[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fkr1Beng2fQfoXkCcu4gR9t3-SP4HqH7sMWieRr9AS60":8,"$foqsDL3_teBt5x4XrtT5QIbSSHg_hXKmQ9DRnKlGLUu0":62,"$fMkfQl4XXUE9_hZg-Isbn52utQ6MacmYJl0cRoSNJygE":63,"$fneXDEimOw8WKLktgx6lMg_0ApmV1k1JvMRG0UQRwzcw":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":61},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"roleType":6,"adept":17,"hospital":18,"department":19,"postsTitle":20,"materialTotal":21,"videoTotal":22,"isConcern":7,"title":23,"coverVertical":24,"coverAcross":25,"directionMarker":26,"description":27,"vid":28,"time":29,"mediaType":30,"views":31,"likes":32,"isThumbsUp":7,"isCollection":7,"collections":32,"createTime":33,"seoTitle":34,"seoKeywords":35,"seoDescription":36,"shelvesTime":37,"menus":38,"menuId":40,"type":26,"quality":58,"commentCount":32,"isComment":30,"deviceType":59,"url":60},9443,864612,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//q5fAiu7y4IzQQfmaKmHDNECCzmvS6ErI.png","陶鑫","临床麻醉，普外科麻醉，骨科麻醉等、麻醉手术、麻醉用药及疾病治疗。","苏州市中医医院","麻醉科","主治医师",10,38,"79岁男性前列腺增生手术麻醉管理详解","https://cdn.yishi-tong.com/console/3/cFjD0e9PT7_BvQqDmzJYLFadErXwjLUT.png","https://cdn.yishi-tong.com/console/3/tPt09uXAlknRFU-hX_cfemeT6pMZFTO_.png",2,"\u003Cdiv>\u003Ch3>前列腺增生手术麻醉管理详解：关注术前准备与风险评估\u003C/h3>\u003Ch3>👋 前列腺增生的麻醉类型\u003C/h3>\u003Cp>前列腺增生手术（如经尿道前列腺电切术）的麻醉以椎管内麻醉（腰麻或硬膜外麻醉）为首选。\u003C/p>\u003Cp>其优势在于：1. 提供完善的术中镇痛与肌松；2. 便于术中早期发现TURP综合征（因患者保持清醒，可及时反馈头痛、胸闷等早期症状）；3. 对老年患者心肺功能影响小，且术后可连接镇痛泵提供持续镇痛。\u003C/p>\u003Cp>对于有椎管内麻醉禁忌（如严重脊柱畸形、凝血障碍）或手术时间预计过长的复杂病例，则选择全身麻醉。全麻时需加强循环监测与容量管理。\u003C/p>\u003Ch3>🩺 前列腺增生的麻醉误区\u003C/h3>\u003Cp>1. 忽视膀胱冲洗液吸收风险（TURP综合征） ：未密切监测手术时长（通常>1小时风险增加）及患者电解质、容量状态变化，对早期症状（如清醒患者诉头痛、胸闷，全麻患者出现无法解释的血压波动）警惕性不足。\u003C/p>\u003Cp>2. 低估老年患者生理特点：患者多为高龄，常合并心脑血管疾病，术前评估与用药调整不足，术中循环管理粗放，易诱发心脑血管事件。\u003C/p>\u003Cp>3. 镇痛方案单一：术后依赖单一阿片类药物镇痛，易导致尿潴留、呼吸抑制及谵妄。应积极采用多模式镇痛（如非甾体抗炎药联合区域阻滞），减少阿片类药物用量。\u003C/p>\u003Ch3>⚠️ 前列腺增生麻醉的前沿进展\u003C/h3>\u003Cp>前列腺增生麻醉的前沿进展核心是 “精准麻醉”与“加速康复” 。\u003C/p>\u003Cp>区域麻醉技术革新：采用超声引导下骶管阻滞或更低容量的改良腰麻，实现更精准的骶神经丛阻滞，血流动力学更稳定。\u003C/p>\u003Cp>多模式镇痛优化：广泛应用 α2受体激动剂（右美托咪定） 联合非甾体抗炎药的多模式方案，显著减少阿片用量，从而降低术后尿潴留、谵妄和呼吸抑制风险。\u003C/p>\u003Cp>监测与管理精细化：结合目标导向液体治疗与连续无创血流动力学监测，精准管理容量，预防TURP综合征，并促进早期拔管与康复。