.env.product

@@ -2,20 +2,20 @@

# 测试服图书部署配置文件
# VUE_APP_API_URL = "http://182.92.203.7:3001"
# VUE_APP_API_URL = "https://jsek.bnuic.com"
# VUE_APP_RESOURCE_CTX = 'http://182.92.203.7:3007/books/resource/'
# VUE_APP_PUBLIC_PATH = 'http://182.92.203.7:3007/books/book/toddlerGameImplementation'
VUE_APP_API_URL = "https://jsek.bnuic.com"
VUE_APP_RESOURCE_CTX = 'http://182.92.203.7:3007/books/resource/'
VUE_APP_PUBLIC_PATH = 'http://182.92.203.7:3007/books/book/preschoolEvaluation'

# 京师e课正式服图书部署配置文件
VUE_APP_API_URL = "https://jsek.bnuic.com"
VUE_APP_RESOURCE_CTX = 'https://jsek.bnuic.com/books/resource/'
VUE_APP_PUBLIC_PATH = 'https://jsek.bnuic.com/books/book/civilServices'
# VUE_APP_API_URL = "https://jsek.bnuic.com"
# VUE_APP_RESOURCE_CTX = 'https://jsek.bnuic.com/books/resource/'
# VUE_APP_PUBLIC_PATH = 'https://jsek.bnuic.com/books/book/toddlerSportsSafetyProtection'


# 旅游社图书部署配置文件
# VUE_APP_API_URL = "https://www.tepcb.com"
# VUE_APP_RESOURCE_CTX = 'https://www.tepcb.com/books/resource/'
# VUE_APP_PUBLIC_PATH = 'https://www.tepcb.com/books/book/policiesAndRegulations'
# VUE_APP_PUBLIC_PATH = 'https://www.tepcb.com/books/book/hotelEnglishTrainingBrochure2nd'

VUE_APP_BOOK_LIST = "childHealth/lifeCare/sportsAndHealth/embedded/english/artAndDance/artAndDrama/mathBook/botany/civilAviation/civilServices/meetingPlanners/aviationBasicSkills/aviationEtiquette/aviationSafety/toddlerGameImplementation/childcareInstitutionsManagement/preschoolGameGuidance/kindergartenLanguageActivity/preschoolEvaluation/preschoolBasicKnowledge/practicalCareChildrenManual/OralAndBroadcasting/aurturingAndEducationAged0to3/policiesAndRegulations/kindergartenActivitiesDesignGuidance/toddlerSportsSafetyProtection/artInitiationForAges0to3/childIllnessPreventionCare/behaviorObserveAndGuid/cognitiveLanDevEduAges0to3/aviationPassengerTransport6th/hotelEnglishTrainingBrochure2nd/hydraulicTransmission/MMVRTCMP/foodSensoryInspection/civilPassengerTransport/UAVTechIntro/textToddlerSportsSafetyProtection"
VUE_APP_BOOK_ID = 'civilServices'
VUE_APP_BOOK_LIST = "childHealth/lifeCare/sportsAndHealth/embedded/english/artAndDance/artAndDrama/mathBook/botany/civilAviation/civilServices/meetingPlanners/aviationBasicSkills/aviationEtiquette/aviationSafety/toddlerGameImplementation/childcareInstitutionsManagement/preschoolGameGuidance/kindergartenLanguageActivity/preschoolEvaluation/preschoolBasicKnowledge/practicalCareChildrenManual/OralAndBroadcasting/aurturingAndEducationAged0to3/policiesAndRegulations/kindergartenActivitiesDesignGuidance/toddlerSportsSafetyProtection/artInitiationForAges0to3/childIllnessPreventionCare/behaviorObserveAndGuid/cognitiveLanDevEduAges0to3/aviationPassengerTransport6th/hotelEnglishTrainingBrochure2nd/hydraulicTransmission/MMVRTCMP/foodSensoryInspection/civilPassengerTransport/UAVTechIntro"
VUE_APP_BOOK_ID = 'preschoolEvaluation' 

