[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$ftxzYKmGkC25NDhL836egVeBJyPMugPT_PrG7RRWBm_U":8,"$ftErV2t4vVYNQhcHjt1c_ST6c8r3fMHs4VLFtBqPIncQ":62,"$fGmJ7riCJlnJaqbDlTtqgskAr8Cn08py0OPADmlE0FBU":63,"$fOE76LJgWdc0ZubomU_rJPtqdt3dI0WwmVupWau3r8fc":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":61},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":58,"commentCount":17,"isComment":31,"deviceType":59,"url":60},9307,866771,[],"https://cdn.yishi-tong.com/console/store-unknown/uF7OMd0P_hB1LaAPsAH23kXFsYY6stA4.png","刘伟臣",0,"急危重症诊治、急诊气道管理、器官功能支持、血流动力学监测、急危重症超声诊断技术、心肺脑复苏等，如休克、猝死、酒精中毒、多器官衰竭、急性心梗、脑梗死、消化道出血、流行性感冒、肺炎等疾病治疗","苏州大学附属第一医院","急诊科","主治医师",24,15,"92岁患者小脑出血手术，全身麻醉的背后需要了解哪些关键知识？","https://cdn.yishi-tong.com/console/3/OHNFXz59Ru8zMJXcIg4z-m9W0azijqe2.png","https://cdn.yishi-tong.com/console/3/zKVIud1HAj3rD_Uz2tJih9HD_UWMkUX0.png",2,"\u003Cdiv class=\"custom-material-wrapper\">\n  \u003Ch2 id=\"material_title\" class=\"custom-title\">92岁患者小脑出血手术，全身麻醉的背后需要了解哪些关键知识？\u003C/h2>\n  \n  \u003C!-- 亲切开场 -->\n  \u003Csection class=\"custom-section custom-section-bg1\">\n    \u003Ch3 class=\"custom-subtitle\">认识我是第一步 🩺\u003C/h3>\n    \u003Cp class=\"custom-paragraph\">\n      有不少家属在手术前都会一脸纠结地问我：“刘医生，全身麻醉会不会对年纪大的老人有很大风险啊？”我是苏州大学附属第一医院急诊科的刘伟臣。就像您家要装修，最操心的永远是爸妈那辈人，遇到九十多岁的患者，大家的担忧其实都一样——特别是小脑出血、需要手术的时候。所以呀，今天咱就和您聊，老太太这次全身麻醉，您最该知道什么。\n    \u003C/p>\n  \u003C/section>\n  \n  \u003C!-- 医学基础认知 -->\n  \u003Csection class=\"custom-section custom-section-bg2\">\n    \u003Ch3 class=\"custom-subtitle\">全身麻醉到底是怎么回事？🔬\u003C/h3>\n    \u003Cp class=\"custom-paragraph\">\n      很多人一听“全身麻醉”，脑海里就浮现出“昏迷不醒”或者“药劲过去就痛得受不了”的画面。但实际情况远没有那么吓人。说到底，全麻就像给你的大脑和神经一把暂时的“静音键”，让手术过程中不会疼、不会有恐惧和记忆，一切都在医生和麻醉团队的严密监控下进行。尤其对于小脑出血这类手术，“静音”不仅让患者安逸下来，也降低了手术中的风险。\n    \u003C/p>\n  \u003C/section>\n  \n  \u003C!-- 症状危害影响 -->\n  \u003Csection class=\"custom-section custom-section-bg1\">\n    \u003Ch3 class=\"custom-subtitle\">高龄麻醉的那些“小风浪”⚡️\u003C/h3>\n    \u003Cp class=\"custom-paragraph\">\n      担心并不是多余的。我印象很深，有位九十多岁的奶手术时，由于年纪大、身体各项机能变慢，她对麻醉药的反应跟年轻人可不一样。比如说，心跳、血压波动会更加明显，一醒来可能会迷糊得久一点，甚至术后容易嗓子干或者恶心。那咋办？其实医生会提前做详细评估，术中用药会根据体质专门调整，手术后第一时间有专人盯着，及时应对突发情况。所以，风险虽然在，但我们有对策，别把问题想象得过于可怕。\n    \u003C/p>\n  \u003C/section>\n  \n  \u003C!-- 防治建议与实用指导 -->\n  \u003Csection class=\"custom-section custom-section-bg2\">\n    \u003Ch3 class=\"custom-subtitle\">手术前后，这几点家属记牢📝\u003C/h3>\n    \u003Cp class=\"custom-paragraph\">\n      那具体要做些什么呢？第一，手术前家属一定要如实告诉医生老人所有基础病和用药，别觉得小病无所谓。第二，手术当天保持空腹，一点小细节也别忽略。第三，术后配合护理人员，留意奶有没有头晕、难受、伤口不适之类不舒服。再有，帮助老人多翻身、多活动，避免并发症。其实很多麻烦都是提前预防的，只要放平心态，积极配合，恢复一般会比想象中顺利。\n    \u003C/p>\n  \u003C/section>\n  \n  \u003C!