[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$f_ZEwUKnKICd_fO7V_fERmm0QUQOZK0D5UlT1aZjdgOA":8,"$fbillv3vCjMGOuUA7X8wjR7KQvZkg6-aCEj-lK9puXNM":61,"$f3ajgW-5T0fKQ9Miv8NM0LVL1kQclNkDrifD61qCXUUk":62,"$fZmdOUlBLQGvn8L4NBNEFjRAu2YeiUSBMnBUzhKjuMNo":94},{"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":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":57,"commentCount":17,"isComment":30,"deviceType":58,"url":59},8496,868323,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//AUrXQjFtUJwdS3KhmTDULpcs577qwCZ4.png","周碧莹",0,"重症科疾病治疗","苏州市立医院","重症监护","住院医师",17,"细菌性肺炎与脑出血后遗症患者局部麻醉的安全性与注意事项","https://cdn.yishi-tong.com/console/3/j-xrpdlOrkEU3eIGJkbh5xU_SLJZCWEs.png","https://cdn.yishi-tong.com/console/3/H-7vdYxY9tQb857nGFC5FRL0j9FMMXUf.png",2,"\u003Cdiv class=\"med_material_box\">\n  \u003Ch2 id=\"material_title\" class=\"med_material_title\">细菌性肺炎与脑出血后遗症患者局部麻醉的安全性与注意事项 🩺\u003C/h2>\n  \u003Cdiv class=\"med_material_section med_material_section-bg\">\n    \u003Ch3 class=\"med_material_subtitle\">一、这样复杂的情况，局部麻醉靠谱吗？\u003C/h3>\n    \u003Cp class=\"med_material_intro\">\n      你有没有遇到过家人因为肺炎、脑出血后遗症需要手术时，医生建议“局部麻醉”？不少人一听就犯嘀咕：复杂病情还能不用全麻吗？我叫周碧莹，来自苏州市立医院重症科，这样的疑问，几乎每天都在门诊碰到。不少患者家属会追问：“是不是全身麻醉更稳妥？”其实，事情没你想的那么绝对，咱们还真得从头说起。\n    \u003C/p>\n  \u003C/div>\n  \u003Cdiv class=\"med_material_section med_material_section-bg\">\n    \u003Ch3 class=\"med_material_subtitle\">二、局部麻醉到底是怎么一回事？\u003C/h3>\n    \u003Cp>\n      局部麻醉说白了，就是让手术部位暂时“下线”，疼痛感被屏蔽，但整个人是清醒的。就像唱歌时只关麦克风的一路，不影响其他声音。对于像同时有细菌性肺炎、脑出血后遗症、甚至呼吸衰竭这样的患者，全麻其实风险会更高——整个系统都“睡”过去，心肺功能压力骤增。局麻则把影响范围缩小，减少呼吸和循环的负担，也避免了全身药物副作用。你是不是会担心“感觉不到就万无一失了”？其实，局麻并不是一点风险都没有，只是用在复杂病情时，能更灵活。\n    \u003C/p>\n  \u003C/div>\n  \u003Cdiv class=\"med_material_section med_material_section-bg\">\n    \u003Ch3 class=\"med_material_subtitle\">三、复杂病症下的安全隐患与应对方法\u003C/h3>\n    \u003Cp>\n      像我最近遇到的一位54岁男患者，体重还挺标准，但光诊断就一长串：细菌性肺炎、脑出血后遗症、呼吸衰竭，外加高血压和心动过缓、贫血……这类患者，哪怕只是小手术，安麻醉都得慎之又慎。比如肺炎患者，要提前查清呼吸情况，必要时加抗感染治疗；脑出血后遗症，要保证神经系统稳定，防癫痫发作。处理不好，手术期间呼吸、心率就可能出问题。但别怕，遇到这些情况，我们会手把手帮你把关：定期心电、血压监测，麻醉师全程守着，营养也会及时补充。只要大家配合，很多潜在风险都能有效规避。\n    \u003C/p>\n  \u003C/div>\n  \u003Cdiv class=\"med_material_section med_material_section-bg\">\n    \u003Ch3 class=\"med_material_subtitle\">四、手术前后应该注意啥？\u003C/h3>\n    \u003Cp>\n      局部麻醉听着简单，其实细节特别多。手术前，记得按医嘱做呼吸检查、吃药，用抗生素保护好肺部功能；高血压、心脏慢、营养差这些基础病，必须乖乖随访，不要自作主张改药。手术当天，要保持情绪平稳，医生会帮你把控麻醉浓度，减少不适。术后别着急下床，咱得先让呼吸和营养状态慢慢恢复。