[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$f_-7Ghfxl5krqoyERT1gEyAmzqnITJ6sNPF6uATLn428":8,"$fqrT-5VyFzULQ850v3hKpLM5OoBO-O2YxmASbWbW6InE":61,"$f7I6RX9yUpsCVRPyjtUkZUVkWy1m32Jt1lC0vp-p8PRo":62,"$f1QQBcjzZAZULoVv-Itgv86FUhSydaHD9nZDPZfB67Mo":96},{"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":22,"videoTotal":23,"isConcern":7,"title":24,"coverVertical":25,"coverAcross":26,"directionMarker":27,"description":28,"vid":29,"time":30,"mediaType":31,"views":32,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":33,"seoTitle":34,"seoKeywords":35,"seoDescription":36,"shelvesTime":37,"menus":38,"menuId":40,"type":27,"quality":57,"commentCount":17,"isComment":31,"deviceType":58,"url":59},8781,868112,[],"https://cdn.yishi-tong.com/console/store-unknown/uF7OMd0P_hB1LaAPsAH23kXFsYY6stA4.png","张龙",0,"擅长肝胆疾病的外科治疗","江苏省人民医院","普外科","主治医师",3,17,"72岁男性患者患肝胆管结石，麻醉管理需关注的关键要素！","https://cdn.yishi-tong.com/console/3/uLVBAzSWg7kewP_N1cmzO2HtE0AjOQW3.png","https://cdn.yishi-tong.com/console/3/Z4sNdqsGPl7l26mcAnepKtqkRN4BiQIB.png",2,"\u003Cdiv>\u003Cp>72岁男性患者患肝胆管结石，麻醉管理需关注的关键要素！\u003C/p>\u003Cp>说实话，很多人提到麻醉，第一反应就是“睡一觉，啥也不知道”。不过，像我们在江苏省人民医院普外科每天见到的情况，尤其是碰到72岁的肝胆管结石患者，麻醉这事还真不是那么简单。我是张龙，每次遇到老年朋友来做手术，总会有人在术前持续发问：“医生，麻醉安全吗？我的高血压会不会出问题？”其实，这些担心并不少见，尤其是家里有慢性病的长者，麻醉前准备和风险控制，确实值得多聊。\u003C/p>\u003Ch3>🩺麻醉其实比你想象的讲究\u003C/h3>\u003Cp>大多数人觉得麻醉就是打一针、睡一觉，“醒了就算完”。但像肝胆管结石这类疾病，患者既有基础高血压，身体又偏瘦，麻醉方案要“量身定制”。其实就像手机开机前要先检测电量和信号，麻醉医生也会系统评估每个患者的健康底子，比如有没有心脑血管病、以往用过什么药、手术经历如何。尤其全身麻醉，靠的不仅是药物，还有对生命体征的实时监控，来确保患者平稳度过手术这个“起伏路段”。你有没有想过，麻醉医生不只是让人“睡着”，其实时时刻都在帮患者“护航”。\u003C/p>\u003Ch3>⚡麻醉管理有哪些隐患？怎么规避？\u003C/h3>\u003Cp>或许你会问，麻醉到底有什么风险？其实最怕的还真不是“睡不醒”，而是慢性病触发的一些小状况。比如我们这位患有高血压的老年朋友，麻醉前必须核查血压是否稳定，要不然术中很可能波动，影响康复。有一次遇到类似的患者，术后疼痛管理没做到位，结果恢复缓慢、连带胃口都差。其实，麻醉风险不是洪水猛兽，疼痛管理和生命体征监控只要跟上，大部分问题都能提前预防。麻醉医生会根据个人情况合理调整药物剂量和融合镇痛方案，让你不至于被疼痛折磨，也大降低了术后并发症的发生率。\u003C/p>\u003Cp>那具体应该怎么做呢？其实很简单。第一，手术前记得把自己所有慢性病和药物情况告诉医生，别有啥隐瞒，一点细节都重要。第二，术前监控血压和心率，这样可以提前发现“暗雷”，防患于未然。第三，术后疼痛别硬扛，及时反馈给医生，镇痛方案可以灵活调整，让恢复更顺畅。有家属陪护时，也可以帮忙观察患者精神状况、进食和睡眠，只要有异常，随时沟通。别怕，现代麻醉技术越来越成熟，大多数风险其实都在可控范围里，关键是咱自己多和医生配合，做到心里有数。\u003C/p>\u003C/div>","v0347cg10004d4d9cailjhtca2vbibf0",152,1,509,"2025-11-16 00:23:23","72岁男性肝胆管结石患者麻醉管理关键要素解析  ","肝胆管结石麻醉管理,老年患者麻醉风险,肝胆手术麻醉要点,72岁患者麻醉注意事项,围术期肝功能保护  ","本文详细分析72岁肝胆管结石患者的麻醉管理核心要素，包括术前肝功能评估、麻醉药物选择、循环管理及术后镇痛策略，为临床提供高龄肝胆手术患者的麻醉管理参考方案。","2025-11-28 