-- 温暖收尾 -->\n  \u003Csection class=\"custom-section custom-section-bg1 custom-section-end\">\n    \u003Ch3 class=\"custom-subtitle\">守护健康，从每一步做起💖\u003C/h3>\n    \u003Cp class=\"custom-paragraph custom-paragraph-end\">\n      年纪不是“拦路虎”，关键是别让焦虑挡住咱的理智。每多了解一点，陪老人走过手术就会更踏实。早一点明白这些，全家都能避免许多弯路。剩下的，交给专业团队就好啦！\n    \u003C/p>\n  \u003C/section>\n\u003C/div>\n\n\u003Cstyle>\n.custom-material-wrapper {\n  background: #fff;\n  border-radius: 14px;\n  padding: 36px 24px 28px 24px;\n  max-width: 700px;\n  margin: 32px auto 0 auto;\n  font-family: 'Segoe UI', 'PingFang SC', 'Helvetica Neue', Arial, sans-serif;\n  box-shadow: 0 3px 20px rgba(40,53,64,0.12);\n}\n.custom-title {\n  text-align: center;\n  color: #375886;\n  font-size: 2.1em;\n  font-weight: 700;\n  letter-spacing: 0.03em;\n  margin-bottom: 26px;\n  line-height: 1.2;\n}\n.custom-section {\n  border-radius: 10px;\n  margin-bottom: 24px;\n  padding: 22px 20px 16px 20px;\n  transition: background 0.3s;\n}\n.custom-section-bg1 {\n  background: linear-gradient(91deg, #f7f9fb 58%, #eaf3f8 100%);\n}\n.custom-section-bg2 {\n  background: linear-gradient(88deg, #eef2fa 70%, #f4f7fa 100%);\n}\n.custom-subtitle {\n  font-size: 1.25em;\n  font-weight: 600;\n  margin-bottom: 0.5em;\n  color: #376092;\n  letter-spacing: 0.02em;\n  display: flex;\n  align-items: center;\n  gap: 0.45em;\n}\n.custom-paragraph {\n  color: #23374d;\n  font-size: 1.07em;\n  line-height: 1.78;\n  margin: 0;\n  padding: 0;\n}\n.custom-section-end {\n  padding-bottom: 10px;\n}\n.custom-paragraph-end {\n  font-weight: 500;\n  color: #1c2c39;\n  font-size: 1.11em;\n}\n@media (max-width: 650px) {\n  .custom-material-wrapper {\n    padding: 16px 6px 8px 6px;\n  }\n  .custom-title {\n    font-size: 1.2em;\n    margin-bottom: 12px;\n  }\n  .custom-section {\n    padding: 12px 7px 7px 7px;\n    margin-bottom: 14px;\n  }\n  .custom-subtitle {\n    font-size: 1em;\n  }\n}\n\u003C/style>","v0247cg10004d572ph2ljht314gh9erg",159,1,580,"2025-12-25 00:08:23","92岁患者小脑出血手术全身麻醉关键知识解析  ","小脑出血手术,高龄患者麻醉,全身麻醉风险,92岁手术注意事项,麻醉前评估,术后恢复  ","本文详细解析92岁高龄患者小脑出血手术中全身麻醉的关键知识，包括术前评估重点、麻醉风险控制策略、高龄患者生理特点及术后恢复注意事项，帮助家属和医疗团队做好充分准备。","2026-01-04 16:30:00",[39],{"menuId":40,"menuName":41,"parentId":17,"orderNum":42,"path":43,"component":44,"isFrame":45,"isCache":46,"menuType":47,"visible":31,"status":17,"createDept":6,"remark":48,"createTime":49,"children":50,"columnImage":51,"columnLogo":52,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":53,"seoKeywords":54,"seoDescription":55,"contentNum":6,"promotionalPoster":56,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":57,"routerPath":43,"componentInfo":44},"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/866771/5ba5e664-3b4f-42bf-8b30-547db40ff8b6.tmp?a=0&auth_key=1789022