仪征市人民医院","麻醉科","副主任医师",3,1,"肝占位性病变患者的麻醉管理：老年患者的关键考量与安全性保障","https://cdn.yishi-tong.com/console/3/dud0OkVG1L_3FWuwr6a2LqgYM-cO0G-1.png","https://cdn.yishi-tong.com/console/3/vheiTyRzWSz__hySnBffiXvDamum_kR0.png",2,"\n\u003Cdiv class=\"medical-article\">\n  \u003Ch1 id=\"material_title\">肝占位性病变患者的麻醉管理：老年患者的关键考量与安全性保障\u003C/h1>\n  \n  \u003Cdiv class=\"section intro\">\n    \u003Cp>我是仪征市人民医院的麻醉科医生何颖。最近接诊了一位69岁的老伯，他因为中上腹不适来就诊，检查发现肝脏有个占位性病变，还伴有肝硬化和乙肝病史。这让我想到，很多家属在亲人要做手术时，最担心的往往不是手术本身，而是那句\"要全麻啊，会不会醒不过来？\"今天咱们就来聊聊，像老伯这样的情况，麻醉医生到底在操心些什么。\u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"section content\">\n    \u003Cdiv class=\"subsection\">\n      \u003Ch3>🔍 麻醉不是\"打一针就完事\"\u003C/h3>\n      \u003Cp>肝脏就像人体的化工厂，而麻醉药物大部分都要经过肝脏代谢。对于肝硬化的患者，这个工厂的产能可能只剩30%-50%。我们麻醉科有个比喻：好比让一个腿受伤的人跑马拉松，得特别规划配速和补给。上周就有位类似情况的患者，我们用了只有常规剂量60%的麻醉药，效果反而更平稳。\u003C/p>\n    \u003C/div>\n\n    \u003Cdiv class=\"subsection\">\n      \u003Ch3>⚠️ 三个容易被忽视的风险点\u003C/h3>\n      \u003Cp>一是凝血功能，肝硬化患者容易出血，我们术前会像检查天气预报一样反复确认凝血指标；二是药物代谢慢，普通患者2小时能醒，肝病患者可能要4小时，家属千万别着急；三是术后疼痛管理要格外精细，就像给破旧的水管加压，力道大了会爆管。\u003C/p>\n    \u003C/div>\n\n    \u003Cdiv class=\"subsection\">\n      \u003Ch3>💡 给家属的实用建议\u003C/h3>\n      \u003Cp>1. 术前一定要如实告诉医生饮酒史，哪怕只是每天二两白酒\u003Cbr>\n      2. 术后6小时内别急着让患者喝水，先观察反应\u003Cbr>\n      3. 如果患者说\"伤口不疼但肚子胀\"，要立即通知医生\u003Cbr>\n      其实现在有肝功能的动态监测技术，就像给汽车装了个实时油耗表，能让我们更精准地调整麻醉方案。\u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"section outro\">\n    \u003Cp>每次看到肝病患者安全度过手术，都特别有成就感。要记住，麻醉安全是医患共同守护的结果。如果家里有类似情况的老人需要手术，提前和麻醉医生聊聊，很多担忧其实都有解决办法。\u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n.medical-article {\n  font-family: 'PingFang SC', 'Microsoft YaHei', sans-serif;\n  max-width: 100%;\n  line-height: 1.6;\n  color: #333;\n  padding: 0 15px;\n}\n\n#material_title {\n  color: #2c7be5;\n  font-size: 1.5rem;\n  text-align: center;\n  margin-bottom: 1.2em;\n  padding-bottom: 10px;\n  border-bottom: 1px solid #eaeaea;\n}\n\n.section {\n  margin-bottom: 1.5rem;\n}\n\n.intro {\n  background-color: #f8fafc;\n  padding: 15px;\n  border-radius: 8px;\n  border-left: 4px solid #2c7be5;\n}\n\n.subsection {\n  margin-bottom: 1.2rem;\n  padding: 12px;\n  background-color: #f9f9f9;\n  border-radius: 6px;\n}\n\n.subsection h3 {\n  color: #2c7be5;\n  font-size: 1.1rem;\n  margin-top: 0;\n  margin-bottom: 0.8em;\n}\n\n.outro {\n  font-style: italic;\n  color: #666;\n  padding: 10px;\n  background-color: #f0f7ff;\n  border-radius: 8px;\n}\n\n@media (max-width: 768px) {\n  #material_title {\n    font-size: 1.3rem;\n  }\n  \n  .subsection h3 {\n    font-size: 1rem;\n  }\n}\n\u003C/style>\n","v0247cg10004d227quqljhtdlmiiq86g",138,532,"2025-07-25 14:55:06"," 老年肝占位性病变患者麻醉管理：关键考量与安全策略  \n"," 肝占位性病变麻醉,老年患者麻醉管理,麻醉安全性,围术期风险控制,肝功能异常麻醉,高龄患者手术麻醉  \n"," 本文针对老年肝占位性病变患者的麻醉管理，详细解析术前评估要点、术中风险控制策略及术后安全监测方案，帮助麻醉医师优化围术期管理流程，保障高龄患者手术安全。