11:04:56",[39],{"menuId":40,"menuName":41,"parentId":17,"orderNum":22,"path":42,"component":43,"isFrame":44,"isCache":45,"menuType":46,"visible":31,"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","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","慢性病",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/868112/a52ea1a7-2002-48f1-b128-97c6505efb04.tmp?a=0&auth_key=1789026573-8591c91505a54c5cb710d6c144b071c4-0-b9bb5dce9bc2b2af1684aeb967bb1f3a&br=678&bt=678&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0347cg10004d4d9cailjhtca2vbibf0&er=0&l=20260811054655A04A414CB82A8139B5CD&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=M2VlNWZrb2Q8NzczNGY3M0ApaWx5ZHdtbGZnZzMzajo2eWdjZnNecWdmYGFhLS1kNDBzcy1fXy9gZWleNjExLS5gMS06Yw%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":31,"pageSize":64,"result":65,"totalSize":22},10,[66,75,85],{"id":67,"updateTime":68,"averageScore":69,"posts":21,"specialistId":70,"userName":71,"hospital":72,"avatar":47,"description":73,"department":74},29794,"2026-04-08 16:43:59",9.7,879141,"蒯贤东","南京医科大学第四附属医院","视频聚焦老年肝胆管结石患者麻醉管理，以临床案例切入，精准解析老年患者合并基础病的麻醉风险与防控要点。内容专业严谨，从术前评估、术中监测到术后镇痛管理层层递进，用通俗比喻化解专业壁垒，强调个体化方案与医患配合的重要性，兼具临床指导性与科普价值，实用性强。","急诊科",{"id":76,"updateTime":77,"averageScore":78,"posts":79,"specialistId":80,"userName":81,"hospital":19,"avatar":82,"description":83,"department":84},28342,"2026-03-16 14:21:30",9,"主任医师",868326,"李金海","https://cdn.haohuanjiao.com/learnMaterial/ystApp//TrXXUA5YEJyRBz7eDRFZ90wIaWjLvR3R.png","它以72岁高龄患者为核心案例，深度解析老年外科麻醉的个体化管理，专业扎实又贴合临床。内容覆盖术前评估、术中风险防控到术后镇痛，全周期视角很全面。形式上视频+图文结合，用生活化比喻把专业知识讲得通俗易懂，特别适合大众传播。语言亲切有温度，既破除了大众对麻醉的误解，也强调了老年患者精细化麻醉的重要性，临床指导和科普价值都很突出。","重症",{"id":86,"updateTime":87,"averageScore":88,"posts":89,"specialistId":90,"userName":91,"hospital":92,"avatar":93,"description":94,"department":95},23397,"2026-02-07 17:22:01",8.6,"副主任医师",872402,"李彩芳","苏州大学附属第一医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//62mXSQ8oRycYosiaN7GdAC61Wn14euOg.png","该科普视频文字内容语言表达清晰流畅，以大众对麻醉的普遍认知为切入点，结合老年患者常见疑问展开，迅速拉近与观众距离。内容上紧扣“72岁肝胆管结石患者麻醉管理关键要素”主题，先纠正大众对麻醉的片面认知，再通过手机开机检测的类比，生动阐释麻醉方案需“量身定制”的原因，将专业知识通俗化呈现。","麻醉科",{"code":9,"msg":10,"message":6,"data":97,"success":60},{"authors":98,"appraiseDimensionScoresVos":105},[99,101,103],{"profilePhoto":93,"specialistId":100},"872402",{"profilePhoto":82,"specialistId":102},"868326",{"profilePhoto":47,"specialistId":104},"879141",[106,112,118,122,128],{"id":107,"scores":108,"value":109,"dimensionId":6,"avgs":110,"title":111},221222,30,25,9.66667,"内容准确性",{"id":113,"scores":114,"value":115,"dimensionId":6,"avgs":116,"title":117},221223,20,16,8.5,"内容深度与广度",{"id":119,"scores":114,"value":23,"dimensionId":6,"avgs":120,"title":121},221224,9.5,"语言表达",{"id":123,"scores":124,"value":125,"dimensionId":6,"avgs":126,"title":127},221225,15,13,9.06667,"呈现形式",{"id":129,"scores":124,"value":130,"dimensionId":6,"avgs":131,"title":132},221226,14,9.86667,"教育价值"]