 package-lock.json

@@ -37,7 +37,6 @@
        "file-loader": "^6.2.0",
        "less": "^4.2.0",
        "less-loader": "^12.2.0",
        "rimraf": "^6.0.1",
        "url-loader": "^4.1.1",
        "vue-template-compiler": "^2.6.14",
        "webpack": "^5.92.0"
@@ -2077,123 +2076,6 @@
      "integrity": "sha512-ZnQMnLV4e7hDlUvw8H+U8ASL02SS2Gn6+9Ac3wGGLIe7+je2AeAOxPY+izIPJDfFDb7eDjev0Us8MO1iFRN8hA==",
      "dev": true,
      "license": "BSD-3-Clause"
    },
    "node_modules/@isaacs/balanced-match": {
      "version": "4.0.1",
      "resolved": "https://registry.npmmirror.com/@isaacs/balanced-match/-/balanced-match-4.0.1.tgz",
      "integrity": "sha512-yzMTt9lEb8Gv7zRioUilSglI0c0smZ9k5D65677DLWLtWJaXIS3CqcGyUFByYKlnUj6TkjLVs54fBl6+TiGQDQ==",
      "dev": true,
      "engines": {
        "node": "20 || >=22"
      }
    },
    "node_modules/@isaacs/brace-expansion": {
      "version": "5.0.0",
      "resolved": "https://registry.npmmirror.com/@isaacs/brace-expansion/-/brace-expansion-5.0.0.tgz",
      "integrity": "sha512-ZT55BDLV0yv0RBm2czMiZ+SqCGO7AvmOM3G/w2xhVPH+te0aKgFjmBvGlL1dH+ql2tgGO3MVrbb3jCKyvpgnxA==",
      "dev": true,
      "dependencies": {
        "@isaacs/balanced-match": "^4.0.1"
      },
      "engines": {
        "node": "20 || >=22"
      }
    },
    "node_modules/@isaacs/cliui": {
      "version": "8.0.2",
      "resolved": "https://registry.npmmirror.com/@isaacs/cliui/-/cliui-8.0.2.tgz",
      "integrity": "sha512-O8jcjabXaleOG9DQ0+ARXWZBTfnP4WNAqzuiJK7ll44AmxGKv/J2M4TPjxjY3znBCfvBXFzucm1twdyFybFqEA==",
      "dev": true,
      "dependencies": {
        "string-width": "^5.1.2",
        "string-width-cjs": "npm:string-width@^4.2.0",
        "strip-ansi": "^7.0.1",
        "strip-ansi-cjs": "npm:strip-ansi@^6.0.1",
        "wrap-ansi": "^8.1.0",
        "wrap-ansi-cjs": "npm:wrap-ansi@^7.0.0"
      },
      "engines": {
        "node": ">=12"
      }
    },
    "node_modules/@isaacs/cliui/node_modules/ansi-regex": {
      "version": "6.1.0",
      "resolved": "https://registry.npmmirror.com/ansi-regex/-/ansi-regex-6.1.0.tgz",
      "integrity": "sha512-7HSX4QQb4CspciLpVFwyRe79O3xsIZDDLER21kERQ71oaPodF8jL725AgJMFAYbooIqolJoRLuM81SpeUkpkvA==",
      "dev": true,
      "engines": {
        "node": ">=12"
      },
      "funding": {
        "url": "https://github.com/chalk/ansi-regex?sponsor=1"
      }
    },
    "node_modules/@isaacs/cliui/node_modules/ansi-styles": {
      "version": "6.2.1",
      "resolved": "https://registry.npmmirror.com/ansi-styles/-/ansi-styles-6.2.1.tgz",
      "integrity": "sha512-bN798gFfQX+viw3R7yrGWRqnrN2oRkEkUjjl4JNn4E8GxxbjtG3FbrEIIY3l8/hrwUwIeCZvi4QuOTP4MErVug==",
      "dev": true,
      "engines": {
        "node": ">=12"
      },
      "funding": {
        "url": "https://github.com/chalk/ansi-styles?sponsor=1"
      }
    },
    "node_modules/@isaacs/cliui/node_modules/emoji-regex": {
      "version": "9.2.2",
      "resolved": "https://registry.npmmirror.com/emoji-regex/-/emoji-regex-9.2.2.tgz",
      "integrity": "sha512-L18DaJsXSUk2+42pv8mLs5jJT2hqFkFE4j21wOmgbUqsZ2hL72NsUU785g9RXgo3s0ZNgVl42TiHp3ZtOv/Vyg==",
      "dev": true
    },
    "node_modules/@isaacs/cliui/node_modules/string-width": {
      "version": "5.1.2",
      "resolved": "https://registry.npmmirror.com/string-width/-/string-width-5.1.2.tgz",
      "integrity": "sha512-HnLOCR3vjcY8beoNLtcjZ5/nxn2afmME6lhrDrebokqMap+XbeW8n9TXpPDOqdGK5qcI3oT0GKTW6wC7EMiVqA==",
      "dev": true,
      "dependencies": {
        "eastasianwidth": "^0.2.0",
        "emoji-regex": "^9.2.2",
        "strip-ansi": "^7.0.1"
      },
      "engines": {
        "node": ">=12"
      },
      "funding": {
        "url": "https://github.com/sponsors/sindresorhus"
      }
    },
    "node_modules/@isaacs/cliui/node_modules/strip-ansi": {
      "version": "7.1.0",
      "resolved": "https://registry.npmmirror.com/strip-ansi/-/strip-ansi-7.1.0.tgz",
      "integrity": "sha512-iq6eVVI64nQQTRYq2KtEg2d2uU7LElhTJwsH4YzIHZshxlgZms/wIc4VoDQTlG/IvVIrBKG06CrZnp0qv7hkcQ==",
      "dev": true,
      "dependencies": {
        "ansi-regex": "^6.0.1"
      },
      "engines": {
        "node": ">=12"
      },
      "funding": {
        "url": "https://github.com/chalk/strip-ansi?sponsor=1"
      }
    },
    "node_modules/@isaacs/cliui/node_modules/wrap-ansi": {
      "version": "8.1.0",
      "resolved": "https://registry.npmmirror.com/wrap-ansi/-/wrap-ansi-8.1.0.tgz",
      "integrity": "sha512-si7QWI6zUMq56bESFvagtmzMdGOtoxfR+Sez11Mobfc7tm+VkUckk9bW2UeffTGVUbOksxmSw0AA2gs8g71NCQ==",
      "dev": true,
      "dependencies": {
        "ansi-styles": "^6.1.0",
        "string-width": "^5.0.1",
        "strip-ansi": "^7.0.1"
      },
      "engines": {
        "node": ">=12"
      },
      "funding": {
        "url": "https://github.com/chalk/wrap-ansi?sponsor=1"
      }
    },
    "node_modules/@jridgewell/gen-mapping": {
      "version": "0.3.5",
@@ -6136,12 +6018,6 @@
      "dev": true,
      "license": "MIT"
    },
    "node_modules/eastasianwidth": {
      "version": "0.2.0",
      "resolved": "https://registry.npmmirror.com/eastasianwidth/-/eastasianwidth-0.2.0.tgz",
      "integrity": "sha512-I88TYZWc9XiYHRQ4/3c5rjjfgkjhLyW2luGIheGERbNQ6OY7yTybanSpDXZa8y7VUP9YmDcYa+eyq4ca7iLqWA==",
      "dev": true
    },
    "node_modules/easy-stack": {
      "version": "1.0.1",
      "resolved": "https://registry.npmmirror.com/easy-stack/-/easy-stack-1.0.1.tgz",
@@ -7511,34 +7387,6 @@
        }
      }
    },
    "node_modules/foreground-child": {
      "version": "3.3.1",
      "resolved": "https://registry.npmmirror.com/foreground-child/-/foreground-child-3.3.1.tgz",
      "integrity": "sha512-gIXjKqtFuWEgzFRJA9WCQeSJLZDjgJUOMCMzxtvFq/37KojM1BFGufqsCy0r4qSQmYLsZYMeyRqzIWOMup03sw==",
      "dev": true,
      "dependencies": {
        "cross-spawn": "^7.0.6",
        "signal-exit": "^4.0.1"
      },
      "engines": {
        "node": ">=14"
      },
      "funding": {
        "url": "https://github.com/sponsors/isaacs"
      }
    },
    "node_modules/foreground-child/node_modules/signal-exit": {
      "version": "4.1.0",
      "resolved": "https://registry.npmmirror.com/signal-exit/-/signal-exit-4.1.0.tgz",
      "integrity": "sha512-bzyZ1e88w9O1iNJbKnOlvYTrWPDl46O1bG0D3XInv+9tkPrxrN8jUUTiFlDkkmKWgn1M6CfIA13SuGqOa9Korw==",
      "dev": true,
      "engines": {
        "node": ">=14"
      },
      "funding": {
        "url": "https://github.com/sponsors/isaacs"
      }
    },
    "node_modules/form-data": {
      "version": "4.0.0",
      "resolved": "https://registry.npmjs.org/form-data/-/form-data-4.0.0.tgz",
@@ -7732,29 +7580,6 @@
        "node": ">=6"
      }
    },
    "node_modules/glob": {
      "version": "11.0.3",
      "resolved": "https://registry.npmmirror.com/glob/-/glob-11.0.3.tgz",
      "integrity": "sha512-2Nim7dha1KVkaiF4q6Dj+ngPPMdfvLJEOpZk/jKiUAkqKebpGAWQXAq9z1xu9HKu5lWfqw/FASuccEjyznjPaA==",
      "dev": true,
      "dependencies": {
        "foreground-child": "^3.3.1",
        "jackspeak": "^4.1.1",
        "minimatch": "^10.0.3",
        "minipass": "^7.1.2",
        "package-json-from-dist": "^1.0.0",
        "path-scurry": "^2.0.0"
      },
      "bin": {
        "glob": "dist/esm/bin.mjs"
      },
      "engines": {
        "node": "20 || >=22"
      },
      "funding": {
        "url": "https://github.com/sponsors/isaacs"
      }
    },
    "node_modules/glob-parent": {
      "version": "6.0.2",
      "resolved": "https://registry.npmmirror.com/glob-parent/-/glob-parent-6.0.2.tgz",
@@ -7774,30 +7599,6 @@
      "integrity": "sha512-lkX1HJXwyMcprw/5YUZc2s7DrpAiHB21/V+E1rHUrVNokkvB6bqMzT0VfV6/86ZNabt1k14YOIaT7nDvOX3Iiw==",
      "dev": true,
      "license": "BSD-2-Clause"
    },
    "node_modules/glob/node_modules/minimatch": {
      "version": "10.0.3",
      "resolved": "https://registry.npmmirror.com/minimatch/-/minimatch-10.0.3.tgz",
      "integrity": "sha512-IPZ167aShDZZUMdRk66cyQAW3qr0WzbHkPdMYa8bzZhlHhO3jALbKdxcaak7W9FfT2rZNpQuUu4Od7ILEpXSaw==",
      "dev": true,
      "dependencies": {
        "@isaacs/brace-expansion": "^5.0.0"
      },
      "engines": {
        "node": "20 || >=22"
      },
      "funding": {
        "url": "https://github.com/sponsors/isaacs"
      }
    },
    "node_modules/glob/node_modules/minipass": {
      "version": "7.1.2",
      "resolved": "https://registry.npmmirror.com/minipass/-/minipass-7.1.2.tgz",
      "integrity": "sha512-qOOzS1cBTWYF4BH8fVePDBOO9iptMnGUEZwNc/cMWnTV2nVLZ7VoNWEPHkYczZA0pdoA7dl6e7FL659nX9S2aw==",
      "dev": true,
      "engines": {
        "node": ">=16 || 14 >=14.17"
      }
    },
    "node_modules/globals": {
      "version": "11.12.0",
@@ -8627,21 +8428,6 @@
      "license": "MIT",
      "engines": {
        "node": ">=0.10.0"
      }
    },
    "node_modules/jackspeak": {
      "version": "4.1.1",
      "resolved": "https://registry.npmmirror.com/jackspeak/-/jackspeak-4.1.1.tgz",
      "integrity": "sha512-zptv57P3GpL+O0I7VdMJNBZCu+BPHVQUk55Ft8/QCJjTVxrnJHuVuX/0Bl2A6/+2oyR/ZMEuFKwmzqqZ/U5nPQ==",
      "dev": true,
      "dependencies": {
        "@isaacs/cliui": "^8.0.2"
      },
      "engines": {
        "node": "20 || >=22"
      },
      "funding": {
        "url": "https://github.com/sponsors/isaacs"
      }
    },
    "node_modules/javascript-stringify": {
@@ -10411,12 +10197,6 @@
        "node": ">=6"
      }
    },
    "node_modules/package-json-from-dist": {
      "version": "1.0.1",
      "resolved": "https://registry.npmmirror.com/package-json-from-dist/-/package-json-from-dist-1.0.1.tgz",
