[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fIX_OsOz8Afv2akW-aw_xOt7H4_LqxtwI-04tP2d3__o":8,"$fh940rlS_yt0JgwGpFKliM8oaqKMqXQ1q5KcTgFavzes":61,"$fEwio_DIDq6uZAY5ODTFUv5Oqt5SKs2xwNmt1z8YZthc":62,"$fHTZ7hm4Fk31RmXUs2cNPdCqilu2ahHWyEuPgsWe23uU":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":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":22,"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":27,"quality":57,"commentCount":17,"isComment":22,"deviceType":58,"url":59},9318,870974,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//yfX6RLaFzEZYfZjNtOxk3P1N1wBDx7In.png","倪鸣",0,"肝移植，肝胆疾病","江苏省人民医院","普外科","主治医师",1,6,"面对肝内胆管癌复发，79岁患者如何管理梗阻性黄疸？","https://cdn.yishi-tong.com/console/3/xO9CXPxBR6tgZFPYDqEE75auCfscdX5K.png","https://cdn.yishi-tong.com/console/3/hsrEfwjFFUZmdS87QGlIhmUU60iJ5-Lr.png",2,"\u003Cdiv class=\"nm-material-container\">\n  \u003Ch2 id=\"material_title\" class=\"nm-material-title\">面对肝内胆管癌复发，79岁患者如何管理梗阻性黄疸？\u003C/h2>\n\n  \u003Cdiv class=\"nm-section\">\n    \u003Cdiv class=\"nm-section-header nm-section-bg-1\">\n      \u003Cspan>🩺 亲切开场\u003C/span>\n    \u003C/div>\n    \u003Cdiv class=\"nm-section-content\">\n      不少老年朋友一听到“全麻”就觉得很紧张，担心万一麻醉醒不过来怎么办。其实，咱们普外科医生不光动手术，还是麻醉管理的把关人。我是江苏省人民医院普外科倪鸣，其实每年都有不少像叶先生这样，经历过大手术、身体有多种疾病，还要面对肝内胆管癌复发和梗阻性黄疸的患者。你会不会也想问，像这么复杂的情况，怎么安排麻醉和黄疸的治疗才最安全？\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"nm-section\">\n    \u003Cdiv class=\"nm-section-header nm-section-bg-2\">\n      \u003Cspan>🔎 医学基础认知\u003C/span>\n    \u003C/div>\n    \u003Cdiv class=\"nm-section-content\">\n      说到梗阻性黄疸，其实就是胆汁“堵车”了，没法顺利流出去，导致胆红素在体内越积越多，皮肤和眼睛都发黄。这种情况就像家里水管堵死了，脏水流不出去，整个“系统”都会受影响。特别是像叶先生这样，原本肝脏和胆道动过大手术，又有老毛病在身，就更容易遇到各种麻烦。而全身麻醉对这类患者来说，安全性和细节需要我们多加斟酌。\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"nm-section\">\n    \u003Cdiv class=\"nm-section-header nm-section-bg-1\">\n      \u003Cspan>⚠️ 症状危害影响\u003C/span>\n    \u003C/div>\n    \u003Cdiv class=\"nm-section-content\">\n      黄疸除了皮肤变黄，背后潜藏的问题可不止表面。像我遇到的有些患者，刚开始觉得没什么不适，结果几天后变得浑身没劲、胃口差，还有可能出现瘙痒和尿色异常。更严重的时候，黄疸拖得久了，还可能引起肝功能受损、感染，严重影响生活质量。不过别怕，这并不是束手无策。像叶先生这类情况，通过及时的介入引流手术，把“堵塞点”打开，就能大缓解症状，减少并发症风险。关键还是要及时发现、主动处理。\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"nm-section\">\n    \u003Cdiv class=\"nm-section-header nm-section-bg-2\">\n      \u003Cspan>💡 防治建议与实用指导\u003C/span>\n    \u003C/div>\n    \u003Cdiv class=\"nm-section-content\">\n      那到底怎么应对这么复杂的病情呢？第一，术前一定要详细评估心脏、血压等基础情况，像高血压或者心律不齐的患者，千万别因为麻醉和手术紧张停药，先控制住基础疾病才是关键。第二，手术当天保持轻松，遵医嘱做好空腹检查，把药物交给护士，专人管理最保险。