[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fZSaDIzPYPL4ngXajsInDBkMN4EnImlY1HfSqLuqTGv0":8,"$fIsxkvcm3Q7WN7PETJxpSws73IAlv274IOO3zg81atho":60,"$fWWK9uN8LyroAlNzAMxtsA755tcnxNAPPTAfZgZH-9yk":61,"$fcCpVPHuhwjM0OYQTD9zLswBsHRAwBVRQrkoNz-p-Jsc":82},{"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":17,"videoTotal":22,"isConcern":7,"title":23,"coverVertical":24,"coverAcross":25,"directionMarker":22,"description":26,"vid":27,"time":28,"mediaType":29,"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":29,"deviceType":57,"url":58},8788,870844,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//kBNZWHBRe9miwnI8wRVSIqvpxhJqAgYk.png","管蔚",0,"擅长减重及代谢手术治疗，胃肠肿瘤的手术治疗","江苏省人民医院","普外科","主任医师",2,"2型糖尿病患者全身麻醉下的减重手术：你的健康管理是什么？","https://cdn.yishi-tong.com/console/3/PZB2qdUMkNlmuERqTFsQ7gkz5BVi6wVS.png","https://cdn.yishi-tong.com/console/3/blsxF1KqBVQUA_w7hZqN-DfTQr70FMPt.png","\u003Cdiv class=\"prw-container\">\n  \u003Ch2 id=\"material_title\" class=\"prw-title\">\n    2型糖尿病患者全身麻醉下的减重手术：你的健康管理是什么？ \n    \u003Cspan class=\"prw-emoji\">🩺\u003C/span>\n  \u003C/h2>\n\n  \u003Csection class=\"prw-section prw-intro\" style=\"background-color: #f5f7fa;\">\n    \u003Ch3 class=\"prw-subtitle\">开场聊\u003C/h3>\n    \u003Cdiv class=\"prw-bg-gradient\">\u003C/div>\n    \u003Cp>\n      有些朋友跟我说，“管蔚，你是江苏省人民医院普外科的医生，是不是这些手术都很复杂？”但你知道吗，像减重手术遇上2型糖尿病，其实离我们的日常生活比想象中要近。刚门诊里就遇到一位32岁的女性患者，她身体情况看似平稳，但一准备做全麻的手术，很多细节就得敲黑板提醒了。糖尿病+全身麻醉到底要注意啥？你或许也想知道，这背后到底有什么门道。\n    \u003C/p>\n  \u003C/section>\n\n  \u003Csection class=\"prw-section prw-core\" style=\"background: linear-gradient(90deg, #e8faf8 0%, #fdf6f0 100%);\">\n    \u003Ch3 class=\"prw-subtitle\">麻醉和糖尿病的那些事\u003C/h3>\n    \u003Cdiv class=\"prw-bg-gradient\">\u003C/div>\n    \u003Cp>\n      说到全身麻醉，简单点讲，好比电脑“重启”模式——让大脑暂时休息，身体各种“小零件”靠机器照顾。这事对一般人没啥，但你要有糖尿病，情况可就复杂点了。糖尿病就像水管里存了糖，时间长了可能会导致一些管道变脆、易堵。全麻时，身体需要维持多种平衡，比如心率、血糖，这时糖尿病的控制力就决定了术中稳定有几分。你以为只是打一针麻药，实际得考虑身体每个系统能不能配合得上。这也是为什么，像咱们这位患者，血糖没控制好，手术风险就悄在增加。\n    \u003C/p>\n  \u003C/section>\n\n  \u003Csection class=\"prw-section prw-harm\" style=\"background-color: #fafdff;\">\n    \u003Ch3 class=\"prw-subtitle\">小麻烦其实挺要命？\u003C/h3>\n    \u003Cdiv class=\"prw-bg-gradient\">\u003C/div>\n    \u003Cp>\n      问题来了：糖尿病患者做全麻手术到底有哪些危险？先说个我遇到的例子。之前有个2型糖尿病的患者，觉得自己平时没啥症状，术前就“凑合”了一下血糖监测，结果手术后恢复慢，还差点因感染多躺了几个礼拜。其实这些“小麻烦”可不简单：血糖过高易伤口愈合慢，麻醉过程中体温、心率波动也大。别慌，这并不是说不能做，只要术前做好评估、血糖控制到位，完全可以把风险降得很低。机构规范的麻醉管理，就是为这些细节保驾护航。\n    \u003C/p>\n  \u003C/section>\n\n  \u003Csection class=\"prw-section prw-advice\" style=\"background: linear-gradient(90deg, #f1f5ed 0%, #f8f5fb 100%);\">\n    \u003Ch3 class=\"prw-subtitle\">实用建议，管用才算好\u003C/h3>\n    \u003Cdiv class=\"prw-bg-gradient\">\u003C/div>\n    \u003Cul class=\"prw-list\">\n      \u003Cli>第一步，术前一定要坚持监测血糖，血糖波动太大就跟没踩好刹车一样，危险系数立刻上升。\u003C/li>\n      \u003Cli>第二步，配合医生完成必要检查，比如胃镜、肠镜，了解自家“管道”状态，这为手术提供参考。\u003C/li>\n      \u003Cli>第三，术后恢复关键别偷懒，饮食规律，适当活动，小心感染。这些细节做好，术后体验会好很多。\u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      其实说到底，只要管住细节，再大的手术也有靠谱方案。别怕，只要你配合，医生能帮的可比你想象得多！\n    \u003C/p>\n  \u003C/section>\n\n  \u003Csection class=\"prw-section prw-outro\" style=\"background-color: #f9f7fc;\">\n    \u003Ch3 class=\"prw-subtitle\">结尾叮嘱\u003C/h3>\n    \u003Cdiv class=\"prw-bg-gradient\">\u003C/div>\n    \u003Cp>\n      现在开始重视还不晚！只要行动起来，健康管理一点积累，哪怕遇上手术也能稳当。看懂这些，你已经比大多数人更会照顾自己了！\n      \u003Cspan class=\"prw-emoji\">💪😌\u003C/span>\n    \u003C/p>\n  \u003C/section>\n\u003C/div>\n\n\u003Cstyle>\n.prw-container {\n  font-family: \"PingFang SC\", \"Microsoft YaHei\", Arial, sans-serif;\n  max-width: 690px;\n  margin: 40px auto 24px auto;\n  background: #fff;\n  border-radius: 16px;\n  box-shadow: 0 2px 16px rgba(118,140,144,.08);\n  padding: 32px 30px 28px 30px;\n  word-break: break-word;\n}\n.prw-title {\n  font-size: 1.9em;\n  line-height: 1.32;\n  font-weight: 700;\n  color: #2c4251;\n  margin-bottom: 10px;\n  display: flex;\n  align-items: center;\n}\n.prw-title .prw-emoji {\n  font-size: 1.6em;\n  margin-left: 15px;\n}\n.prw-section {\n  border-radius: 12px;\n  margin-bottom: 22px;\n  padding: 20px 18px 14px 18px;\n  position: relative;\n}\n.prw-subtitle {\n  font-size: 1.18em;\n  color: #134468;\n  font-weight: 600;\n  margin-bottom: 7px;\n  letter-spacing: .02em;\n}\n.prw-bg-gradient {\n  position: absolute;\n  left: 0; 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