局麻的好处是恢复快，但也要防止麻药过敏、局部疼痛或者偶尔的心慌。如果有异样，随时告诉医生就好。坚持按要求吃药、吃饭，配合定期随访，恢复会非常顺利。\n    \u003C/p>\n  \u003C/div>\n  \u003Cdiv class=\"med_material_section med_material_section-bg med_material_section-footer\">\n    \u003Ch3 class=\"med_material_subtitle\">五、放心吧，科学麻醉让健康更安心 🌱\u003C/h3>\n    \u003Cp>\n      局部麻醉其实是一种既安全又灵活的选择，只要你和医生合力配合，每一步都把好关，就能最大程度降低风险。遇到复杂病情不用慌神，现在开始重视还真的不晚，好好遵医嘱、关注身体变化，这就是对健康的最棒保护。你能做到，我也能陪你一起“把关健康”！\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\u003Cstyle>\n.med_material_box {\n  font-family: \"微软雅黑\", \"Arial\", sans-serif;\n  max-width: 580px;\n  margin: 0 auto;\n  background: #f9fbff;\n  padding: 32px 24px 24px 24px;\n  border-radius: 14px;\n  box-shadow: 0 2px 14px rgba(62,114,199,.08);\n}\n.med_material_title {\n  font-size: 1.8em;\n  color: #3562b0;\n  text-align: center;\n  margin-bottom: 24px;\n  font-weight: bold;\n  letter-spacing: 1px;\n}\n.med_material_subtitle {\n  font-size: 1.15em;\n  color: #1a387e;\n  margin: 18px 0 12px 0;\n  background: linear-gradient(90deg,#dbeaff 45%,#e6f1ff 100%);\n  border-radius: 7px;\n  padding: 7px 12px;\n  box-sizing: border-box;\n  font-weight: 600;\n  letter-spacing: 0.5px;\n}\n.med_material_intro {\n  font-size: 1.05em;\n  color: #3a4256;\n}\n.med_material_section {\n  margin-bottom: 22px;\n  padding: 0 5px 2px 5px;\n}\n.med_material_section-bg {\n  background: #eef4ff;\n  border-radius: 10px;\n  box-shadow: 0 1px 4px rgba(62,114,199,.04);\n}\n.med_material_section-footer{\n  background: #f2f7ff;\n  margin-bottom: 0px;\n  border-radius: 10px;\n}\n.med_material_section p{\n  font-size: 1.01em;\n  color: #485073;\n  margin: 0 0 12px 0;\n  line-height: 1.85;\n  word-break: break-word;\n}\n@media (max-width: 600px) {\n  .med_material_box {\n    max-width: 98%;\n    padding: 16px 8px 16px 8px;\n  }\n}\n\u003C/style>","v0247cg10004d40t2tqljht4uiq3gmv0",151,1,508,"2025-10-28 19:50:33"," 细菌性肺炎与脑出血后遗症患者局部麻醉的安全性及注意事项  \n"," 细菌性肺炎, 脑出血后遗症, 局部麻醉, 麻醉安全性, 麻醉注意事项, 术后并发症, 感染风险, 神经功能评估  \n"," 本文探讨细菌性肺炎与脑出血后遗症患者接受局部麻醉时的安全性和关键注意事项，包括术前评估、感染控制、神经功能监测及麻醉方案优化，帮助临床医生降低风险并提高患者预后。","2025-11-12 