第三，术后疼痛别强忍，有不舒服要及时反映，医生有好几种安全方式帮你缓解不适。最后，保持良好卫生习惯，饮食规律，便于恢复。说到底，梗阻性黄疸不是“绝路”，只要积极应对，控制风险，生活质量还是很有保障的。\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"nm-section\">\n    \u003Cdiv class=\"nm-section-header nm-section-bg-1\">\n      \u003Cspan>🌱 温暖收尾\u003C/span>\n    \u003C/div>\n    \u003Cdiv class=\"nm-section-content\">\n      年纪大、基础病多也不用太焦虑，现在开始重视还不晚。提前知晓这些关键点，脚踏实地配合医生，安全和健康其实离我们每个人都不远！希望这期聊得让你更安心一些，你已经是懂得呵护自己的明白人了。\n    \u003C/div>\n  \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n.nm-material-container {\n  max-width: 650px;\n  margin: 0 auto;\n  padding: 32px 18px 30px 18px;\n  background: #fbfcfd;\n  border-radius: 14px;\n  box-shadow: 0 4px 16px rgba(51, 63, 80, 0.07), 0 1.5px 3px rgba(48, 75, 89, 0.03);\n  font-family: \"Microsoft YaHei\", Arial, sans-serif;\n  color: #23272e;\n}\n.nm-material-title {\n  font-size: 1.75rem;\n  font-weight: 700;\n  color: #135485;\n  text-align: left;\n  margin-bottom: 26px;\n  letter-spacing: 0.05em;\n  line-height: 1.3;\n}\n.nm-section {\n  margin-bottom: 22px;\n  border-radius: 10px;\n  background: #fff;\n  box-shadow: 0 2px 8px rgba(69,120,138,0.04);\n  padding: 0;\n}\n.nm-section-header {\n  padding: 10px 18px 10px 16px;\n  font-size: 1.06rem;\n  font-weight: 500;\n  border-radius: 10px 10px 0 0;\n  display: flex;\n  align-items: center;\n}\n.nm-section-bg-1 {\n  background: linear-gradient(90deg,#eff6fb 15%,#f7fafc 100%);\n}\n.nm-section-bg-2 {\n  background: linear-gradient(90deg,#f6f8f2 15%,#f5f9f0 100%);\n}\n.nm-section-content {\n  padding: 15px 19px 14px 19px;\n  font-size: 1.05rem;\n  line-height: 1.68;\n  letter-spacing: 0.02em;\n  color: #30363d;\n  background: transparent;\n}\n@media (max-width: 530px) {\n  .nm-material-container {\n    padding: 13px 2.5% 19px 2.5%;\n  }\n  .nm-material-title {\n    font-size: 1.17rem;\n    margin-bottom: 15px;\n  }\n  .nm-section-header, .nm-section-content {\n    font-size: 0.98rem;\n    padding-right: 7px;\n    padding-left: 11px;\n  }\n}\n\u003C/style>","v0d47cg10004d574j82ljht8deo0q4gg",174,522,"2025-12-25 00:25:22","79岁肝内胆管癌复发患者梗阻性黄疸管理指南 | 治疗方案与护理建议  ","肝内胆管癌复发, 梗阻性黄疸治疗, 老年患者黄疸管理, 胆管癌并发症, 姑息性引流术  ","针对79岁肝内胆管癌复发患者的梗阻性黄疸管理方案，涵盖内镜支架置入、PTCD引流、药物治疗等综合策略，提供高龄患者姑息治疗选择与生活质量优化建议。","2026-01-05 