      "integrity": "sha512-UEZIS3/by4OC8vL3P2dTXRETpebLI2NiI5vIrjaD/5UtrkFX/tNbwjTSRAGC/+7CAo2pIcBaRgWmcBBHcsaCIw==",
      "dev": true
    },
    "node_modules/param-case": {
      "version": "3.0.4",
      "resolved": "https://registry.npmmirror.com/param-case/-/param-case-3.0.4.tgz",
@@ -10549,40 +10329,6 @@
      "integrity": "sha512-LDJzPVEEEPR+y48z93A0Ed0yXb8pAByGWo/k5YYdYgpY2/2EsOsksJrq7lOHxryrVOn1ejG6oAp8ahvOIQD8sw==",
      "dev": true,
      "license": "MIT"
    },
    "node_modules/path-scurry": {
      "version": "2.0.0",
      "resolved": "https://registry.npmmirror.com/path-scurry/-/path-scurry-2.0.0.tgz",
      "integrity": "sha512-ypGJsmGtdXUOeM5u93TyeIEfEhM6s+ljAhrk5vAvSx8uyY/02OvrZnA0YNGUrPXfpJMgI1ODd3nwz8Npx4O4cg==",
      "dev": true,
      "dependencies": {
        "lru-cache": "^11.0.0",
        "minipass": "^7.1.2"
      },
      "engines": {
        "node": "20 || >=22"
      },
      "funding": {
        "url": "https://github.com/sponsors/isaacs"
      }
    },
    "node_modules/path-scurry/node_modules/lru-cache": {
      "version": "11.1.0",
      "resolved": "https://registry.npmmirror.com/lru-cache/-/lru-cache-11.1.0.tgz",
      "integrity": "sha512-QIXZUBJUx+2zHUdQujWejBkcD9+cs94tLn0+YL8UrCh+D5sCXZ4c7LaEH48pNwRY3MLDgqUFyhlCyjJPf1WP0A==",
      "dev": true,
      "engines": {
        "node": "20 || >=22"
      }
    },
    "node_modules/path-scurry/node_modules/minipass": {
      "version": "7.1.2",
      "resolved": "https://registry.npmmirror.com/minipass/-/minipass-7.1.2.tgz",
      "integrity": "sha512-qOOzS1cBTWYF4BH8fVePDBOO9iptMnGUEZwNc/cMWnTV2nVLZ7VoNWEPHkYczZA0pdoA7dl6e7FL659nX9S2aw==",
      "dev": true,
      "engines": {
        "node": ">=16 || 14 >=14.17"
      }
    },
    "node_modules/path-to-regexp": {
      "version": "0.1.7",
@@ -11793,25 +11539,6 @@
        "node": ">=0.10.0"
      }
    },
    "node_modules/rimraf": {
      "version": "6.0.1",
      "resolved": "https://registry.npmmirror.com/rimraf/-/rimraf-6.0.1.tgz",
      "integrity": "sha512-9dkvaxAsk/xNXSJzMgFqqMCuFgt2+KsOFek3TMLfo8NCPfWpBmqwyNn5Y+NX56QUYfCtsyhF3ayiboEoUmJk/A==",
      "dev": true,
      "dependencies": {
        "glob": "^11.0.0",
        "package-json-from-dist": "^1.0.0"
      },
      "bin": {
        "rimraf": "dist/esm/bin.mjs"
      },
      "engines": {
        "node": "20 || >=22"
      },
      "funding": {
        "url": "https://github.com/sponsors/isaacs"
      }
    },
    "node_modules/run-parallel": {
      "version": "1.2.0",
      "resolved": "https://registry.npmmirror.com/run-parallel/-/run-parallel-1.2.0.tgz",
@@ -12500,40 +12227,12 @@
        "node": ">=8"
      }
    },
    "node_modules/string-width-cjs": {
      "name": "string-width",
      "version": "4.2.3",
      "resolved": "https://registry.npmmirror.com/string-width/-/string-width-4.2.3.tgz",
      "integrity": "sha512-wKyQRQpjJ0sIp62ErSZdGsjMJWsap5oRNihHhu6G7JVO/9jIB6UyevL+tXuOqrng8j/cxKTWyWUwvSTriiZz/g==",
      "dev": true,
      "dependencies": {
        "emoji-regex": "^8.0.0",
        "is-fullwidth-code-point": "^3.0.0",
        "strip-ansi": "^6.0.1"
      },
      "engines": {
        "node": ">=8"
      }
    },
    "node_modules/strip-ansi": {
      "version": "6.0.1",
      "resolved": "https://registry.npmmirror.com/strip-ansi/-/strip-ansi-6.0.1.tgz",
      "integrity": "sha512-Y38VPSHcqkFrCpFnQ9vuSXmquuv5oXOKpGeT6aGrr3o3Gc9AlVa6JBfUSOCnbxGGZF+/0ooI7KrPuUSztUdU5A==",
      "devOptional": true,
      "license": "MIT",
      "dependencies": {
        "ansi-regex": "^5.0.1"
      },
      "engines": {
        "node": ">=8"
      }
    },
    "node_modules/strip-ansi-cjs": {
      "name": "strip-ansi",
      "version": "6.0.1",
      "resolved": "https://registry.npmmirror.com/strip-ansi/-/strip-ansi-6.0.1.tgz",
      "integrity": "sha512-Y38VPSHcqkFrCpFnQ9vuSXmquuv5oXOKpGeT6aGrr3o3Gc9AlVa6JBfUSOCnbxGGZF+/0ooI7KrPuUSztUdU5A==",
      "dev": true,
      "dependencies": {
        "ansi-regex": "^5.0.1"
      },
@@ -14252,57 +13951,6 @@
        "url": "https://github.com/chalk/wrap-ansi?sponsor=1"
      }
    },
    "node_modules/wrap-ansi-cjs": {
      "name": "wrap-ansi",
      "version": "7.0.0",
      "resolved": "https://registry.npmmirror.com/wrap-ansi/-/wrap-ansi-7.0.0.tgz",
      "integrity": "sha512-YVGIj2kamLSTxw6NsZjoBxfSwsn0ycdesmc4p+Q21c5zPuZ1pl+NfxVdxPtdHvmNVOQ6XSYG4AUtyt/Fi7D16Q==",
      "dev": true,
      "dependencies": {
        "ansi-styles": "^4.0.0",
        "string-width": "^4.1.0",
        "strip-ansi": "^6.0.0"
      },
      "engines": {
        "node": ">=10"
      },
      "funding": {
        "url": "https://github.com/chalk/wrap-ansi?sponsor=1"
      }
    },
    "node_modules/wrap-ansi-cjs/node_modules/ansi-styles": {
      "version": "4.3.0",
      "resolved": "https://registry.npmmirror.com/ansi-styles/-/ansi-styles-4.3.0.tgz",
      "integrity": "sha512-zbB9rCJAT1rbjiVDb2hqKFHNYLxgtk8NURxZ3IZwD3F6NtxbXZQCnnSi1Lkx+IDohdPlFp222wVALIheZJQSEg==",
      "dev": true,
      "dependencies": {
        "color-convert": "^2.0.1"
      },
      "engines": {
        "node": ">=8"
      },
      "funding": {
        "url": "https://github.com/chalk/ansi-styles?sponsor=1"
      }
    },
    "node_modules/wrap-ansi-cjs/node_modules/color-convert": {
      "version": "2.0.1",
      "resolved": "https://registry.npmmirror.com/color-convert/-/color-convert-2.0.1.tgz",
      "integrity": "sha512-RRECPsj7iu/xb5oKYcsFHSppFNnsj/52OVTRKb4zP5onXwVF3zVmmToNcOfGC+CRDpfK/U584fMg38ZHCaElKQ==",
      "dev": true,
      "dependencies": {
        "color-name": "~1.1.4"
      },
      "engines": {
        "node": ">=7.0.0"
      }
    },
    "node_modules/wrap-ansi-cjs/node_modules/color-name": {
      "version": "1.1.4",
      "resolved": "https://registry.npmmirror.com/color-name/-/color-name-1.1.4.tgz",
      "integrity": "sha512-dOy+3AuW3a2wNbZHIuMZpTcgjGuLU/uBL/ubcZF9OXbDo8ff4O8yVp5Bf0efS8uEoYo5q4Fx7dY9OgQGXgAsQA==",
      "dev": true
    },
    "node_modules/wrap-ansi/node_modules/ansi-styles": {
      "version": "4.3.0",
      "resolved": "https://registry.npmmirror.com/ansi-styles/-/ansi-styles-4.3.0.tgz",
@@ -15881,86 +15529,6 @@
      "resolved": "https://registry.npmmirror.com/@humanwhocodes/object-schema/-/object-schema-1.2.1.tgz",
      "integrity": "sha512-ZnQMnLV4e7hDlUvw8H+U8ASL02SS2Gn6+9Ac3wGGLIe7+je2AeAOxPY+izIPJDfFDb7eDjev0Us8MO1iFRN8hA==",
      "dev": true
    },
    "@isaacs/balanced-match": {
      "version": "4.0.1",
      "resolved": "https://registry.npmmirror.com/@isaacs/balanced-match/-/balanced-match-4.0.1.tgz",
      "integrity": "sha512-yzMTt9lEb8Gv7zRioUilSglI0c0smZ9k5D65677DLWLtWJaXIS3CqcGyUFByYKlnUj6TkjLVs54fBl6+TiGQDQ==",
      "dev": true
    },
    "@isaacs/brace-expansion": {
      "version": "5.0.0",
      "resolved": "https://registry.npmmirror.com/@isaacs/brace-expansion/-/brace-expansion-5.0.0.tgz",
      "integrity": "sha512-ZT55BDLV0yv0RBm2czMiZ+SqCGO7AvmOM3G/w2xhVPH+te0aKgFjmBvGlL1dH+ql2tgGO3MVrbb3jCKyvpgnxA==",
      "dev": true,
      "requires": {
        "@isaacs/balanced-match": "^4.0.1"
      }
    },
    "@isaacs/cliui": {
      "version": "8.0.2",
      "resolved": "https://registry.npmmirror.com/@isaacs/cliui/-/cliui-8.0.2.tgz",
      "integrity": "sha512-O8jcjabXaleOG9DQ0+ARXWZBTfnP4WNAqzuiJK7ll44AmxGKv/J2M4TPjxjY3znBCfvBXFzucm1twdyFybFqEA==",
      "dev": true,
      "requires": {
        "string-width": "^5.1.2",
        "string-width-cjs": "npm:string-width@^4.2.0",
        "strip-ansi": "^7.0.1",
        "strip-ansi-cjs": "npm:strip-ansi@^6.0.1",
        "wrap-ansi": "^8.1.0",
        "wrap-ansi-cjs": "npm:wrap-ansi@^7.0.0"
      },
      "dependencies": {
        "ansi-regex": {
          "version": "6.1.0",
          "resolved": "https://registry.npmmirror.com/ansi-regex/-/ansi-regex-6.1.0.tgz",
          "integrity": "sha512-7HSX4QQb4CspciLpVFwyRe79O3xsIZDDLER21kERQ71oaPodF8jL725AgJMFAYbooIqolJoRLuM81SpeUkpkvA==",
          "dev": true
        },
        "ansi-styles": {
          "version": "6.2.1",
          "resolved": "https://registry.npmmirror.com/ansi-styles/-/ansi-styles-6.2.1.tgz",
          "integrity": "sha512-bN798gFfQX+viw3R7yrGWRqnrN2oRkEkUjjl4JNn4E8GxxbjtG3FbrEIIY3l8/hrwUwIeCZvi4QuOTP4MErVug==",
          "dev": true
        },
        "emoji-regex": {
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          "resolved": "https://registry.npmmirror.com/emoji-regex/-/emoji-regex-9.2.2.tgz",
          "integrity": "sha512-L18DaJsXSUk2+42pv8mLs5jJT2hqFkFE4j21wOmgbUqsZ2hL72NsUU785g9RXgo3s0ZNgVl42TiHp3ZtOv/Vyg==",
          "dev": true
        },
        "string-width": {
          "version": "5.1.2",
          "resolved": "https://registry.npmmirror.com/string-width/-/string-width-5.1.2.tgz",
          "integrity": "sha512-HnLOCR3vjcY8beoNLtcjZ5/nxn2afmME6lhrDrebokqMap+XbeW8n9TXpPDOqdGK5qcI3oT0GKTW6wC7EMiVqA==",
          "dev": true,
          "requires": {
            "eastasianwidth": "^0.2.0",
            "emoji-regex": "^9.2.2",
            "strip-ansi": "^7.0.1"
          }
        },
        "strip-ansi": {
          "version": "7.1.0",
          "resolved": "https://registry.npmmirror.com/strip-ansi/-/strip-ansi-7.1.0.tgz",
          "integrity": "sha512-iq6eVVI64nQQTRYq2KtEg2d2uU7LElhTJwsH4YzIHZshxlgZms/wIc4VoDQTlG/IvVIrBKG06CrZnp0qv7hkcQ==",
          "dev": true,
          "requires": {
            "ansi-regex": "^6.0.1"
          }
        },
        "wrap-ansi": {
          "version": "8.1.0",
          "resolved": "https://registry.npmmirror.com/wrap-ansi/-/wrap-ansi-8.1.0.tgz",