556-c4b1a13ea0624cf09aaf5bb2f42b035d-0-2f6bfdb61ede7b269c8b423e9ff5e61b&br=883&bt=883&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0247cg10004d572ph2ljht314gh9erg&er=0&l=20260811043952B29634FFEE3A5605AF16&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=amhrNzZrb2s1ODczNGY3M0ApdTxqNHdtNXM6ZzMzajo1eWdvNmQucWcvbTRhLS1kNC9zc2RiZTEwZWllLzIxLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":60,"message":6,"data":6,"success":61},{"code":9,"msg":10,"message":6,"data":64,"success":61},{"pageNo":31,"pageSize":65,"result":66,"totalSize":42},10,[67,76,85],{"id":68,"updateTime":69,"averageScore":70,"posts":21,"specialistId":71,"userName":72,"hospital":19,"avatar":73,"description":74,"department":75},31106,"2026-04-10 22:47:27",8,866811,"陈娴","https://cdn.haohuanjiao.com/learnMaterial/ystApp//eX7R625iWKB1YZtm9DvKSUpdKuGrJJgm.png","本视频为92岁高龄小脑出血全麻手术，风险远高于普通患者。高龄机体代偿差，全麻需精准把控麻醉深度与药量，避免心肺抑制。术中要严密监测血压、颅内压，防范再出血、脑梗及呼吸循环衰竭。术后还需警惕苏醒延迟、肺部感染等并发症，多学科协作与精细化管理，是降低手术风险、保障预后的关键。整体而言，视频制作规范，观点明确，对相关领域学习者具有较好的参考与借鉴意义。\n","麻醉科",{"id":77,"updateTime":78,"averageScore":79,"posts":21,"specialistId":80,"userName":81,"hospital":82,"avatar":83,"description":84,"department":75},27657,"2026-03-16 14:14:16",9,871188,"徐浩","句容市白兔中心卫生院","https://ystcdn.venuertc.com/venue/app/33045/2025-11-06/beb9253d-88d2-4abb-8854-f96615d17c67.png","该视频生动的向我们解释了全身麻醉究竟是怎么一回事，声情并茂，科普认真，然后又针对高龄患者的全身麻醉的管理做了讲解，核心在于生理年龄重于实高龄，阐述了虽然麻醉管理过程有可能出现一定的风浪，但是年龄本身不是麻醉禁忌，在合理的麻醉管理下保证患者的围术期安全，最后向我们介绍了麻醉及手术后的注意事项，更好且全面的介绍了麻醉管理的全部过程，值得大家推荐。",{"id":86,"updateTime":87,"averageScore":88,"posts":89,"specialistId":90,"userName":91,"hospital":19,"avatar":92,"description":93,"department":75},27070,"2026-03-11 16:57:29",8.8,"主任医师",870710,"靳丽敏","https://cdn.haohuanjiao.com/learnMaterial/ystApp//f4PytUJ2nmpADEPinItnryaEW751vl0T.png","针对高龄患者手术的普遍焦虑，以真实临床场景切入，系统解析全身麻醉的安全机制与老年患者特异性风险，传递科学认知；内容基于临床实践，强调术前评估、用药调整及术后护理等关键环节，信息权威可靠，有效缓解家属疑虑，提升围术期配合度。",{"code":9,"msg":10,"message":6,"data":95,"success":61},{"authors":96,"appraiseDimensionScoresVos":103},[97,99,101],{"profilePhoto":92,"specialistId":98},"870710",{"profilePhoto":83,"specialistId":100},"871188",{"profilePhoto":73,"specialistId":102},"866811",[104,110,116,121,126],{"id":105,"scores":106,"value":107,"dimensionId":6,"avgs":108,"title":109},253020,30,25,8.73333,"内容准确性",{"id":111,"scores":112,"value":113,"dimensionId":6,"avgs":114,"title":115},253021,20,19,8.7,"内容深度与广度",{"id":117,"scores":112,"value":118,"dimensionId":6,"avgs":119,"title":120},253022,16,8.6,"语言表达",{"id":122,"scores":23,"value":123,"dimensionId":6,"avgs":124,"title":125},253023,14,8.53333,"呈现形式",{"id":127,"scores":23,"value":128,"dimensionId":6,"avgs":129,"title":130},253024,13,8.13333,"教育价值"]