[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$f5yx74lF2dTQZc9ruKtypS0_0rnDBfRLqHUy-7KEJqC0":8,"$fUwJcHg23hE09tKdlzFbZLwvN9OIPAPFPruxUuArrP7c":60,"$fVH2XLlNjSbIIRUwXfofMcXtBfHNx4Xii2zZ_vcIw6oc":61,"$fZ9CRIWpvMa8X2TcKMcJysKh9EGiyiYLQZw4nmn6cN6I":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":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":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":56,"commentCount":17,"isComment":30,"deviceType":57,"url":58},8290,870557,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//DmLMP7QxA2zj9EngHItPLP7AWniATSw1.png","崔恒浩",0,"急危重症病例治疗","盐城市大丰人民医院","重症监护","主治医师",3,"老年患者脑疝手术后的麻醉管理与术后护理：你需要知道的关键要点","https://cdn.yishi-tong.com/console/3/f_JXYdHNbc66hsKAwHICP3C3iizKisYr.png","https://cdn.yishi-tong.com/console/3/Kh3DA5RTe9Sfi3yRgbRajbvx6emTTqLu.png",2,"\u003Ch2 id=\"material_title\" class=\"chh_title\">老年患者脑疝手术后的麻醉管理与术后护理：你需要知道的关键要点\u003C/h2>\n\u003Cdiv class=\"chh_section chh_opening\" style=\"background:#e8f6ff; padding:18px; border-radius:8px;\">\n  \u003Cspan style=\"font-size:1.2em; font-weight:600;\">🎤崔恒浩，盐城市大丰人民医院\u003C/span>\u003Cbr>\n  有时候，大家听到“脑疝手术”，第一反应都是觉得特别复杂，其实更让人揪心的，是术后的麻醉和护理。最近我的门诊里，一位年过60的叔叔遭遇了这种情况，不仅有脑部急症，还合并高血压、糖尿病和骨折，一下子把大家的思绪都搅乱了。你想想，这么多病一起凑热闹，恢复能容易吗？\n\u003C/div>\n\n\u003Cdiv class=\"chh_section chh_core\" style=\"background:linear-gradient(90deg,#f8f8f8 80%,#e9f7ef 100%); padding:20px 16px; margin:22px 0 18px 0; border-radius:8px;\">\n  \u003Ch3 style=\"font-size:1.1em; background:#fcfcfc; padding:8px 12px; border-radius:5px;\">麻醉基础，术中安全到底怎么把关？ 💡\u003C/h3>\n  说到麻醉，很多人以为只是“打一针，睡一觉”，其实远不止这么简单。像这位叔叔，整个手术是“全身麻醉”，就是把全身神经轻轻地“哄睡觉”，这样医生能放心操作，病人不会有痛苦。麻醉师就像汽车里的安全巡航系统，全程盯着血压、呼吸、心跳，确保每个细节不漏，尤其是遇到多种疾病一起时，更需要持续微调方案。\n  \u003Cbr>\u003Cbr>\n  \u003Ch3 style=\"font-size:1.1em; background:#fcfcfc; padding:8px 12px; border-radius:5px; margin-top:10px;\">术后风险知多少？护理到底靠什么？ 🏥\u003C/h3>\n  很多人担心手术后是不是就万事大吉，其实恢复的路才刚开始。像刚才提到的那位患者，术后住进了重症监护室，不只是因为脑部，还因为合并症太多了。有些朋友一上了年纪，血压、血糖一不稳，麻醉后的康复进程就容易“卡壳”，甚至有感染或呼吸道问题。我遇到过类似的患者，以为自己只是骨头摔断，结果手术后才发现肺也被波及，一不留神就闹肺炎。好消息是，只要护理得当，比如密切观察、及时评估、合理下床活动，风险是可以降低不少的。换句话说，术后每一步“不掉链子”，麻醉和护理就能帮你守住安全线。\n  \u003Cbr>\u003Cbr>\n  \u003Ch3 style=\"font-size:1.1em; background:#fcfcfc; padding:8px 12px; border-radius:5px; margin-top:10px;\">老年患者术后管理到底该怎么做？🔑\u003C/h3>\n  那怎么让康复更顺利？其实要记住三件事。第一，手术后一定控制好血压、血糖，这不是多此一举，而是对心脑恢复有大用处。第二，多留意疼痛和呼吸情况——出现不适别硬挺，有改变及时跟医生沟通。第三，下床活动不能太急，但也别总躺着，适当活动能防止血栓和肌肉萎缩。护理团队会帮你定时观察和调整方案，我自己也常常发现，家属的细心陪伴和有耐心的沟通，对恢复能加分不少。别担心，咱们方法和经验都在，只要一起努力，危险也就不敢轻易来捣乱了。\n\u003C/div>\n\n\u003Cdiv class=\"chh_section chh_ending\" style=\"background:#fff9ed; padding:16px; border-radius:8px;\">\n  说到底，老年人遇上大手术，科学的麻醉管理和耐心细致的术后护理就是恢复的护身符。现在开始关注这些细节，真的一点都不晚。每多懂一点，帮家人也能更安心。这些关键常识，记在心里就等于多了份保障！\n\u003C/div>\n\n\u003Cstyle>\n.chh_title {\n  font-size:2em;\n  font-weight:700;\n  color:#195888;\n  margin-bottom:14px;\n  letter-spacing:1px;\n}\n.chh_section {\n  font-family:\"PingFang SC\",\"微软雅黑\",Arial,sans-serif;\n  line-height:1.85;\n  font-size:1em;\n}\n.chh_opening {\n  box-shadow:0 2px 8px rgba(0,84,185,0.07);\n  border-left:5px solid #67a4e3;\n}\n.chh_core {\n  box-shadow:0 2px 10px rgba(40,120,80,0.07);\n  border-left:5px solid #58b986;\n}\n.chh_core h3 {\n  color:#206c4e;\n  margin-bottom:8px;\n}\n.chh_ending {\n  box-shadow:0 2px 6px rgba(240,150,40,0.07);\n  border-left:5px solid #dfae87;\n  font-size:1.08em;\n  font-weight:500;\n  