          "integrity": "sha512-si7QWI6zUMq56bESFvagtmzMdGOtoxfR+Sez11Mobfc7tm+VkUckk9bW2UeffTGVUbOksxmSw0AA2gs8g71NCQ==",
          "dev": true,
          "requires": {
            "ansi-styles": "^6.1.0",
            "string-width": "^5.0.1",
            "strip-ansi": "^7.0.1"
          }
        }
      }
    },
    "@jridgewell/gen-mapping": {
      "version": "0.3.5",
@@ -18802,12 +18370,6 @@
      "integrity": "sha512-jtD6YG370ZCIi/9GTaJKQxWTZD045+4R4hTk/x1UyoqadyJ9x9CgSi1RlVDQF8U2sxLLSnFkCaMihqljHIWgMg==",
      "dev": true
    },
    "eastasianwidth": {
      "version": "0.2.0",
      "resolved": "https://registry.npmmirror.com/eastasianwidth/-/eastasianwidth-0.2.0.tgz",
      "integrity": "sha512-I88TYZWc9XiYHRQ4/3c5rjjfgkjhLyW2luGIheGERbNQ6OY7yTybanSpDXZa8y7VUP9YmDcYa+eyq4ca7iLqWA==",
      "dev": true
    },
    "easy-stack": {
      "version": "1.0.1",
      "resolved": "https://registry.npmmirror.com/easy-stack/-/easy-stack-1.0.1.tgz",
@@ -19768,24 +19330,6 @@
      "resolved": "https://registry.npmmirror.com/follow-redirects/-/follow-redirects-1.15.6.tgz",
      "integrity": "sha512-wWN62YITEaOpSK584EZXJafH1AGpO8RVgElfkuXbTOrPX4fIfOyEpW/CsiNd8JdYrAoOvafRTOEnvsO++qCqFA=="
    },
    "foreground-child": {
      "version": "3.3.1",
      "resolved": "https://registry.npmmirror.com/foreground-child/-/foreground-child-3.3.1.tgz",
      "integrity": "sha512-gIXjKqtFuWEgzFRJA9WCQeSJLZDjgJUOMCMzxtvFq/37KojM1BFGufqsCy0r4qSQmYLsZYMeyRqzIWOMup03sw==",
      "dev": true,
      "requires": {
        "cross-spawn": "^7.0.6",
        "signal-exit": "^4.0.1"
      },
      "dependencies": {
        "signal-exit": {
          "version": "4.1.0",
          "resolved": "https://registry.npmmirror.com/signal-exit/-/signal-exit-4.1.0.tgz",
          "integrity": "sha512-bzyZ1e88w9O1iNJbKnOlvYTrWPDl46O1bG0D3XInv+9tkPrxrN8jUUTiFlDkkmKWgn1M6CfIA13SuGqOa9Korw==",
          "dev": true
        }
      }
    },
    "form-data": {
      "version": "4.0.0",
      "resolved": "https://registry.npmjs.org/form-data/-/form-data-4.0.0.tgz",
@@ -19915,37 +19459,6 @@
      "dev": true,
      "requires": {
        "pump": "^3.0.0"
      }
    },
    "glob": {
      "version": "11.0.3",
      "resolved": "https://registry.npmmirror.com/glob/-/glob-11.0.3.tgz",
      "integrity": "sha512-2Nim7dha1KVkaiF4q6Dj+ngPPMdfvLJEOpZk/jKiUAkqKebpGAWQXAq9z1xu9HKu5lWfqw/FASuccEjyznjPaA==",
      "dev": true,
      "requires": {
        "foreground-child": "^3.3.1",
        "jackspeak": "^4.1.1",
        "minimatch": "^10.0.3",
        "minipass": "^7.1.2",
        "package-json-from-dist": "^1.0.0",
        "path-scurry": "^2.0.0"
      },
      "dependencies": {
        "minimatch": {
          "version": "10.0.3",
          "resolved": "https://registry.npmmirror.com/minimatch/-/minimatch-10.0.3.tgz",
          "integrity": "sha512-IPZ167aShDZZUMdRk66cyQAW3qr0WzbHkPdMYa8bzZhlHhO3jALbKdxcaak7W9FfT2rZNpQuUu4Od7ILEpXSaw==",
          "dev": true,
          "requires": {
            "@isaacs/brace-expansion": "^5.0.0"
          }
        },
        "minipass": {
          "version": "7.1.2",
          "resolved": "https://registry.npmmirror.com/minipass/-/minipass-7.1.2.tgz",
          "integrity": "sha512-qOOzS1cBTWYF4BH8fVePDBOO9iptMnGUEZwNc/cMWnTV2nVLZ7VoNWEPHkYczZA0pdoA7dl6e7FL659nX9S2aw==",
          "dev": true
        }
      }
    },
    "glob-parent": {
@@ -20509,15 +20022,6 @@
      "resolved": "https://registry.npmmirror.com/isobject/-/isobject-3.0.1.tgz",
      "integrity": "sha512-WhB9zCku7EGTj/HQQRz5aUQEUeoQZH2bWcltRErOpymJ4boYE6wL9Tbr23krRPSZ+C5zqNSrSw+Cc7sZZ4b7vg==",
      "dev": true
    },
    "jackspeak": {
      "version": "4.1.1",
      "resolved": "https://registry.npmmirror.com/jackspeak/-/jackspeak-4.1.1.tgz",
      "integrity": "sha512-zptv57P3GpL+O0I7VdMJNBZCu+BPHVQUk55Ft8/QCJjTVxrnJHuVuX/0Bl2A6/+2oyR/ZMEuFKwmzqqZ/U5nPQ==",
      "dev": true,
      "requires": {
        "@isaacs/cliui": "^8.0.2"
      }
    },
    "javascript-stringify": {
      "version": "2.1.0",
@@ -21753,12 +21257,6 @@
      "integrity": "sha512-R4nPAVTAU0B9D35/Gk3uJf/7XYbQcyohSKdvAxIRSNghFl4e71hVoGnBNQz9cWaXxO2I10KTC+3jMdvvoKw6dQ==",
      "dev": true
    },
    "package-json-from-dist": {
      "version": "1.0.1",
      "resolved": "https://registry.npmmirror.com/package-json-from-dist/-/package-json-from-dist-1.0.1.tgz",
      "integrity": "sha512-UEZIS3/by4OC8vL3P2dTXRETpebLI2NiI5vIrjaD/5UtrkFX/tNbwjTSRAGC/+7CAo2pIcBaRgWmcBBHcsaCIw==",
      "dev": true
    },
    "param-case": {
      "version": "3.0.4",
      "resolved": "https://registry.npmmirror.com/param-case/-/param-case-3.0.4.tgz",
@@ -21858,30 +21356,6 @@
      "resolved": "https://registry.npmmirror.com/path-parse/-/path-parse-1.0.7.tgz",
      "integrity": "sha512-LDJzPVEEEPR+y48z93A0Ed0yXb8pAByGWo/k5YYdYgpY2/2EsOsksJrq7lOHxryrVOn1ejG6oAp8ahvOIQD8sw==",
      "dev": true
    },
    "path-scurry": {
      "version": "2.0.0",
      "resolved": "https://registry.npmmirror.com/path-scurry/-/path-scurry-2.0.0.tgz",
      "integrity": "sha512-ypGJsmGtdXUOeM5u93TyeIEfEhM6s+ljAhrk5vAvSx8uyY/02OvrZnA0YNGUrPXfpJMgI1ODd3nwz8Npx4O4cg==",
      "dev": true,
      "requires": {
        "lru-cache": "^11.0.0",
        "minipass": "^7.1.2"
      },
      "dependencies": {
        "lru-cache": {
          "version": "11.1.0",
          "resolved": "https://registry.npmmirror.com/lru-cache/-/lru-cache-11.1.0.tgz",
          "integrity": "sha512-QIXZUBJUx+2zHUdQujWejBkcD9+cs94tLn0+YL8UrCh+D5sCXZ4c7LaEH48pNwRY3MLDgqUFyhlCyjJPf1WP0A==",
          "dev": true
        },
        "minipass": {
          "version": "7.1.2",
          "resolved": "https://registry.npmmirror.com/minipass/-/minipass-7.1.2.tgz",
          "integrity": "sha512-qOOzS1cBTWYF4BH8fVePDBOO9iptMnGUEZwNc/cMWnTV2nVLZ7VoNWEPHkYczZA0pdoA7dl6e7FL659nX9S2aw==",
          "dev": true
        }
      }
    },
    "path-to-regexp": {
      "version": "0.1.7",
@@ -22662,16 +22136,6 @@
      "integrity": "sha512-U9nH88a3fc/ekCF1l0/UP1IosiuIjyTh7hBvXVMHYgVcfGvt897Xguj2UOLDeI5BG2m7/uwyaLVT6fbtCwTyzw==",
      "dev": true
    },
    "rimraf": {
      "version": "6.0.1",
      "resolved": "https://registry.npmmirror.com/rimraf/-/rimraf-6.0.1.tgz",
      "integrity": "sha512-9dkvaxAsk/xNXSJzMgFqqMCuFgt2+KsOFek3TMLfo8NCPfWpBmqwyNn5Y+NX56QUYfCtsyhF3ayiboEoUmJk/A==",
      "dev": true,
      "requires": {
        "glob": "^11.0.0",
        "package-json-from-dist": "^1.0.0"
      }
    },
    "run-parallel": {
      "version": "1.2.0",
      "resolved": "https://registry.npmmirror.com/run-parallel/-/run-parallel-1.2.0.tgz",
@@ -23180,31 +22644,11 @@
        "strip-ansi": "^6.0.1"
      }
    },
    "string-width-cjs": {
      "version": "npm:string-width@4.2.3",
      "resolved": "https://registry.npmmirror.com/string-width/-/string-width-4.2.3.tgz",
      "integrity": "sha512-wKyQRQpjJ0sIp62ErSZdGsjMJWsap5oRNihHhu6G7JVO/9jIB6UyevL+tXuOqrng8j/cxKTWyWUwvSTriiZz/g==",
      "dev": true,
      "requires": {
        "emoji-regex": "^8.0.0",
        "is-fullwidth-code-point": "^3.0.0",
        "strip-ansi": "^6.0.1"
      }
    },
    "strip-ansi": {
      "version": "6.0.1",
      "resolved": "https://registry.npmmirror.com/strip-ansi/-/strip-ansi-6.0.1.tgz",
      "integrity": "sha512-Y38VPSHcqkFrCpFnQ9vuSXmquuv5oXOKpGeT6aGrr3o3Gc9AlVa6JBfUSOCnbxGGZF+/0ooI7KrPuUSztUdU5A==",
      "devOptional": true,
      "requires": {
        "ansi-regex": "^5.0.1"
      }
    },
    "strip-ansi-cjs": {
      "version": "npm:strip-ansi@6.0.1",
      "resolved": "https://registry.npmmirror.com/strip-ansi/-/strip-ansi-6.0.1.tgz",
      "integrity": "sha512-Y38VPSHcqkFrCpFnQ9vuSXmquuv5oXOKpGeT6aGrr3o3Gc9AlVa6JBfUSOCnbxGGZF+/0ooI7KrPuUSztUdU5A==",
      "dev": true,
      "requires": {
        "ansi-regex": "^5.0.1"
      }
@@ -24368,43 +23812,6 @@
    },
    "wrap-ansi": {
      "version": "7.0.0",
      "resolved": "https://registry.npmmirror.com/wrap-ansi/-/wrap-ansi-7.0.0.tgz",
      "integrity": "sha512-YVGIj2kamLSTxw6NsZjoBxfSwsn0ycdesmc4p+Q21c5zPuZ1pl+NfxVdxPtdHvmNVOQ6XSYG4AUtyt/Fi7D16Q==",
      "dev": true,
      "requires": {
        "ansi-styles": "^4.0.0",
        "string-width": "^4.1.0",
        "strip-ansi": "^6.0.0"
      },
      "dependencies": {
        "ansi-styles": {
          "version": "4.3.0",
          "resolved": "https://registry.npmmirror.com/ansi-styles/-/ansi-styles-4.3.0.tgz",
          "integrity": "sha512-zbB9rCJAT1rbjiVDb2hqKFHNYLxgtk8NURxZ3IZwD3F6NtxbXZQCnnSi1Lkx+IDohdPlFp222wVALIheZJQSEg==",
          "dev": true,
          "requires": {
            "color-convert": "^2.0.1"
          }
        },
        "color-convert": {
          "version": "2.0.1",
          "resolved": "https://registry.npmmirror.com/color-convert/-/color-convert-2.0.1.tgz",
          "integrity": "sha512-RRECPsj7iu/xb5oKYcsFHSppFNnsj/52OVTRKb4zP5onXwVF3zVmmToNcOfGC+CRDpfK/U584fMg38ZHCaElKQ==",
          "dev": true,
          "requires": {
            "color-name": "~1.1.4"
          }
        },
        "color-name": {
          "version": "1.1.4",
          "resolved": "https://registry.npmmirror.com/color-name/-/color-name-1.1.4.tgz",
          "integrity": "sha512-dOy+3AuW3a2wNbZHIuMZpTcgjGuLU/uBL/ubcZF9OXbDo8ff4O8yVp5Bf0efS8uEoYo5q4Fx7dY9OgQGXgAsQA==",
          "dev": true
        }
      }
    },
    "wrap-ansi-cjs": {
      "version": "npm:wrap-ansi@7.0.0",
      "resolved": "https://registry.npmmirror.com/wrap-ansi/-/wrap-ansi-7.0.0.tgz",
      "integrity": "sha512-YVGIj2kamLSTxw6NsZjoBxfSwsn0ycdesmc4p+Q21c5zPuZ1pl+NfxVdxPtdHvmNVOQ6XSYG4AUtyt/Fi7D16Q==",
      "dev": true,

