[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fca1ZDj_rt0J-DLNNpVRUES123L32szk50sq3qtSEy50":8,"$fEhAkm7yaaUieQs_uvVONiU2XPMofAmS5VCJmYb3-ztQ":60,"$fN4ZGfELoZFl1IbrRPXVuiaed7wqZ-EbOZ7JYYrQ8CGo":61,"$fwPEkzv5naFkqeTvQIQMNWENKdSpGoPfJO6p3qhUHp00":89},{"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":17,"videoTotal":22,"isConcern":7,"title":23,"coverVertical":24,"coverAcross":25,"directionMarker":26,"description":27,"vid":28,"time":29,"mediaType":30,"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":26,"quality":6,"commentCount":17,"isComment":30,"deviceType":57,"url":58},7784,864642,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//CMB2T3jebLqWtkjGr4uD3OlflU7hQwGe.png","辜晓岚",0,"熟练掌握各种手术的麻醉方法和处理，以及麻醉并发症的防治，擅长急危重症患者的麻醉处理及监测治疗，围术期急性疼痛诊疗，超声引导下神经阻滞及TTE等","江苏省肿瘤医院","麻醉科","主任医师",5,"胸腔镜手术麻醉：68岁大爷的\"睡梦之旅\"全记录","https://cdn.yishi-tong.com/console/3/5_TBtgSQJWRrhxDA-3uR7iuqcwCr91oQ.png","https://cdn.yishi-tong.com/console/3/UC79PYo8vlPtep_gAf48XVzhuB-IAcJc.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(0,0,0,0.1);\">\n    \u003Ch1 id=\"material_title\" style=\"color: #2c3e50; border-bottom: 2px solid #3498db; padding-bottom: 10px; margin-bottom: 20px;\">胸腔镜手术麻醉：68岁大爷的\"睡梦之旅\"全记录\u003C/h1>\n    \n    \u003Cdiv style=\"background-color: #e8f4fc; padding: 15px; border-radius: 8px; margin-bottom: 20px; border-left: 4px solid #3498db;\">\n        \u003Cp style=\"margin: 0; color: #2c3e50; font-weight: 500;\">我是江苏省肿瘤医院的麻醉医生辜晓岚，今天想跟大家聊聊胸腔镜手术麻醉那些事儿。上周遇到位68岁的大爷，术前检查发现心脏有点小问题，但手术很顺利，1小时45分钟就完成了。这让我想到，很多患者对麻醉既好奇又害怕，今天咱们就来揭开这层神秘面纱。\u003C/p>\n    \u003C/div>\n    \n    \u003Ch2 style=\"color: #2980b9; background-color: #e8f4fc; padding: 10px 15px; border-radius: 5px;\">🔍 麻醉不是简单的\"睡一觉\"\u003C/h2>\n    \u003Cp style=\"line-height: 1.6; margin-bottom: 20px;\">很多人以为麻醉就是打一针睡过去，其实像这位大爷的胸腔镜手术，我们用了4种药物组合：舒芬太尼镇痛、咪达唑仑镇静、罗库溴铵让肌肉放松、丙泊酚维持睡眠。就像交响乐团，每种药物各司其职，麻醉医生就是指挥家，全程盯着监护仪上的生命体征。\u003C/p>\n    \n    \u003Ch2 style=\"color: #2980b9; background-color: #e8f4fc; padding: 10px 15px; border-radius: 5px;\">⚠️ 心脏问题患者的特别关照\u003C/h2>\n    \u003Cp style=\"line-height: 1.6; margin-bottom: 20px;\">这位大爷有轻度三尖瓣关闭不全和不完全性右束支阻滞，听起来吓人，其实很多中老年人都存在。我们术前会重点评估心脏功能，术中控制输液速度，就像给老房子通水管，水流不能太急。麻醉药物也调整得更温和，血压波动控制在10%以内。\u003C/p>\n    \n    \u003Ch2 style=\"color: #2980b9; background-color: #e8f4fc; padding: 10px 15px; border-radius: 5px;\">🍽️ 术前禁食的\"黄金6小时\"\u003C/h2>\n    \u003Cp style=\"line-height: 1.6; margin-bottom: 20px;\">虽然病例里没写禁食情况，但必须强调：手术前6小时不能吃东西，2小时不能喝水！这不是为难患者，是防止麻醉时胃内容物反流呛到气管。见过有人偷偷吃了个肉包，结果手术被迫推迟，既饿肚子又耽误治疗。\u003C/p>\n    \n    \u003Ch2 style=\"color: #2980b9; background-color: #e8f4fc; padding: 10px 15px; border-radius: 5px;\">💤 术后恢复的三个关键点\u003C/h2>\n    \u003Cp style=\"line-height: 1.6; margin-bottom: 20px;\">胸腔镜手术创伤小，大爷第二天就能下床。但要注意：1）麻醉清醒后2小时内别睡觉，家属要不断对话；2）用止痛泵别硬扛，疼痛会影响咳嗽排痰；3）术后6小时可少量饮水，先试一两勺，没有恶心再逐步增量。\u003C/p>\n    \n    \u003Cdiv style=\"background-color: #e1f5e8; padding: 15px; border-radius: 8px; margin-top: 20px; text-align: center;\">\n        \u003Cp style=\"margin: 0; color: #27ae60; font-weight: 500;\">记住，现代麻醉技术很安全，但需要医患共同努力。把身体状况如实告诉医生，严格遵守术前准备，就能像这位大爷一样平稳度过手术期。