color:#bd770b;\n}\n\u003C/style>","v0247cg10004d3mbt3iljhtar01v44s0",227,1,553,"2025-10-13 14:04:28"," 老年患者脑疝手术后的麻醉管理与术后护理关键要点  \n"," 老年脑疝手术, 术后麻醉管理, 脑疝术后护理, 老年患者护理, 神经外科麻醉, 术后并发症预防  \n"," 本文详细介绍了老年患者脑疝手术后的麻醉管理策略与术后护理关键要点，包括麻醉恢复注意事项、常见并发症预防及护理技巧，帮助医护人员优化患者康复过程。","2025-10-27 22:04:18",[38],{"menuId":39,"menuName":40,"parentId":17,"orderNum":22,"path":41,"component":42,"isFrame":43,"isCache":44,"menuType":45,"visible":30,"status":17,"createDept":6,"remark":46,"createTime":47,"children":48,"columnImage":49,"columnLogo":50,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":51,"seoKeywords":52,"seoDescription":53,"contentNum":6,"promotionalPoster":54,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":55,"routerPath":41,"componentInfo":42},"1986622624134549505","科普视频","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/870557/fbb3b43b-f11f-482d-bce6-40c142f71092.tmp?a=0&auth_key=1789022551-65ad8cd53a68425fbcca45431484f8c9-0-0e82327c591e1822d0740df741de5b79&br=717&bt=717&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=4&eid=v0247cg10004d3mbt3iljhtar01v44s0&er=0&l=20260811043838B6F001065259E637BE03&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=Mzd5M2RrbzZlNjczNGY3M0Apdjc0dXdtbHdwZzMzajo1eWdwMS5vcWdmcWphLS1kNC9zcy0xcy1eZWkwXzAxLS5gMS06Yw%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":22},10,[65,75,85],{"id":66,"updateTime":67,"averageScore":68,"posts":21,"specialistId":69,"userName":70,"hospital":71,"avatar":72,"description":73,"department":74},27850,"2026-03-13 18:25:39",8.5,866332,"陈飞","丹阳市妇幼保健院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//joTXHMGHsFNYfHcSm5Z09jd6CK926Mt0.png","老年患者脑疝手术后，麻醉管理需维持生命体征稳定，老年人代谢慢，麻醉药物清除时间延长，易出现呼吸抑制或低血压，术后镇痛需平衡镇静与清醒度，避免过度镇静加重颅内压增高。术后护理则需密切监测神经功能、预防并发症，并配合康复治疗。‌ 整个过程需多学科协作，确保患者安全度过危险期。","麻醉科",{"id":76,"updateTime":77,"averageScore":78,"posts":79,"specialistId":80,"userName":81,"hospital":82,"avatar":83,"description":84,"department":74},27021,"2026-03-11 16:57:54",8.1,"副主任医师",868192,"王亮","南京医科大学附属逸夫医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//z4h0aUy7uvUJBYiAoBlPYGmDRHrGu0VK.png","脑疝的出现很多是由于外伤导致，此类病人往往存在饱胃、失血性休克、困难气道等合并症。处理该类病人首先要维持患者血流动力学稳定，降低颅内压维持脑灌注，脑脊膜打开后预防反射性血压降低。合理液体管理、确保脑灌注压是该类患者良好预后的重要因素。",{"id":86,"updateTime":6,"averageScore":87,"posts":21,"specialistId":88,"userName":89,"hospital":90,"avatar":91,"description":92,"department":74},29877,9.2,871021,"黄岚","江苏省中医院","https://ystcdn.venuertc.com/venue/app/32419/2025-11-06/499bf0e3-50eb-4eff-b5fc-77a4e00cdecd.png","该内容聚焦老年脑疝手术围术期管理，以临床病例为切入点，系统阐释了全身麻醉的术中监护要点与术后多系统风险防控逻辑，明确了血压血糖管控、呼吸监测、早期活动等核心护理原则。内容兼具专业性与实用性，既为临床医护提供了实操指引，也向患者传递了科学康复理念，对老年神经外科围术期管理具有重要参考价值。",{"code":9,"msg":10,"message":6,"data":94,"success":59},{"authors":95,"appraiseDimensionScoresVos":102},[96,98,100],{"profilePhoto":83,"specialistId":97},"868192",{"profilePhoto":72,"specialistId":99},"866332",{"profilePhoto":91,"specialistId":101},"871021",[103,109,114,119,124],{"id":104,"scores":105,"value":106,"dimensionId":6,"avgs":107,"title":108},252601,30,25,8.66667,"内容准确性",{"id":110,"scores":111,"value":112,"dimensionId":6,"avgs":68,"title":113},252602,20,18,"内容深度与广度",{"id":115,"scores":111,"value":116,"dimensionId":6,"avgs":117,"title":118},252603,17,9.16667,"语言表达",{"id":120,"scores":121,"value":63,"dimensionId":6,"avgs":122,"title":123},252604,15,7.55556,"呈现形式",{"id":125,"scores":121,"value":126,"dimensionId":6,"avgs":127,"title":128},252605,12,9.11111,"教育价值"]