[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fEsSeK6LfgVG1W-R7hqQpmbvAz-jmmA-ARbXa7Ku2cXE":8,"$fZ6mdsd5UXvuHZU3WwLXnTX89y-F6U3n9tR4NeHKv3Ng":61,"$fAM4LdugE1QASCEyzwg93jaZ1__weqWrQnNkZMtsL_ik":62,"$fwNfkLSkhc_rIPaVDKrDtZ3n0Ne9SB9P2xxsQcZfBdiM":84},{"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":58,"commentCount":17,"isComment":31,"deviceType":23,"url":59},7726,866316,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//2Kjp3Py5oSUtxm5cVehqfVIEs4bmnDZp.png","沈劼颖",0,"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",15,4,"脊柱手术的麻醉风险，这些准备不能少","https://cdn.yishi-tong.com/console/3/C6FhcEfbSodYme30JJIvEUSvitiixkwM.png","https://cdn.yishi-tong.com/console/3/InDcPf7N-zh1CFYMlxfWacRa8flBViyh.png",2,"\n\u003Cdiv class=\"medical-container\">\n  \u003Ch1 id=\"material_title\">脊柱手术的麻醉风险，这些准备不能少\u003C/h1>\n  \n  \u003Cdiv class=\"section intro\">\n    \u003Cp>我是苏州市中医医院的沈劼颖医生。最近接诊了一位58岁的阿姨，她要做脊柱矫形手术，但身上带着\"高血压、冠心病、重症肌无力\"。⚠️这种\"多病缠身\"的情况，在麻醉科我们最怕遇到——就像给一辆老车做全面检修，每个零件都得格外小心。\u003C/p>\n  \u003C/div>\n  \n  \u003Cdiv class=\"section knowledge\">\n    \u003Ch2>🔍 麻醉评估的\"体检报告\"\u003C/h2>\n    \u003Cp>手术前我们用的ASA分级就像体检报告：Ⅰ级是健康人，Ⅲ级意味着有严重系统疾病。这位阿姨的评估显示：\u003C/p>\n    \u003Cul>\n      \u003Cli>冠心病让心脏像老化的水泵\u003C/li>\n      \u003Cli>重症肌无力会让她苏醒延迟\u003C/li>\n      \u003Cli>糖尿病让血管像生锈的水管\u003C/li>\n    \u003C/ul>\n    \u003Cp>最麻烦的是\"困难气道\"，简单说就是插管难度堪比在弯曲的吸管里穿线。\u003C/p>\n  \u003C/div>\n  \n  \u003Cdiv class=\"section risk\">\n    \u003Ch2>⚠️ 术中那些\"惊险时刻\"\u003C/h2>\n    \u003Cp>手术中我们全程盯着三块\"仪表盘\"：\u003C/p>\n    \u003Col>\n      \u003Cli>\u003Cstrong>血压计\u003C/strong>：像监测火山喷发，血压骤升会诱发脑出血\u003C/li>\n      \u003Cli>\u003Cstrong>心电图\u003C/strong>：捕捉心脏\"漏拍\"，冠心病患者容易突发心梗\u003C/li>\n      \u003Cli>\u003Cstrong>血氧仪\u003C/strong>：患者可能突然\"断氧\"，就像手机突然关机\u003C/li>\n    \u003C/ol>\n    \u003Cp>好在这次手术2小时45分钟顺利完成，失血量控制得不错，还回收了300ml自体血。\u003C/p>\n  \u003C/div>\n  \n  \u003Cdiv class=\"section advice\">\n    \u003Ch2>💡 给类似患者的建议\u003C/h2>\n    \u003Cp>如果你或家人也要做这类手术：\u003C/p>\n    \u003Cul>\n      \u003Cli>\u003Cstrong>术前1个月\u003C/strong>：像备考一样控制血压血糖，戒烟戒酒\u003C/li>\n      \u003Cli>\u003Cstrong>手术当天\u003C/strong>：带上所有药盒，别以为\"停一天没事\"\u003C/li>\n      \u003Cli>\u003Cstrong>术后3天\u003C/strong>：警惕\"麻醉后遗效应\"，出现胡言乱语要立即喊医生\u003C/li>\n    \u003C/ul>\n  \u003C/div>\n  \n  \u003Cdiv class=\"section ending\">\n    \u003Cp>现在麻醉技术很成熟，但就像开车系安全带，做好充分准备才能把风险降到最低。有慢性病的朋友别害怕，提前和麻醉医生充分沟通，咱们一起平安度过手术关！\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  padding: 20px;\n  background-color: #f9f9f9;\n  border-radius: 10px;\n  box-shadow: 0 2px 10px rgba(0,0,0,0.05);\n}\n\n#material_title {\n  color: #2c7873;\n  text-align: center;\n  margin-bottom: 25px;\n  font-size: 1.8rem;\n  border-bottom: 2px solid #e0f2f1;\n  padding-bottom: 10px;\n}\n\n.section {\n  margin-bottom: 25px;\n  padding: 15px;\n  border-radius: 8px;\n  background-color: white;\n}\n\n.section.intro {\n  background-color: #e3f2fd;\n}\n\n.section.knowledge {\n  background-color: #e8f5e9;\n}\n\n.section.risk {\n  background-color: #ffebee;\n}\n\n.section.advice {\n  background-color: #fff8e1;\n}\n\n.section.ending {\n  background-color: #f3e5f5;\n  text-align: center;\n  font-style: italic;\n}\n\nh2 {\n  color: #2c7873;\n  font-size: 1.3rem;\n  margin-top: 0;\n  margin-bottom: 15px;\n}\n\nul, ol {\n  padding-left: 25px;\n}\n\nli {\n  margin-bottom: 8px;\n}\n\nstrong {\n  color: #d81b60;\n}\n\u003C/style>\n","v0247cg10004d2e6hl2ljht33n45g4ag",180,1,507,"2025-08-13 17:19:39","脊柱手术的麻醉风险与术前准备指南 - 关键步骤不可忽视  ","脊柱手术麻醉风险, 麻醉前准备, 脊柱手术注意事项, 麻醉并发症预防, 术前评估  ","本文详细解析脊柱手术的麻醉风险及必备术前准备，包括风险评估、患者身体状况检查、麻醉方案选择等关键步骤，帮助患者和家属全面了解并降低手术风险。","2025-08-18 19:02:00",[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","慢性病","https://vod.haohuanjiao.com/huanjiao/specialistVideo/866316/7c43726a-2a69-44e8-85d5-4b9ae4055294.tmp?a=0&auth_key=1789006839-ced778d13f1243f8b0a279649388f88d-0-f77d37927eefa5da15bd02099168add1&br=780&bt=780&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=4&eid=v0247cg10004d2e6hl2ljht33n45g4ag&er=0&l=202608110017330995D9FDCE7CB324A596&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=ajc4cTZrb285NTczNGY3M0ApZGo3NndtNWtoZzMzajo1eWdeZDEwcWcvZWJhLS1kNC9zc2QxMmswZWlpMy8xLS5gMS06Yw%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":27},10,[66,76],{"id":67,"updateTime":68,"averageScore":69,"posts":21,"specialistId":70,"userName":71,"hospital":72,"avatar":73,"description":74,"department":75},19493,"2025-12-24 15:15:42",9.5,866413,"韩涛","江苏省人民医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//rnFUibkvbtSA68bKHWRL0Aqd3JM6WKlh.png","这篇关于脊柱手术麻醉风险的内容极具亮点，以临床真实病例切入，用“老车检修”“老化水泵”等生动比喻，把复杂的麻醉风险评估和ASA分级讲得通俗易懂，既结合了专业知识又贴近大众认知。医生的第一人称叙述让内容更具真实感与说服力，是一篇专业又接地气的优质科普内容。","重症",{"id":77,"updateTime":78,"averageScore":79,"posts":21,"specialistId":80,"userName":81,"hospital":72,"avatar":48,"description":82,"department":83},16009,"2025-11-10 17:52:16",9.6,870660,"黄晓文","该视频聚焦脊柱手术麻醉核心风险，以“评估报告-术中风险-患者建议”为脉络，逻辑清晰且贴合患者关切。内容直击术前关键准备与术中潜在风险，通俗化解读专业场景，实用性与警示性兼具。视频形式直观易懂，有效缓解患者焦虑。若能补充体检报告重点关注指标、术中风险应对细节，可进一步提升科普的针对性与可操作性。\n","骨科",{"code":9,"msg":10,"message":6,"data":85,"success":60},{"authors":86,"appraiseDimensionScoresVos":91},[87,89],{"profilePhoto":48,"specialistId":88},"870660",{"profilePhoto":73,"specialistId":90},"866413",[92,97,103,106,111],{"id":93,"scores":94,"value":95,"dimensionId":6,"avgs":69,"title":96},144932,30,29,"内容准确性",{"id":98,"scores":99,"value":100,"dimensionId":6,"avgs":101,"title":102},144933,20,19,9.75,"内容深度与广度",{"id":104,"scores":99,"value":100,"dimensionId":6,"avgs":101,"title":105},144934,"语言表达",{"id":107,"scores":22,"value":108,"dimensionId":6,"avgs":109,"title":110},144935,14,9,"呈现形式",{"id":112,"scores":22,"value":22,"dimensionId":6,"avgs":113,"title":114},144936,9.66667,"教育价值"]