 package.json

@@ -37,7 +37,6 @@
    "file-loader": "^6.2.0",
    "less": "^4.2.0",
    "less-loader": "^12.2.0",
    "rimraf": "^6.0.1",
    "url-loader": "^4.1.1",
    "vue-template-compiler": "^2.6.14",
    "webpack": "^5.92.0"

 src/App.vue

@@ -46,8 +46,6 @@
    <MMVRTCMP v-if="activeBook.name == 'MMVRTCMP'"></MMVRTCMP>
    <civilPassengerTransport v-if="activeBook.name == 'civilPassengerTransport'"> </civilPassengerTransport>
    <UAVTechIntro v-if="activeBook.name == 'UAVTechIntro'"></UAVTechIntro>
    <textToddlerSportsSafetyProtection v-if="activeBook.name == 'textToddlerSportsSafetyProtection'">
    </textToddlerSportsSafetyProtection>
  </div>
</template>
<script>
@@ -134,9 +132,6 @@
    civilPassengerTransport: () =>
      import("./books/civilPassengerTransport/view/index.vue"),
    UAVTechIntro: () => import("./books/UAVTechIntro/view/index.vue"),
    textToddlerSportsSafetyProtection: () => import(
      "./books/textToddlerSportsSafetyProtection/view/index.vue"
    ),
  },
  data() {
    return {
@@ -203,12 +198,11 @@
      // MMVRTCMP                               // 视觉手册
      // civilPassengerTransport                // 民航旅客运输
      // UAVTechIntro                           // 无人机应用技术导论
      // textToddlerSportsSafetyProtection      // 测试图书
      this.activeBook = await this.config.getBookConfig(
        process.env.VUE_APP_RESOURCE_CTX +
        (process.env.VUE_APP_ENV == "product"
          ? process.env.VUE_APP_BOOK_ID
          : "preschoolEvaluation")
          : "aurturingAndEducationAged0to3")
      );
      // 测试试读30页
      // this.activeBook.tryPageCount = 10;

 src/books/aurturingAndEducationAged0to3/assets/main.less

@@ -445,6 +445,10 @@
        width: 365px;
    }

    .w330 {
        width: 330px;
    }


    .w300 {
        width: 300px;

 src/books/aurturingAndEducationAged0to3/view/components/chapter001.vue

@@ -252,20 +252,20 @@
          <div class="img-rights-video w395">
            <div class="video-box">
              <p class="center text td-0">
                <video :src="videoPathOne" webkit-playsinline="true" x-webkit-airplay="true" playsinline="true"
                  x5-video-orientation="h5" x5-video-player-fullscreen="true" x5-playsinline="" controls
                  controlslist="nodownload" class="w100 video"></video>
                <video :src="chapter001.videoMd5[0].handleMd5" webkit-playsinline="true" x-webkit-airplay="true"
                  playsinline="true" x5-video-orientation="h5" x5-video-player-fullscreen="true" x5-playsinline=""
                  controls controlslist="nodownload" class="w100 video"></video>
              </p>
              <p class="center videoname">
                <span>视频：孕期唐氏筛查</span>
                <el-tooltip class="item" effect="dark" :content="chapterData.isCollectVideo ? '点击取消' : '点击收藏'
                  " placement="top-start">
                <span>视频：{{ chapter001.videoMd5[0].name }}</span>
                <el-tooltip class="item" effect="dark"
                  :content="chapter001.videoMd5[0].isCollectVideo ? '点击取消' : '点击收藏'" placement="top-start">
                  <img :src="collectResourceList.findIndex(
                    (item) => item.id == 'd056878ebe8cb0dbf323afa4f50ce59e'
                    (item) => item.id == chapter001.videoMd5[0].md5
                  ) > -1
                    ? collectCheck
                    : collectImg
                    " alt="" class="collect-btn" @click="handleCollect('video-01')" />
                    " alt="" class="collect-btn" @click="handleCollect(chapter001.videoMd5[0])" />
                </el-tooltip>
              </p>
            </div>
@@ -380,20 +380,20 @@
          <div class="img-rights-video w395">
            <div class="video-box">
              <p class="center text td-0">
                <video :src="videoPathTwo" webkit-playsinline="true" x-webkit-airplay="true" playsinline="true"
                  x5-video-orientation="h5" x5-video-player-fullscreen="true" x5-playsinline="" controls
                  controlslist="nodownload" class="w100 video"></video>
                <video :src="chapter001.videoMd5[1].handleMd5" webkit-playsinline="true" x-webkit-airplay="true"
                  playsinline="true" x5-video-orientation="h5" x5-video-player-fullscreen="true" x5-playsinline=""
                  controls controlslist="nodownload" class="w100 video"></video>
              </p>
              <p class="center videoname">
                <span>视频：孕期唐氏筛查</span>
                <el-tooltip class="item" effect="dark" :content="chapterData.isCollectVideo01 ? '点击取消' : '点击收藏'
                  " placement="top-start">
                <span>视频：{{ chapter001.videoMd5[1].name }}</span>
                <el-tooltip class="item" effect="dark"
                  :content="chapter001.videoMd5[1].isCollectVideo ? '点击取消' : '点击收藏'" placement="top-start">
                  <img :src="collectResourceList.findIndex(
                    (item) => item.id == 'be2714f3c8679bbe0ff150b5443321a9'
                    (item) => item.id == chapter001.videoMd5[1].md5
                  ) > -1
                    ? collectCheck
                    : collectImg
                    " alt="" class="collect-btn" @click="handleCollect('video-02')" />
                    " alt="" class="collect-btn" @click="handleCollect(chapter001.videoMd5[1])" />
                </el-tooltip>
              </p>
            </div>
@@ -851,20 +851,33 @@
    showPageList: {
      type: Array,
    },
    resourceList: {
      type: Object,
    },
  },
  data() {
    return {
      collectImg: require("../../assets/images/icon/heart.png"),
      collectCheck: require("../../assets/images/icon/heart-check.png"),
      videoPathOne: "",
      videoPathTwo: "",
      collectResourceList: [],
      chapterData: {
        isCollectVideo: false,
        isCollectVideo01: false,
      },
      unitQuestion: {
        isShowAnswer: false,
      },
      chapter001: {
        videoMd5: [
          {
            isCollectVideo: false,
            md5: this.resourceList[13],
            handleMd5: "",
            name: "孕期唐氏筛查",
          },
          {
            isCollectVideo: false,
            md5: this.resourceList[14],
            handleMd5: "",
            name: "孕期保健",
          },
        ],
      },
      questionData: {
        one: "",
@@ -909,13 +922,14 @@
  },
  methods: {
    async getVidoePath() {
      this.videoPathOne = await getResourcePath(
        "d056878ebe8cb0dbf323afa4f50ce59e"
      );
      this.videoPathTwo = await getResourcePath(
        "be2714f3c8679bbe0ff150b5443321a9"
      );
      for (let index = 0; index < this.chapter001.videoMd5.length; index++) {
        const item = this.chapter001.videoMd5[index];
        if (item.md5 && !item.md5.includes("https:")) {
          item.handleMd5 = await getResourcePath(item.md5);
        }
      }
    },

