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class=\"medpro-material-wrapper\">\n  \u003Ch2 id=\"material_title\" class=\"medpro-title\">右胫腓骨骨折手术时，椎管内麻醉的那些“小秘密”\u003C/h2>\n\n  \u003Cdiv class=\"medpro-section medpro-bg1\">\n    \u003Ch3 class=\"medpro-subtitle\">开场聊聊 · 手术也能“睡得踏实”？\u003C/h3>\n    \u003Cp class=\"medpro-paragraph\">术前访视，有个家属特地拉着我问：\u003Cspan class=\"medpro-emoji\">🤔\u003C/span> “麻醉是不是特别危险？年纪大还能打麻药吗？”其实，这不光是你关心的，很多人听到要手术，都第一时间为麻醉担忧。自我介绍一下，我叫闫玉伦，是苏州市中医医院麻醉科的医生。今天就想跟你聊聊，像右胫腓骨骨折这种骨科手术，椎管内麻醉到底安不安全，有啥特别讲究？其实梳理清楚，比你想象得简单多了！\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"medpro-section medpro-bg2\">\n    \u003Ch3 class=\"medpro-subtitle\">麻醉基础 · “躺着动刀”，咋能没感觉？\u003C/h3>\n    \u003Cp class=\"medpro-paragraph\">\n      说到椎管内麻醉，你可以把它想成是“让身体下半部分临时休息一会儿”，像把一块区域的WiFi信号暂时关掉，这样医生动刀时你不会痛，但脑袋能保持清醒。其实，这种麻醉方式主要针对下肢骨折、剖宫产等手术，既能控制疼痛，又减少对全身的影响。很多人担心麻醉过程控制不住，其实正规监测下风险非常小。我们通常会结合身体状况，比方说有心脏病、高血压的人，更适合稳定的椎管内麻醉，效果好，而且恢复更快。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"medpro-section medpro-bg3\">\n    \u003Ch3 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21:35:56",9.3,"主任医师",866806,"赵李红","苏州市立医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//FDp08fs8jhCcPDh8AtOi9lnnsMSCfBe3.png","这份内容聚焦基础疾病患者的麻醉安全与骨科椎管内麻醉管理，兼具临床专业性与人文温度。开篇以真实病例破除“有基础病=麻醉冒险”的误区，强调术前评估与术中监测的可控性；用“关掉区域WiFi信号”的通俗比喻，直观解释椎管内麻醉“下半身无痛、意识清醒”的特点；同时梳理术前如实告知、遵医嘱饮食、术后循序渐进恢复等实用建议，既展现了麻醉科在高危患者中的专业保障能力，也为患者提供了清晰的全流程指引，是优质的麻醉科普与医患沟通材料。",{"id":78,"updateTime":79,"averageScore":80,"posts":81,"specialistId":82,"userName":83,"hospital":84,"avatar":48,"description":85,"department":20},21616,"2026-01-16 09:50:21",9.7,"副主任医师",873160,"康立","苏州大学附属儿童医院","这篇科普以家属提问切入，用“关WiFi”的比喻把椎管内麻醉原理讲得通俗，还结合临床案例拆解基础病患者的麻醉风险与应对策略，结构上从基础到建议层层递进，语言亲切接地气。但部分语句存在口语化冗余，但是表述不够精炼，结尾的温馨提示也稍显拖沓，精简后会更符合科普的信息传递效率。",{"id":87,"updateTime":88,"averageScore":89,"posts":81,"specialistId":90,"userName":91,"hospital":74,"avatar":48,"description":92,"department":20},18267,"2025-12-15 11:14:54",9,875295,"李艳琼","点评：该科普视频以胫腓骨骨折手术的椎管内麻醉为切入点，用医生第一人称的对话式口吻展开，像“关WiFi信号”这样的比喻把麻醉原理讲得生动有趣。结合临床病例化解了患者对基础病麻醉的顾虑，术前术后的实用建议也具体可操作，整体风格亲切接地气。\n\n",{"code":9,"msg":10,"message":6,"data":94,"success":61},{"authors":95,"appraiseDimensionScoresVos":102},[96,98,100],{"profilePhoto":48,"specialistId":97},"875295",{"profilePhoto":48,"specialistId":99},"873160",{"profilePhoto":75,"specialistId":101},"866806",[103,108,114,119,124],{"id":104,"scores":105,"value":106,"dimensionId":6,"avgs":89,"title":107},165244,30,26,"内容准确性",{"id":109,"scores":110,"value":111,"dimensionId":6,"avgs":112,"title":113},165245,20,18,9.25,"内容深度与广度",{"id":115,"scores":110,"value":116,"dimensionId":6,"avgs":117,"title":118},165246,17,9.125,"语言表达",{"id":120,"scores":121,"value":121,"dimensionId":6,"avgs":122,"title":123},165247,15,9.83333,"呈现形式",{"id":125,"scores":121,"value":126,"dimensionId":6,"avgs":89,"title":127},165248,13,"教育价值"]