[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fX36WiTJVimQBjlOtn65ZOoKJLsTdfxptS-6MTKm0kLo":8,"$fW2QMeql21UfZnYVc1a9PBc5wrErl4d8xI0j9Yxy0PFc":62,"$fxbVvXZP3Crr2WrKD7a3mXdrYf4AVEDioSbGny5bE2ME":63,"$fhCJtsw8mmbzhFBlweRw49H4rTZalv-Jj8Y_feGnjmqc":93},{"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},7653,866326,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//zxURxb2QxyCghBysetfzHcONVvVQrLWX.png","赵以松",0,"老年患者的麻醉 疑难危重病人的救治 超声引导下的神经阻滞。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","副主任医师",5,9,"79岁老人骨折手术，麻醉安全如何保障？","https://cdn.yishi-tong.com/console/3/3Y9nZYZuauh8w1sH56jPpM3zfPabUSYe.png","https://cdn.yishi-tong.com/console/3/6Py5VhVd49gA9GepIptYzsAysvlvOSQt.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: #2c7873; border-bottom: 2px solid #e0f7fa; padding-bottom: 10px; margin-bottom: 20px;\">79岁老人骨折手术，麻醉安全如何保障？\u003C/h1>\n  \n  \u003Cdiv style=\"background-color: #e8f4f8; padding: 15px; border-radius: 8px; margin-bottom: 20px;\">\n    \u003Cp style=\"margin: 0;\">我是赵以松医生，来自苏州市中医医院麻醉科。上周门诊遇到一位79岁的阿姨，摔伤导致锁骨骨折需要手术，家属最担心的不是手术本身，而是麻醉风险。这种顾虑太常见了，今天就跟大家聊聊老年患者麻醉那些事儿。\u003C/p>\n  \u003C/div>\n\n  \u003Cdiv style=\"background-color: #fff; padding: 15px; border-radius: 8px; margin-bottom: 20px; border-left: 4px solid #4fb3bf;\">\n    \u003Ch3 style=\"color: #4fb3bf; margin-top: 0;\">🔍 麻醉不是\"睡一觉\"那么简单\u003C/h3>\n    \u003Cp>很多人以为麻醉就是打一针睡过去，其实像搭积木一样需要精密配合。对79岁老人来说，麻醉医生要考虑的更多：血压会不会波动？心脏能不能承受？就像老房子装修，既要解决问题，又不能伤到主体结构。\u003C/p>\n    \u003Cp>这位患者ASA II级（麻醉风险评估），说明虽然有些基础病但总体稳定。我们选择了神经阻滞麻醉——只让受伤部位\"断电\"，身体其他部位保持清醒，既减少全麻风险，又能很好控制疼痛。\u003C/p>\n  \u003C/div>\n\n  \u003Cdiv style=\"background-color: #fff; padding: 15px; border-radius: 8px; margin-bottom: 20px; border-left: 4px solid #ff9a76;\">\n    \u003Ch3 style=\"color: #ff9a76; margin-top: 0;\">⚠️ 老年麻醉三大\"雷区\"\u003C/h3>\n    \u003Cp>1. \u003Cstrong>血压过山车\u003C/strong>：老年人血管弹性差，麻醉中血压可能骤升骤降，我们术前会用瑞马唑仑等药物\"铺路\"\u003C/p>\n    \u003Cp>2. \u003Cstrong>认知功能影响\u003C/strong>：术后谵妄在老年患者中不少见，要像保护古董瓷器一样保护大脑\u003C/p>\n    \u003Cp>3. \u003Cstrong>疼痛管理难题\u003C/strong>：既不能忍痛影响恢复，又不能用药过度，要找到\"刚刚好\"的平衡点\u003C/p>\n  \u003C/div>\n\n  \u003Cdiv style=\"background-color: #fff; padding: 15px; border-radius: 8px; margin-bottom: 20px; border-left: 4px solid #a5dff9;\">\n    \u003Ch3 style=\"color: #a5dff9; margin-top: 0;\">💡 家属需要知道的四件事\u003C/h3>\n    \u003Cp>1. \u003Cstrong>术前沟通要详细\u003C/strong>：连平时吃什么保健品都要告诉麻醉医生\u003C/p>\n    \u003Cp>2. \u003Cstrong>术后2小时最关键\u003C/strong>：就像飞机降落时最危险，要密切观察生命体征\u003C/p>\n    \u003Cp>3. \u003Cstrong>康复是个慢过程\u003C/strong>：别急着下床活动，骨折愈合需要时间\u003C/p>\n    \u003Cp>4. \u003Cstrong>疼痛不必硬扛\u003C/strong>：现在有多模式镇痛方案，安全又有效\u003C/p>\n  \u003C/div>\n\n  \u003Cdiv style=\"background-color: #e8f4f8; padding: 15px; border-radius: 8px;\">\n    \u003Cp style=\"margin: 0;\">其实麻醉安全就像团队接力赛，需要患者、家属、外科医生和麻醉团队密切配合。这位79岁的阿姨术后恢复得很好，关键就是各个环节都做了充分准备。记住，年龄从来不是手术的绝对禁忌，科学的评估和管理才是关键！