    setBookQuestion() {
      localStorage.setItem(
        "aurturingAndEducation-book-chapter01-questionData",
@@ -942,29 +956,20 @@
      this.unitQuestion.isShowAnswer = false;
    },
    handleCollect(e) {
      if (e == "video-01") {
      if (e) {
        this.handleCollectResource(
          "d056878ebe8cb0dbf323afa4f50ce59e",
          "d056878ebe8cb0dbf323afa4f50ce59e",
          e.md5,
          e.md5,
          "",
          "视频",
          "bits",
          "视频：孕期唐氏筛查"
          "视频：" + e.md5,
        );
        this.chapterData.isCollectVideo = !this.chapterData.isCollectVideo;
      } else if (e == "video-02") {
        this.handleCollectResource(
          "be2714f3c8679bbe0ff150b5443321a9",
          "be2714f3c8679bbe0ff150b5443321a9",
          "",
          "视频",
          "bits",
          "视频：孕期保健"
        );
        this.chapterData.isCollectVideo01 = !this.chapterData.isCollectVideo01;
        e.isCollectVideo = !e.isCollectVideo;
      }
      this.handleChapterData();
    },

    handleChapterData() {
      localStorage.setItem(
        "aurturingAndEducation-book-chapter01-Data",

 src/books/aurturingAndEducationAged0to3/view/components/chapter002.vue

@@ -50,9 +50,32 @@
              </div>
            </div>
            <p class="center fm-fzdbs"><b>胎儿娩出与新生儿的不同称谓</b></p>
            <p>
              十月怀胎，一朝分娩。伴随着响亮的啼哭，新的生命诞生，这就是新生儿。根据分娩时的孕周我们把新生儿分为：足月儿（胎龄满37周，不满42周）、早产儿（胎龄满28周，不满37周）、过期产儿（胎龄超过42周以上）。根据体重值我们把新生儿分为：正常体重儿（体重大于等于2500克，小于4000克）、低体重儿（体重小于2500克）、巨大儿（体重大于等于4000克）。
            </p>
            <div class="img-rights-video w330">
              <div class="video-box">
                <p class="center text td-0">
                  <video :src="chapter001.videoMd5[0].handleMd5" webkit-playsinline="true" x-webkit-airplay="true"
                    playsinline="true" x5-video-orientation="h5" x5-video-player-fullscreen="true" x5-playsinline=""
                    controls controlslist="nodownload" class="w100 video"></video>
                </p>
                <p class="center videoname">
                  <span>视频：{{ chapter001.videoMd5[0].name }}</span>
                  <el-tooltip class="item" effect="dark"
                    :content="chapter001.videoMd5[0].isCollectVideo ? '点击取消' : '点击收藏'" placement="top-start">
                    <img :src="collectResourceList.findIndex(
                      (item) => item.id == chapter001.videoMd5[0].md5
                    ) > -1
                      ? collectCheck
                      : collectImg
                      " alt="" class="collect-btn" @click="handleCollect(chapter001.videoMd5[0])" />
                  </el-tooltip>
                </p>
              </div>
            </div>
            <span>
              <p>
                十月怀胎，一朝分娩。伴随着响亮的啼哭，新的生命诞生，这就是新生儿。根据分娩时的孕周我们把新生儿分为：足月儿（胎龄满37周，不满42周）、早产儿（胎龄满28周，不满37周）、过期产儿（胎龄超过42周以上）。根据体重值我们把新生儿分为：正常体重儿（体重大于等于2500克，小于4000克）、低体重儿（体重小于2500克）、巨大儿（体重大于等于4000克）。
              </p>
            </span>
          </div>
          <h4 id="d025">（二）新生儿的各器官、系统发育特点</h4>
          <h5 id="e024">1.运动系统</h5>
@@ -141,6 +164,60 @@

          <div class="bk2">
            <p class="center"><b>幼儿教师资格考试·真题再现</b></p>
            <ul class='mr-0' v-for="(item, index) in exampleTwo.unitOne" :key="'exampleTwo' + index">
              <li>
                {{ item.txt }}。
              </li>
              <li class="inputChoice" v-for="(citem, cindex) in item.option" :key="cindex">
                <label>
                  <input type="radio" :disabled="exampleTwo.isComplete" :name="item.txt" :value="citem.value"
                    v-model="item.userAnswer" @change="saveExampleTwo" />
                  <span>{{ citem.value }}.{{ citem.txt }}</span>
                </label>
              </li>
              <li v-if="exampleTwo.isShowAnswer" class="event-header-text-bc pd-5 fl jc-sa">
                <span class="c-g"> 答案：{{ item.answer }}</span>
                <span :class="{ 'c-g': item.isRight, 'c-r': item.isRight == false }">您的答案：{{
                  item.userAnswer
                }}</span>
                <span class="icon-box-big fl al-c">
                  <svg v-if="item.isRight" t="1716986419862" class="icon" viewBox="0 0 1820 1024" version="1.1"
                    xmlns="http://www.w3.org/2000/svg" p-id="18767" xmlns:xlink="http://www.w3.org/1999/xlink"
                    width="40" height="20">
                    <path
                      d="M1439.374222 216.007111s-169.472 56.490667-367.179852 282.443852C888.6044444 703.222519 846.241185 787.949037 775.632593 900.93037 768.568889 893.866667 662.651259 689.095111 380.207407 540.814222l148.290371-141.226666s134.162963 91.790222 225.953185 261.262222c0 0 233.016889-360.116148 684.923259-536.642371v91.799704z m0 0"
                      fill="#1AFA29" p-id="18768"></path>
                  </svg>
                  <svg v-if="item.isRight == false" t="1716987085767" class="icon" viewBox="0 0 1024 1024" version="1.1"
                    xmlns="http://www.w3.org/2000/svg" p-id="25745" xmlns:xlink="http://www.w3.org/1999/xlink"
                    width="20" height="20">
                    <path
                      d="M116.579135 38.64349531L38.703935 103.74399781c138.82075969 102.96027281 268.24660875 221.31426938 381.68489719 339.96758156C246.29374906 618.40145938 109.95003031 790.19602344 38.10817906 859.25288281l148.35573469 123.62658094c52.61360812-108.17625656 167.23381594-272.86683656 320.56281844-445.01635875 153.50744156 173.21056312 268.36844625 338.43166313 321.38977781 447.49243969 0 0 144.5682225-152.96636906 157.47435281-129.29729625-55.80632344-62.49011156-191.37776625-244.16501625-374.17990593-430.27403438 104.68422375-107.1132975 222.15274031-213.10127719 347.60304468-306.24740437L925.17746562 56.03842156C782.85412063 126.51895625 647.69328031 231.09093594 526.07845437 342.39755 403.34886594 226.82662719 264.46095125 116.16373719 116.579135 38.64349531L116.579135 38.64349531zM116.579135 38.64349531"
                      fill="#d81e06" p-id="25746"></path>
                  </svg>
                </span>
              </li>
            </ul>
            <!-- 提交按钮 -->
            <div class="w100 fl ju-cn">
              <ul class="fl ju-ev w80 choice">
                <li>
                  <button class="btn-border btn-w" @click="goExampleTwo">
                    提交
                  </button>
                </li>
                <li>
                  <button @click="changeExampleTwo" class="btn-border btn-w">
                    重做
                  </button>
                </li>
                <li>
                  <button @click="exampleTwo.isShowAnswer = !exampleTwo.isShowAnswer" class="parimary-btn">
                    查看答案
                  </button>
                </li>
              </ul>
            </div>
            <p>2014年上海教师资格考试《保教知识与能力》（幼儿园）模拟题：</p>
            <p>（1）下列哪种现象能表明新生儿的视听协调（　　）</p>
            <p>A.有些婴儿听到音乐会露出笑容</p>
@@ -1547,20 +1624,111 @@
    showPageList: {
      type: Array,
    },
    resourceList: {
      type: Object,
    },
  },
  data() {
    return {
      collectImg: require("../../assets/images/icon/heart.png"),
      collectCheck: require("../../assets/images/icon/heart-check.png"),
      videoPathOne: "",
      videoPathTwo: "",
      collectResourceList: [],
      chapterData: {
        isCollectVideo: false,
        isCollectVideo01: false,
      },
      unitQuestion: {
        isShowAnswer: false,
      },
      chapter001: {
        videoMd5: [
          {
            isCollectVideo: false,
            md5: this.resourceList[20],
            handleMd5: "",
            name: "新生（胎儿娩出）",
          },
          {
            isCollectVideo: false,
            md5: this.resourceList[21],
            handleMd5: "",
            name: "新生儿的先天反射",
          },
          {
            isCollectVideo: false,
            md5: this.resourceList[25],
            handleMd5: "",
            name: "新生儿的状态",
          },
          {
            isCollectVideo: false,
            md5: this.resourceList[27],
            handleMd5: "",
            name: "新生儿正常的生理现象",
          },
          {
            isCollectVideo: false,
            md5: this.resourceList[33],
            handleMd5: "",
            name: "母乳喂养的方法",
          },
          {
            isCollectVideo: false,
            md5: this.resourceList[34],
            handleMd5: "",
            name: "奶瓶喂养的方法及奶瓶的消毒",
          },
          {
            isCollectVideo: false,
            md5: this.resourceList[36],
            handleMd5: "",
            name: "尿布的种类及正确使用方法",
          },
          {
            isCollectVideo: false,
            md5: this.resourceList[42],
            handleMd5: "",
            name: "新生儿脐部护理操作步骤",
          },
          {
            isCollectVideo: false,
            md5: this.resourceList[44],
            handleMd5: "",
            name: "新生儿黄疸及蓝光治疗",
          },
          {
            isCollectVideo: false,
            md5: this.resourceList[45],
            handleMd5: "",
            name: "拍嗝的三种方法",
          },
          {
            isCollectVideo: false,
            md5: this.resourceList[46],
            handleMd5: "",
            name: "鹅口疮的症状及正确处理",
          },
          {
            isCollectVideo: false,
            md5: this.resourceList[47],
            handleMd5: "",
            name: "新生儿臀部护理及红臀的预防",
          },
          {
            isCollectVideo: false,
            md5: this.resourceList[50],
            handleMd5: "",
            name: "婴儿抚触（适合1岁以前宝宝）",
          },
          {
            isCollectVideo: false,
            md5: this.resourceList[72],
            handleMd5: "",
            name: "正确打襁褓的方法",
          },
          {
            isCollectVideo: false,
            md5: this.resourceList[74],
            handleMd5: "",
            name: "思考与练习 学生抚触作品",
          },
        ],
      },
      questionData: {
        one: "",
@@ -1574,6 +1742,12 @@
      bookData: {
        one: "",
      },