12:03:42",[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","重大疾病",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/868323/ba82c726-8727-489c-9dc4-ff181fd39bfd.tmp?a=0&auth_key=1789015341-340fbde852e04074b8753529aeecfe08-0-8db8d601f41026247a385ade63b96300&br=566&bt=566&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=4&eid=v0247cg10004d40t2tqljht4uiq3gmv0&er=0&l=202608110239454DB359A08DA17B82EB85&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=M3A2bDdrb3d3NzczNGY3M0ApeWp0eHdtdDUzZzMzajo1eWdzZG5ycWduLy1hLS1kNC9zcy1qMGYxZWlxcTExLS5gMS06Yw%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":30,"pageSize":64,"result":65,"totalSize":41},10,[66,77,86],{"id":67,"updateTime":68,"averageScore":69,"posts":70,"specialistId":71,"userName":72,"hospital":73,"avatar":74,"description":75,"department":76},34927,"2026-05-19 21:24:27",8.4,"副主任医师",866772,"路鑫","苏州大学附属第一医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//1u8VwoOsYf1lwhNjl0zOC7PRfCH1X8FK.png","视频文案选题精准，聚焦于“细菌性肺炎与脑出血后遗症患者”这一特殊群体的局部麻醉问题，极具现实指导意义。以重症科医生的专业视角，剖析了复杂病情下选择局麻的优势与风险。语言通俗易懂，从患者疑虑切入，逐步阐述局麻的安全性、潜在风险及术前术后注意事项，逻辑性强。是比较优质的科普视频。","急诊科",{"id":78,"updateTime":79,"averageScore":80,"posts":70,"specialistId":81,"userName":82,"hospital":19,"avatar":83,"description":84,"department":85},21007,"2026-01-12 17:16:30",9.3,868050,"钱雪锋","https://cdn.haohuanjiao.com/learnMaterial/ystApp//aKPIBa5ZdF7PifYX9Y2jXl581i0RJdPv.png","这段科普视频聚焦细菌性肺炎合并脑出血后遗症患者的局部麻醉，以临床常见疑问切入，用“关麦克风”的比喻简化局麻原理，结合病例分析风险与应对方法，贴近临床实操。但术前术后注意事项部分字迹模糊、表述零散，梳理成条列化要点会更具指导性。","重症",{"id":87,"updateTime":6,"averageScore":88,"posts":70,"specialistId":89,"userName":90,"hospital":73,"avatar":91,"description":92,"department":93},34825,8.5,866616,"金晓菲","https://cdn.haohuanjiao.com/learnMaterial/ystApp//NaP8vPSFPE4b6zNnNoJQmVzAEXWGQI5n.png","这段视频从临床真实场景切入，直击“复杂病情能否用局麻”的患者痛点。用“唱歌只关麦克风一路”的生动比喻，巧妙解释了局部麻醉的原理与优势，有效消除了家属对“全麻更稳妥”的刻板印象。视频内容专业、逻辑清晰，语言通俗易懂，兼具医学严谨性与人文关怀，为特殊患者群体的麻醉选择提供了极具价值的科普指导。","麻醉科",{"code":9,"msg":10,"message":6,"data":95,"success":60},{"authors":96,"appraiseDimensionScoresVos":103},[97,99,101],{"profilePhoto":83,"specialistId":98},"868050",{"profilePhoto":91,"specialistId":100},"866616",{"profilePhoto":74,"specialistId":102},"866772",[104,110,115,118,124],{"id":105,"scores":106,"value":107,"dimensionId":6,"avgs":108,"title":109},196444,30,29,8.75,"内容准确性",{"id":111,"scores":112,"value":113,"dimensionId":6,"avgs":88,"title":114},196445,20,19,"内容深度与广度",{"id":116,"scores":112,"value":113,"dimensionId":6,"avgs":108,"title":117},196446,"语言表达",{"id":119,"scores":120,"value":121,"dimensionId":6,"avgs":122,"title":123},196447,15,13,8.66667,"呈现形式",{"id":125,"scores":120,"value":126,"dimensionId":6,"avgs":122,"title":127},196448,14,"教育价值"]