\u003C/p>\u003C/div>","v0d47cg10004d5i589iljhtbgba0mqtg",130,1,511,0,"2026-01-10 00:53:10","79岁男性前列腺增生手术麻醉管理详解 - 专业指南与注意事项  \n","前列腺增生手术麻醉, 老年患者麻醉管理, 79岁男性麻醉, 前列腺手术风险, 麻醉并发症预防, 高龄患者麻醉方案  \n","本文详细解析79岁男性前列腺增生手术的麻醉管理要点，包括术前评估、麻醉方式选择、术中监测及术后恢复注意事项，帮助麻醉医师优化高龄患者手术安全与效果。","2026-01-31 07:30:00",[39],{"menuId":40,"menuName":41,"parentId":32,"orderNum":42,"path":43,"component":44,"isFrame":45,"isCache":46,"menuType":47,"visible":30,"status":32,"createDept":6,"remark":48,"createTime":49,"children":50,"columnImage":51,"columnLogo":52,"uncheckedLogo":6,"checkedLogo":6,"isHot":32,"isHome":32,"forceLogin":32,"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","慢性病",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/864612/3c6ed959-22eb-4784-b7e8-c1370822eeec.tmp?a=0&auth_key=1789026233-45915f697364411487bc0011bdc4d847-0-2d904045acebc4dedb982a501929940e&br=779&bt=779&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=4&eid=v0d47cg10004d5i589iljhtbgba0mqtg&er=0&l=202608110541386285E40CEAFE4899EE10&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=anQzZWVrbzw4ODczNGY3M0Apd3BkandtbDtsZzMzajpneWdxal5kcWdmNWZhLS1kNGFzc2RuLV9fZWk2MjIxLS5gMS06Yw%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":30,"pageSize":21,"result":65,"totalSize":26},[66,74],{"id":67,"updateTime":6,"averageScore":68,"posts":20,"specialistId":69,"userName":70,"hospital":71,"avatar":72,"description":73,"department":19},30761,9.5,864488,"张雨","泰兴市人民医院","https://ystcdn.venuertc.com/learnMaterial/ystApp//QTsle75SE99tSkHyzpwGdMJIyypdRC1a.png","这段视频详细展示了一位79岁高龄患者行前列腺增生手术的麻醉管理要点。高龄常伴有心肺功能减退及多种合并症，麻醉选择需权衡椎管内与全麻的利弊，术中应精细调控循环、避免低血压，并加强体温保护和容量管理。视频讲解清晰，突出了个体化方案与风险防控，对老年患者围术期安全有很强的指导意义，值得麻醉同仁学习。",{"id":75,"updateTime":6,"averageScore":76,"posts":20,"specialistId":77,"userName":78,"hospital":79,"avatar":48,"description":80,"department":81},31754,8.4,879910,"夏军","苏州大学附属第一医院","该视频聚焦79岁男性前列腺增生手术麻醉管理，内容专业实用。系统讲解了椎管内麻醉首选原因及全麻适用情形，还点明TURP综合征、老年生理特点等麻醉误区。视频结合临床案例，对术前评估、术中监测、术后镇痛给出精准指导，对老年患者麻醉管理有重要参考价值，是麻醉科医生和相关专业人员的优质学习资料。整体很棒，如果节奏再紧凑一点会更出彩。","急诊科",{"code":9,"msg":10,"message":6,"data":83,"success":61},{"authors":84,"appraiseDimensionScoresVos":89},[85,87],{"profilePhoto":72,"specialistId":86},"864488",{"profilePhoto":48,"specialistId":88},"879910",[90,95,100,104,110],{"id":91,"scores":92,"value":92,"dimensionId":6,"avgs":93,"title":94},283448,30,9.16667,"内容准确性",{"id":96,"scores":97,"value":97,"dimensionId":6,"avgs":98,"title":99},283449,20,9,"内容深度与广度",{"id":101,"scores":97,"value":102,"dimensionId":6,"avgs":98,"title":103},283450,19,"语言表达",{"id":105,"scores":106,"value":107,"dimensionId":6,"avgs":108,"title":109},283451,15,13,8.66667,"呈现形式",{"id":111,"scores":106,"value":112,"dimensionId":6,"avgs":98,"title":113},283452,14,"教育价值"]