\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    h3 {\n      font-size: 1.2em !important;\n    }\n  }\n\u003C/style>","v0247cg10004d2878paljht01e7275b0",202,1,576,"2025-08-03 15:29:19","79岁老人骨折手术麻醉安全指南 - 专业保障措施解析  ","老年骨折手术, 高龄麻醉安全, 79岁老人麻醉, 麻醉风险评估, 老年人手术麻醉  ","本文详细解析79岁高龄老人骨折手术的麻醉安全保障措施，包括术前评估、风险管控和术后监护要点，帮助家属了解如何确保老年患者麻醉安全。","2025-08-08 11:38:00",[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/866326/c5b0c284-b400-4cee-80dc-f6bf8ecf7b8e.tmp?a=0&auth_key=1789067918-627a57aeda05481099ef002b0f7761d2-0-cfb9471b1fa30eb2c4ee1e29156423e9&br=801&bt=801&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=4&eid=v0247cg10004d2878paljht01e7275b0&er=0&l=20260811171510D8DC52917C27078C66A7&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=Mzg1aDNrb3M6NTczNGY3M0ApZTo6NHdtZDs7ZzMzajo1eWdfNDQucWdeNTVhLS1kNC9zcy0yL2ItZWltNC8xLS5gMS06Yw%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":74,"description":75,"department":20},31444,"2026-04-19 22:50:48",7.9,866849,"吴春培","江苏省肿瘤医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//ukiDafe9tl2pcQpZxtIzPbwrLL9UvMkj.png","视频围绕老年麻醉核心逻辑的风险评估、麻醉方式选择、风险防控，运用 ASA 分级、神经阻滞麻醉等麻醉学专业概念，结合临床案例展开讲解，知识点贴合临床共识，科学性基础扎实。但建议进一步补充一些专业概念的“白话解释”与权威依据，如对ASA II 级代表‘有轻度基础病，但日常活动不受限、麻醉耐受力较好’”；对“瑞马唑仑用于术前镇静”，可补充“多项研究证实其对老年患者血流动力学干扰小，是围术期镇静优选药物之一”，增强学术严谨性。",{"id":77,"updateTime":78,"averageScore":79,"posts":21,"specialistId":80,"userName":81,"hospital":82,"avatar":83,"description":84,"department":85},19000,"2025-12-20 21:41:56",9.3,866963,"钱成根","扬州市江都人民医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//hgXBYrN5WGiQruKVZ6NMQQGyTSo6xPG5.png","这篇视频科普内容精准、形式生动，是针对老年麻醉焦虑的“一剂良方”。\n\n优点突出：\n\n1. 场景化切入：以真实病例开场，迅速抓住核心关切，代入感强。\n2. 比喻精妙：“搭积木”“装修老房子”“养护古董瓷器”等比喻，将复杂的生理与风险管理讲得通俗易懂。\n3. 重点明确：直击老年麻醉三大核心风险（血压、认知、疼痛），并给出具体解决方案，信息密度高。\n4. 行动指引清晰：术前沟通、术后观察等建议具体可行，赋能患者与家属。\n\n整体评价：赵医生用极具共情力的表达，成功将专业的麻醉保障流程转化为大众能理解、可信任的安全感，是一篇出色的患者教育范本。若视频中能简要展示一下监护设备或术前评估场景，视听结合的效果会更强。","耳鼻喉头颈外科",{"id":87,"updateTime":6,"averageScore":88,"posts":21,"specialistId":89,"userName":90,"hospital":91,"avatar":48,"description":92,"department":20},30485,9.1,872394,"赵磊","镇江市第四人民医院","作为麻醉科副主任医师，本视频精准抓住老年骨折手术麻醉的核心要点。高龄患者常合并多种基础病，麻醉风险显著增高。我们需术前全面评估、优化身体状态，术中精细调控麻醉深度与生命体征，术后强化镇痛与并发症防控，多学科协作才能最大程度保障安全、助力快速康复。",{"code":9,"msg":10,"message":6,"data":94,"success":61},{"authors":95,"appraiseDimensionScoresVos":102},[96,98,100],{"profilePhoto":83,"specialistId":97},"866963",{"profilePhoto":48,"specialistId":99},"872394",{"profilePhoto":74,"specialistId":101},"866849",[103,109,115,120,125],{"id":104,"scores":105,"value":106,"dimensionId":6,"avgs":107,"title":108},173571,30,27,8.58333,"内容准确性",{"id":110,"scores":111,"value":112,"dimensionId":6,"avgs":113,"title":114},173572,20,18,8.375,"内容深度与广度",{"id":116,"scores":111,"value":117,"dimensionId":6,"avgs":118,"title":119},173573,17,8.5,"语言表达",{"id":121,"scores":122,"value":122,"dimensionId":6,"avgs":123,"title":124},173574,15,8.83333,"呈现形式",{"id":126,"scores":122,"value":122,"dimensionId":6,"avgs":127,"title":128},173575,8.33333,"教育价值"]