重点关注肝功能异常患者的药物代谢调整与血流动力学稳定技术。","2025-08-05 22:43:50",[38],{"menuId":39,"menuName":40,"parentId":17,"orderNum":22,"path":41,"component":42,"isFrame":43,"isCache":44,"menuType":45,"visible":23,"status":17,"createDept":6,"remark":46,"createTime":47,"children":48,"columnImage":49,"columnLogo":50,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":51,"seoKeywords":52,"seoDescription":53,"contentNum":6,"promotionalPoster":54,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":55,"routerPath":41,"componentInfo":42},"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","癌症肿瘤,重大疾病",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/866797/29ee3b6f-3335-42b9-b066-383dfaa6d571.tmp?a=0&auth_key=1789017934-66db34c033104951b933e9082348584e-0-fb127c02fd37f1ecee3c34011dc0be86&br=1048&bt=1048&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0247cg10004d227quqljhtdlmiiq86g&er=0&l=20260811032310357A940A43AAADFE2919&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=ajtscGdrb3g6NTczNGY3M0ApOXRsb3dtdHQ1ZzMzajo1eWczbmZpcWdubi9hLS1kNC9zc2Q1ZmphZWlyNC8xLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":58,"message":6,"data":6,"success":59},{"code":9,"msg":10,"message":6,"data":62,"success":59},{"pageNo":23,"pageSize":63,"result":64,"totalSize":27},10,[65,73],{"id":66,"updateTime":67,"averageScore":68,"posts":21,"specialistId":69,"userName":70,"hospital":71,"avatar":46,"description":72,"department":20},26524,"2026-03-07 15:11:25",8,874461,"张译心","如皋市中医院","该内容选题精准，叙事方式贴近患者，具有很好的科普与教育价值。它不仅回应了公众关切，也为临床麻醉工作提供了清晰的思考框架。\n建议：在临床实践中，对于肝占位性病变的老年患者，麻醉管理应贯穿术前评估、术中调控和术后康复的全过程，以“安全、平稳、快速恢复”为目标，实现个体化精准治疗。",{"id":74,"updateTime":6,"averageScore":75,"posts":21,"specialistId":76,"userName":77,"hospital":78,"avatar":79,"description":80,"department":20},33584,6.8,866337,"王春峰","昆山市第二人民医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//LK1BDYJmfOL4qFhV8SoQAQcLZVrM6ixB.png","这篇科普以老年肝占位性病变患者为切入点，通俗讲解了肝硬化患者的麻醉管理要点，通过“肝脏代谢工厂”等生动比喻，揭示了个体化麻醉用药、肝功能监测及术后疼痛管理的重要性。内容兼具专业性与实用性，有效缓解家属焦虑，对提升肝病患者围术期安全认知具有积极指导意义。",{"code":9,"msg":10,"message":6,"data":82,"success":59},{"authors":83,"appraiseDimensionScoresVos":88},[84,86],{"profilePhoto":79,"specialistId":85},"866337",{"profilePhoto":46,"specialistId":87},"874461",[89,95,101,106,110],{"id":90,"scores":91,"value":92,"dimensionId":6,"avgs":93,"title":94},249284,30,25,8.16667,"内容准确性",{"id":96,"scores":97,"value":98,"dimensionId":6,"avgs":99,"title":100},249285,20,15,7,"内容深度与广度",{"id":102,"scores":97,"value":103,"dimensionId":6,"avgs":104,"title":105},249286,16,7.75,"语言表达",{"id":107,"scores":98,"value":108,"dimensionId":6,"avgs":99,"title":109},249287,12,"呈现形式",{"id":111,"scores":98,"value":108,"dimensionId":6,"avgs":99,"title":112},249288,"教育价值"]