[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fyGD1MPquKxSlSIPIM0rc7DNq0jVctvyO7hZ1KbnJx7Y":8,"$fPc00SXX8kmTsKMsd-VXFzowJXd0CPXsUdzX7DsK8mXM":60,"$f2kh1roehW0cDXOJZjEK1YFCqs8MCU1T4v8w0jGz-55s":61,"$fgVedxaqK6zPiMS8zoAtheA_45YQHfrcJsijs6tQDr9k":95},{"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":22,"description":27,"vid":28,"time":29,"mediaType":23,"views":30,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":31,"seoTitle":32,"seoKeywords":33,"seoDescription":34,"shelvesTime":35,"menus":36,"menuId":38,"type":22,"quality":56,"commentCount":17,"isComment":23,"deviceType":57,"url":58},7812,870486,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//ZGADuIV1tSJbuSN8q3iaKU9TXSzkwhJC.png","孙振层",0,"泌尿外科常见病","东南大学附属中大医院","男性泌尿外科","主治医师",2,1,"别等尿路感染加重，53岁男性肾结石积水全身麻醉成功案例分析","https://cdn.yishi-tong.com/console/3/jlrccuUi9ijsDdh1NSgw0ivbtFnKDo35.png","https://cdn.yishi-tong.com/console/3/LoKrDarfP6O5vpTyRUU40RmDjuujQ1fj.png","\u003Cdiv class=\"medical-article\">\n  \u003Ch1 id=\"material_title\">别等尿路感染加重，53岁男性肾结石积水全身麻醉成功案例分析\u003C/h1>\n  \n  \u003Cdiv class=\"section intro\">\n    \u003Cp>我是东南大学附属中大医院的孙振层医生。最近门诊遇到一位53岁的男性患者，因为腰痛来就诊，结果查出双肾都有积水和结石。这位患者平时还有高血压、心脏病等基础病，手术风险可不小。今天就跟大家聊聊，这种情况下的麻醉管理要注意些什么。\u003C/p>\n  \u003C/div>\n  \n  \u003Cdiv class=\"section knowledge\">\n    \u003Ch2>🔍 麻醉不是简单的\"睡一觉\"\u003C/h2>\n    \u003Cp>很多人以为麻醉就是打一针睡过去这么简单，其实不然。特别是像这位患者，有多个基础疾病，麻醉就像走钢丝，要特别小心。他的心率达到了130次/分，比正常人快不少，这就像汽车发动机转速过高，需要及时调整。\u003C/p>\n    \u003Cp>全麻状态下，患者的呼吸、心跳、血压等生命体征都需要麻醉医生全程监控。就像飞机上的黑匣子，麻醉机也会记录所有数据，确保万无一失。\u003C/p>\n  \u003C/div>\n  \n  \u003Cdiv class=\"section risk\">\n    \u003Ch2>⚠️ 这些情况要特别注意\u003C/h2>\n    \u003Cp>这位患者的情况比较特殊：一是双肾都有问题，肾功能可能已经受损；二是有高血压和心脏病，心血管系统比较脆弱。这就好比一辆老车要跑长途，必须做好全面检查。\u003C/p>\n    \u003Cp>手术前我们给他做了血常规、肾功能等多项检查，就像给汽车做全面保养。麻醉药物的选择和用量也要特别谨慎，避免给肾脏和心脏增加额外负担。\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>如果你或家人也有类似情况，准备手术时要注意：\u003C/p>\n    \u003Col>\n      \u003Cli>一定要如实告知医生所有病史，不要隐瞒\u003C/li>\n      \u003Cli>术前按医嘱做好各项检查，不要嫌麻烦\u003C/li>\n      \u003Cli>手术当天保持放松，紧张反而会影响麻醉效果\u003C/li>\n      \u003Cli>术后要配合医生做好疼痛管理和康复\u003C/li>\n    \u003C/ol>\n    \u003Cp>这位患者经过精心准备和麻醉管理，手术很顺利，现在已经出院休养了。\u003C/p>\n  \u003C/div>\n  \n  \u003Cdiv class=\"section ending\">\n    \u003Cp>麻醉安全无小事，特别是对于有基础疾病的患者。但也不用过度担心，只要做好充分准备，现代麻醉技术完全可以保障手术安全。如果你觉得这些信息有用，不妨分享给身边可能需要的人。\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: 800px;\n  margin: 0 auto;\n  padding: 20px;\n  color: #333;\n  line-height: 1.6;\n}\n\n#material_title {\n  color: #2c7be5;\n  text-align: center;\n  margin-bottom: 30px;\n  font-size: 1.8rem;\n  border-bottom: 2px solid #f0f4f8;\n  padding-bottom: 15px;\n}\n\n.section {\n  margin-bottom: 25px;\n  padding: 20px;\n  border-radius: 8px;\n  background-color: #f9fbfd;\n  position: relative;\n}\n\n.section::after {\n  content: \"\";\n  position: absolute;\n  bottom: 0;\n  left: 0;\n  width: 100%;\n  height: 1px;\n  background: linear-gradient(90deg, transparent, #e1e8ed, transparent);\n}\n\n.section h2 {\n  color: #2c7be5;\n  margin-top: 0;\n  font-size: 1.4rem;\n}\n\n.intro {\n  background-color: #f0f7ff;\n}\n\n.knowledge {\n  background-color: #f5f9ff;\n}\n\n.risk {\n  background-color: #fff5f5;\n}\n\n.advice {\n  background-color: #f5fff7;\n}\n\n.ending {\n  background-color: #f8f5ff;\n  text-align: center;\n  font-style: italic;\n}\n\nol {\n  padding-left: 20px;\n}\n\nli {\n  margin-bottom: 10px;\n}\n\n@media (max-width: 600px) {\n  .medical-article {\n    padding: 15px;\n  }\n  \n  .section {\n    padding: 15px;\n  }\n  \n  #material_title {\n    font-size: 1.5rem;\n  }\n  \n  .section h2 {\n    font-size: 1.2rem;\n  }\n}\n\u003C/style>","v0247cg10004d2jeoualjht9456k9850",256,711,"2025-08-21 15:03:28","53岁男性肾结石积水全身麻醉成功案例 - 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