15:05:05",[38],{"menuId":39,"menuName":40,"parentId":17,"orderNum":41,"path":42,"component":43,"isFrame":44,"isCache":45,"menuType":46,"visible":22,"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","癌症肿瘤",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/870974/133248a9-151f-459d-85b9-767331500e23.tmp?a=0&auth_key=1789017932-8001b8beaf1e4480bd54b7de6a6a0be6-0-bd583145a1a4dca0887202b280bbde70&br=807&bt=807&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0d47cg10004d574j82ljht8deo0q4gg&er=0&l=202608110322332475E3C7884AE933C9AA&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=ajczaDtrbzs3ODczNGY3M0ApanRyZ3dtNW06ZzMzajpneWdkbmxhcWcvZzRhLS1kNGFzc2QxLWI1ZWk1MTIxLS5gMS06Yw%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":22,"pageSize":64,"result":65,"totalSize":41},10,[66,75,85],{"id":67,"updateTime":68,"averageScore":69,"posts":21,"specialistId":70,"userName":71,"hospital":72,"avatar":47,"description":73,"department":74},28091,"2026-03-13 18:27:21",8.4,875332,"刘朋飞","徐州医科大学附属医院","对于梗阻性黄疸的简单性科普，通俗易懂，比较适合患者观看理解，对于麻醉方面的科普涉及并不多，麻醉前注意事项还有些需要补充，比如术前药物的服用，有很多种，不仅仅是降压药相关的，还有降糖药，抗癫痫药等等，以及需要交代患者术前禁饮禁食","麻醉科",{"id":76,"updateTime":77,"averageScore":78,"posts":79,"specialistId":80,"userName":81,"hospital":82,"avatar":83,"description":84,"department":74},23572,"2026-02-28 11:51:51",9,"副主任医师",866683,"马伟","昆山市中西医结合医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//Ijg8iwJXfc09wkD8vGMKfr9AEGBM3VO0.png","这篇科普以79岁肝内胆管癌复发患者为例，用“胆汁堵车”等通俗比喻，清晰解释了梗阻性黄疸的成因与危害。它从术前评估、术中管理到术后康复，给出了具体可操作的建议，既缓解了患者对全麻的恐惧，也传递了科学应对复杂病情的信心，兼具专业性与人文关怀，是一篇优秀的临床科普范本。\n\n",{"id":86,"updateTime":6,"averageScore":87,"posts":21,"specialistId":88,"userName":89,"hospital":90,"avatar":91,"description":92,"department":74},30528,8.8,871660,"戎娟","南京医科大学第二附属医院","https://ystcdn.venuertc.com/venue/app/37138/2026-01-13/5a1e3cfa-7e14-4888-9e1f-3fc25495d641.png","这份科普针对性极强，精准聚焦老年肝内胆管癌复发伴梗阻性黄疸的临床痛点。以通俗比喻拆解病理与危害，结合高龄患者特点，从术前基础病管理、术中麻醉安全到术后镇痛，给出条理清晰的实操建议，兼具专业性与人文关怀，有效缓解患者焦虑，科普价值颇高。",{"code":9,"msg":10,"message":6,"data":94,"success":60},{"authors":95,"appraiseDimensionScoresVos":102},[96,98,100],{"profilePhoto":83,"specialistId":97},"866683",{"profilePhoto":47,"specialistId":99},"875332",{"profilePhoto":91,"specialistId":101},"871660",[103,108,114,118,124],{"id":104,"scores":105,"value":105,"dimensionId":6,"avgs":106,"title":107},222377,30,9.5,"内容准确性",{"id":109,"scores":110,"value":111,"dimensionId":6,"avgs":112,"title":113},222378,20,19,8.875,"内容深度与广度",{"id":115,"scores":110,"value":111,"dimensionId":6,"avgs":116,"title":117},222379,9.25,"语言表达",{"id":119,"scores":120,"value":121,"dimensionId":6,"avgs":122,"title":123},222380,15,12,8.33333,"呈现形式",{"id":125,"scores":120,"value":121,"dimensionId":6,"avgs":126,"title":127},222381,8,"教育价值"]