\u003C/p>\n    \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n    @media (max-width: 600px) {\n        div {\n            padding: 15px;\n        }\n        h1 {\n            font-size: 1.5rem;\n        }\n        h2 {\n            font-size: 1.2rem;\n        }\n    }\n\u003C/style>","v0247cg10004d2htvmiljhte204vqk1g",161,1,534,"2025-08-18 17:59:39","68岁大爷胸腔镜手术麻醉全记录 - 安全无痛的\"睡梦之旅\"  \n","胸腔镜手术,老年人麻醉,全身麻醉过程,手术麻醉记录,68岁患者麻醉,微创手术麻醉,麻醉安全,术前术后注意事项  \n","本文详细记录68岁患者接受胸腔镜手术的全身麻醉全过程，从术前准备到术后苏醒的完整\"睡梦之旅\"，解析老年人麻醉注意事项和微创手术的麻醉管理要点，为需要接受类似手术的患者及家属提供参考。","2025-08-24 21:28:00",[38],{"menuId":39,"menuName":40,"parentId":17,"orderNum":41,"path":42,"component":43,"isFrame":44,"isCache":45,"menuType":46,"visible":30,"status":17,"createDept":6,"remark":47,"createTime":48,"children":49,"columnImage":50,"columnLogo":51,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":52,"seoKeywords":53,"seoDescription":54,"contentNum":6,"promotionalPoster":55,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":56,"routerPath":42,"componentInfo":43},"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",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/864642/7c045ba0-1267-489e-8c85-b2e6c941830a.tmp?a=0&auth_key=1789031473-2744a5954d3d467eb13de85a4df9290a-0-ae833cddd4146314a38740c68992ccfd&br=820&bt=820&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0247cg10004d2htvmiljhte204vqk1g&er=0&l=20260811070827F3917172AE471B0BC8CC&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=am55M2hrb3B3NTczNGY3M0ApNHQ3NXdtbHlrZzMzajo1eWcubjEvcWdmc2VhLS1kNC9zc2Rocy1iZWlqcS8xLS5gMS06Yw%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":30,"pageSize":63,"result":64,"totalSize":41},10,[65,73,80],{"id":66,"updateTime":67,"averageScore":68,"posts":21,"specialistId":6,"userName":69,"hospital":70,"avatar":47,"description":71,"department":72},16578,"2025-11-13 16:52:35",9.1,"陈宏","射阳县人民医院","这篇科普以68岁大爷的胸腔镜手术麻醉为例，由江苏省肿瘤医院主任医师辜晓岚主讲，极具权威性与说服力。它打破“麻醉只是睡一觉”的认知误区，通过舒芬太尼、咪达唑仑、罗库溴铵、丙泊酚四种药物组合的讲解，展现麻醉是多药协同、精准调控的复杂过程。案例中大爷虽心脏有小问题仍顺利完成手术，既体现麻醉技术的安全性，又能缓解患者对麻醉的好奇与恐惧，是一份专业且接地气的医疗科普，有助于大众深入理解胸腔镜手术麻醉的科学内涵。\n \n需要注意的是，文中提及的舒芬太尼、咪达唑仑、丙泊酚等属于精麻醉管制药品，是国家管制药物且有成瘾性，必须在医生指导下使用。","重症",{"id":74,"updateTime":6,"averageScore":75,"posts":21,"specialistId":76,"userName":77,"hospital":19,"avatar":78,"description":79,"department":20},31417,8.3,866755,"高蓉","https://cdn.haohuanjiao.com/learnMaterial/ystApp//iQgfRWlT0v13oMkDyYA2CxHdLwVGV00q.png","视频提到的核心麻醉知识（如多模式药物组合、术前禁食原则、术后恢复要点）均符合临床诊疗规范与循证医学证据，药物作用分类（镇痛、镇静、肌松、催眠）及心脏患者“温和调控麻醉药物、控制血压波动”等表述，准确传递围术期麻醉学原理，具备扎实的科普基础，在科学严谨与大众友好间实现较好平衡；若针对性优化细节与信息密度，可进一步成为兼具“知识性+传播性+实用性”的优质麻醉科普典范。",{"id":81,"updateTime":6,"averageScore":82,"posts":21,"specialistId":83,"userName":84,"hospital":85,"avatar":86,"description":87,"department":88},31842,9.8,866134,"赵建强","淮安市第一人民医院","https://ystcdn.venuertc.com/learnMaterial/ystApp//Z7s3gpDJJP3btQSG9zuImJGRHhShyfYv.png","本视频以老年合并心脏基础病胸腔镜病例为切入点，通俗拆解胸外科全身麻醉配伍逻辑，细致讲解高龄心肺患者术前精准评估、术中循环精细化管控要点，覆盖术前禁食、术后康复全周期围术期管理。讲解接地气、临床指导性强，医患科普适配度高，充分凸显胸外科麻醉个体化守护价值。","心胸外科",{"code":9,"msg":10,"message":6,"data":90,"success":59},{"authors":91,"appraiseDimensionScoresVos":97},[92,93,95],{"profilePhoto":47,"specialistId":6},{"profilePhoto":78,"specialistId":94},"866755",{"profilePhoto":86,"specialistId":96},"866134",[98,104,110,114,120],{"id":99,"scores":100,"value":101,"dimensionId":6,"avgs":102,"title":103},148791,30,28,9,"内容准确性",{"id":105,"scores":106,"value":107,"dimensionId":6,"avgs":108,"title":109},148792,20,17,8.83333,"内容深度与广度",{"id":111,"scores":106,"value":112,"dimensionId":6,"avgs":102,"title":113},148793,18,"语言表达",{"id":115,"scores":116,"value":117,"dimensionId":6,"avgs":118,"title":119},148794,15,14,9.33333,"呈现形式",{"id":121,"scores":116,"value":117,"dimensionId":6,"avgs":122,"title":123},148795,9.11111,"教育价值"]