      bookQusetion: [

      ]
    };
  },
  async mounted() {
@@ -1605,12 +1779,12 @@
  },
  methods: {
    async getVidoePath() {
      this.videoPathOne = await getResourcePath(
        "d056878ebe8cb0dbf323afa4f50ce59e"
      );
      this.videoPathTwo = await getResourcePath(
        "be2714f3c8679bbe0ff150b5443321a9"
      );
      for (let index = 0; index < this.chapter001.videoMd5.length; index++) {
        const item = this.chapter001.videoMd5[index];
        if (item.md5 && !item.md5.includes("https:")) {
          item.handleMd5 = await getResourcePath(item.md5);
        }
      }
    },
    setBookQuestion() {
      localStorage.setItem(
@@ -1638,26 +1812,16 @@
      this.unitQuestion.isShowAnswer = false;
    },
    handleCollect(e) {
      if (e == "video-01") {
      if (e) {
        this.handleCollectResource(
          "d056878ebe8cb0dbf323afa4f50ce59e",
          "d056878ebe8cb0dbf323afa4f50ce59e",
          e.md5,
          e.md5,
          "",
          "视频",
          "bits",
          "视频：孕期唐氏筛查"
          "视频：" + e.md5,
        );
        this.chapterData.isCollectVideo = !this.chapterData.isCollectVideo;
      } else if (e == "video-02") {
        this.handleCollectResource(
          "be2714f3c8679bbe0ff150b5443321a9",
          "be2714f3c8679bbe0ff150b5443321a9",
          "",
          "视频",
          "bits",
          "视频：孕期保健"
        );
        this.chapterData.isCollectVideo01 = !this.chapterData.isCollectVideo01;
        e.isCollectVideo = !e.isCollectVideo;
      }
      this.handleChapterData();
    },

 src/books/aurturingAndEducationAged0to3/view/components/chapter003.vue

@@ -428,7 +428,8 @@
                    <p>脱连体衣：先脱裤子再脱上衣。婴儿平躺床上或操作台上，解扣子或带子。用手握婴儿膝部，另一只手将婴儿腿从裤管取出，若婴儿紧张，可轻拍腿部使其放松后再脱，切勿生拉硬拽，误伤婴儿。用同一方法脱另一侧。用手握着婴儿一侧肘部，另一只手将袖子拉出，同一方法脱另一侧。最后，用手轻托婴儿头颈部，另一手迅速将衣服从婴儿身下由上而下取出。
                    </p>
                    <h5 id="e111">2.分体衣穿脱法</h5>
                    <p>穿上衣：衣服扣子全部打开，婴儿平卧在衣服上，左手由外向内撑开右袖口，右手握住婴儿右手送入袖中交给左手，一定要将婴儿手指全部握于手中，防止误伤。用右手轻拉婴儿衣服至婴儿肩膀处使其露出小手。穿 衣的原则是拉衣服不拉胳膊。同样的方法穿左袖。从里向外、从上至下扣扣子或系好带子，松紧适宜。
                    <p>穿上衣：衣服扣子全部打开，婴儿平卧在衣服上，左手由外向内撑开右袖口，右手握住婴儿右手送入袖中交给左手，一定要将婴儿手指全部握于手中，防止误伤。用右手轻拉婴儿衣服至婴儿肩膀处使其露出小手。穿
                        衣的原则是拉衣服不拉胳膊。同样的方法穿左袖。从里向外、从上至下扣扣子或系好带子，松紧适宜。
                    </p>
                </div>
                <ul class="fl al-fe footer-left">
@@ -711,7 +712,7 @@
        <div class="page-box" page="99">
            <div v-if="showPageList.indexOf(99) > -1">
                <div class="bodystyle">
                       <h5 id="e129">2.不能接种的情况</h5>
                    <h5 id="e129">2.不能接种的情况</h5>
                    <p class="td-0">
                        婴儿有免疫缺陷病或使用免疫抑制剂者，不应接种活的疫苗。有神经系统疾病的儿童，如癫痫或者脑病，不应该给予含有全细胞的百日咳疫苗、A群流脑疫苗、乙脑减毒活疫苗。经过某种疫苗接种后，如果出现严重的不良反应，如虚脱、休克、痉挛、脑炎或脑病，重度的过敏反应，则不应给予以后针次的接种或者加强免疫。过敏性体质的婴儿不应接种某些用鸡胚组织制成的疫苗，如流感疫苗等。对抗生素有过敏史者不应接种含有该抗生素成分的疫苗。有结核病症状的阳性患者不要接种卡介苗。
                    </p>
@@ -728,7 +729,8 @@
                    <p>（2）接种部位红肿</p>
                    <p>接种卡介苗后2～3周，局部可逐渐出现红肿、脓疱或溃疡，3周后结痂，形成小疤痕。如果反应较重，可形成脓肿，应速去医院处理，但禁忌切开排脓，否则切口不易愈合。</p>
                    <p>（3）接种部位反应较重</p>
                    <p>当局部反应较重时，可用干净毛巾热敷，每天3～5次，每次10～15分 钟；对较重的全身反应则可以在医生指导下用一点药。如果接种后出现的局部反应不能在短时间内消退，就应尽快去医院诊治，否则很可能会危及生命。
                    <p>当局部反应较重时，可用干净毛巾热敷，每天3～5次，每次10～15分
                        钟；对较重的全身反应则可以在医生指导下用一点药。如果接种后出现的局部反应不能在短时间内消退，就应尽快去医院诊治，否则很可能会危及生命。
                    </p>
                </div>
                <ul class="fl al-fe footer-left">
@@ -750,7 +752,8 @@
                    <p>0～1岁是婴儿生长发育最快的阶段，旺盛的生长发育要求比成人或大龄儿童摄入相对更多的能量和营养素。若此阶段婴儿发生营养不良，尤其是蛋白质供应不足的话，不仅会影响正常的生长发育，而且会造成婴儿抵抗力差，容易感染疾病，甚至影响智力发育。
                    </p>
                    <h3 id="c065"><span class="h3-zt">一、</span>婴儿对热能的需要量</h3>
                    <p>婴儿的新陈代谢旺盛，能量的需要量相对较高。在整体的热能需要中，基础代谢所需热能约占总热能的60%，以后随着年龄的增长而逐渐减少；食物的特殊动力作用占7%～8%，而较大儿童为5%；1周岁内婴儿活动较少，用于肌肉活动的能量相对较低。此外，食物进入消化道后，部分未被吸收的脂肪和蛋白质直接从肠道排出，约为摄入总热量的10%。综合各项需要，婴儿每日能量参考摄入量如表3-9所示。若能量长期摄入不足，可导致生长迟缓或停滞；若长期摄入过多则导致婴儿肥胖。一般来说，我们 可以根据婴儿的生长发育状况判断能量供应量是否适宜。
                    <p>婴儿的新陈代谢旺盛，能量的需要量相对较高。在整体的热能需要中，基础代谢所需热能约占总热能的60%，以后随着年龄的增长而逐渐减少；食物的特殊动力作用占7%～8%，而较大儿童为5%；1周岁内婴儿活动较少，用于肌肉活动的能量相对较低。此外，食物进入消化道后，部分未被吸收的脂肪和蛋白质直接从肠道排出，约为摄入总热量的10%。综合各项需要，婴儿每日能量参考摄入量如表3-9所示。若能量长期摄入不足，可导致生长迟缓或停滞；若长期摄入过多则导致婴儿肥胖。一般来说，我们
                        可以根据婴儿的生长发育状况判断能量供应量是否适宜。
                    </p>
                </div>
                <ul class="fl al-fe jc-fe footer-right">
@@ -910,7 +913,8 @@
                    <h4 id="d137">（一）不同月龄建议添加的辅食</h4>
                    <p>随着婴儿的生长发育及消化能力的提高，单纯乳类喂养不能完全满足6个月后婴儿的需要，必须由纯乳类的流质食物向半流质的泥糊状食物和固体食物逐渐转换，这个过程称为食物转换，也就是辅食添加，基本在
                        6～24个月龄完成。</p>
                    <p>给婴儿添加辅食不能太早，也不能太晚。建议添加非乳类泥糊状食物的月龄为6个月，不早于4个月，特殊情况除外（比如婴儿看见食物就张嘴 想吃或会吞咽辅食等）。首先添加的食物应该是符合婴儿营养需要、易于吸收、不易产生过敏的谷类食物，最好为强化铁的米粉，然后是根茎类蔬菜、水果，7～9个月逐渐添加肉、蛋、鱼等动物性食物和豆制品。给婴儿喂食辅食，应该采用勺子喂养，以训练婴儿的吞咽功能。
                    <p>给婴儿添加辅食不能太早，也不能太晚。建议添加非乳类泥糊状食物的月龄为6个月，不早于4个月，特殊情况除外（比如婴儿看见食物就张嘴
                        想吃或会吞咽辅食等）。首先添加的食物应该是符合婴儿营养需要、易于吸收、不易产生过敏的谷类食物，最好为强化铁的米粉，然后是根茎类蔬菜、水果，7～9个月逐渐添加肉、蛋、鱼等动物性食物和豆制品。给婴儿喂食辅食，应该采用勺子喂养，以训练婴儿的吞咽功能。
                    </p>
                    <p class="img">表3-14 婴儿辅食添加进程<sup title="中华预防医学会儿童保健分会：《婴幼儿喂养与营养指南》，载《中国妇幼健康研究》，2019（4）。">①</sup>
                    </p>
@@ -1069,7 +1073,8 @@
                    <p>吮指是指将拇指或其他手指置于口内，并施加吮吸力量。1岁前，几乎所有的婴儿都有非营养性吮吸的现象。</p>
                    <h4 id="d146">（一）现象分析</h4>
                    <h5 id="e152">1.婴儿吮指是一种探索行为，喜欢用嘴探索世界</h5>
                    <p>从2～3个月起就会看到婴儿爱把自己的手放在眼前晃动，双眼盯着 看，当手碰到嘴边就出现吮吸动作了；4个月时开始会把整只手塞到嘴里，逐渐伸进2～3个手指进行吮吸，习惯后开始吮吸一个手指，多半是拇指。婴儿吮吸手指往往发生在饥饿未得到满足，以及想睡觉的时候。吮吸手指时情绪愉快，十分舒适满足。4～5个月的婴儿喜欢吮吸手指不是一种坏习惯，这种行为表示婴儿的身心发育进入了一个重要阶段，即手口协调逐渐形成，手功能的分化已经开始。
                    <p>从2～3个月起就会看到婴儿爱把自己的手放在眼前晃动，双眼盯着
                        看，当手碰到嘴边就出现吮吸动作了；4个月时开始会把整只手塞到嘴里，逐渐伸进2～3个手指进行吮吸，习惯后开始吮吸一个手指，多半是拇指。婴儿吮吸手指往往发生在饥饿未得到满足，以及想睡觉的时候。吮吸手指时情绪愉快，十分舒适满足。4～5个月的婴儿喜欢吮吸手指不是一种坏习惯，这种行为表示婴儿的身心发育进入了一个重要阶段，即手口协调逐渐形成，手功能的分化已经开始。
                    </p>
                </div>
                <ul class="fl al-fe footer-left">
@@ -1157,7 +1162,8 @@
                    <p>若以能量供应不足为主，表现为体重明显减轻，皮下脂肪减少，为消瘦型营养不良；若以蛋白质供应不足为主，表现为水肿，为水肿型营养不良；介于两者之间的为消瘦—水肿型营养不良。</p>
                    <h4 id="d151">（二）辨识</h4>
                    <h5 id="e159">1.消瘦型营养不良</h5>
                    <p>消瘦型营养不良是蛋白质、热能同时严重缺乏，多见于1岁以内婴儿。营养不良初期，身高不受影响。但随着病情加重，骨骼生长会减慢，身高 也会低于正常。其中，体重不增是营养不良的早期表现，之后，体重逐渐下降。患儿主要表现为消瘦，皮下脂肪逐渐减少以至消失，皮肤干燥、苍白、面部皮肤皱缩松弛、头发干枯，四肢可有挛缩。
                    <p>消瘦型营养不良是蛋白质、热能同时严重缺乏，多见于1岁以内婴儿。营养不良初期，身高不受影响。但随着病情加重，骨骼生长会减慢，身高
                        也会低于正常。其中，体重不增是营养不良的早期表现，之后，体重逐渐下降。患儿主要表现为消瘦，皮下脂肪逐渐减少以至消失，皮肤干燥、苍白、面部皮肤皱缩松弛、头发干枯，四肢可有挛缩。
                    </p>
                </div>
                <ul class="fl al-fe jc-fe footer-right">
@@ -1188,7 +1194,8 @@
                        </div>
                        <p class="center"><b>大头娃娃</b></p>
                        <div class="img-rights w210">
                            <p class="center openImgBox"><img class="img-0" alt="" src="../../assets/images/0119-1.jpg" /></p>
                            <p class="center openImgBox"><img class="img-0" alt=""
                                    src="../../assets/images/0119-1.jpg" /></p>
                            <p class="img">图3-1 大头娃娃</p>
                        </div>
                        <span>
@@ -1370,7 +1377,8 @@
                    <h5 id="e181">1.年龄、事故与诱发因素</h5>
                    <p>0～4个月的婴儿单独在无护栏的床上或家具上易跌落；当婴儿床或婴儿车栏杆未确实拉上时，5～7个月的婴儿易跌落；8～12个月的婴儿攀爬沙发、座椅、窗台等高处易跌落。</p>
                    <h5 id="e182">2.紧急处理</h5>
                    <p>跌落造成的伤害最可能的是头部受伤。若头皮磕破出血，根据出血量 的大小进行处理。若只是擦破皮，用75%的酒精消毒后贴上创可贴即可；若流血较多，应采用指压颞浅动脉止血，然后包扎；并注意观察孩子有无短暂的意识丧失，若有，请密切关注孩子是否有嗜睡、呕吐等状态；若有渗血，没有破皮，可迅速采用冷敷的方法，防止皮下继续出血，以达到止血、消肿、止痛的目的。谨记：不要按揉磕碰处，也不要往磕碰处涂抹庆大霉素、红药水、紫药水等药物。
                    <p>跌落造成的伤害最可能的是头部受伤。若头皮磕破出血，根据出血量
                        的大小进行处理。若只是擦破皮，用75%的酒精消毒后贴上创可贴即可；若流血较多，应采用指压颞浅动脉止血，然后包扎；并注意观察孩子有无短暂的意识丧失，若有，请密切关注孩子是否有嗜睡、呕吐等状态；若有渗血，没有破皮，可迅速采用冷敷的方法，防止皮下继续出血，以达到止血、消肿、止痛的目的。谨记：不要按揉磕碰处，也不要往磕碰处涂抹庆大霉素、红药水、紫药水等药物。
                    </p>
                    <hr class="img-g" />
                    <p class="p-even note td-0">
@@ -1994,7 +2002,8 @@
                    <p>要经常用身体的亲密接触，如喂哺、拥抱、摇动、交谈等，对婴儿发出的信号给予积极的回应，尽量避免与婴儿的长期分离，尤其6～8个月后的长期分离，会产生严重的影响。抚养人要经常利用亲子游戏创设亲子的共享时光，发展婴儿的积极情绪，满足婴儿情感的发展需求。
                    </p>
                    <h4 id="d198">（二）避免不良刺激</h4>
                    <p>家庭是婴儿最熟悉的生活环境。一旦环境改变，婴儿就会出现焦虑、 不安，甚至害怕、恐惧等情绪，所以，婴儿就哭闹不止。另外，突然下坠、巨大声响、刺眼的光线都会引起婴儿的不安和害怕。婴儿期应尽量避免这些不良刺激。针对新的环境要让婴儿逐步适应，不要突然把他放置在陌生的环境中或交给陌生人看护。平时要积极和婴儿互动，常做举高下落的游戏，让婴儿慢慢体验坠落。
                    <p>家庭是婴儿最熟悉的生活环境。一旦环境改变，婴儿就会出现焦虑、
                        不安，甚至害怕、恐惧等情绪，所以，婴儿就哭闹不止。另外，突然下坠、巨大声响、刺眼的光线都会引起婴儿的不安和害怕。婴儿期应尽量避免这些不良刺激。针对新的环境要让婴儿逐步适应，不要突然把他放置在陌生的环境中或交给陌生人看护。平时要积极和婴儿互动，常做举高下落的游戏，让婴儿慢慢体验坠落。
                    </p>
                    <hr class="img-g" />
                    <p class="p-even note td-0">
@@ -2271,17 +2280,133 @@
        showPageList: {
            type: Array,
        },
        resourceList: {
            type: Object,
        },
    },
    data() {
        return {
            collectImg: require("../../assets/images/icon/heart.png"),
            collectCheck: require("../../assets/images/icon/heart-check.png"),
            videoPathOne: "",
            videoPathTwo: "",
            collectResourceList: [],
            chapterData: {
                isCollectVideo: false,
                isCollectVideo01: false,
            chapter001: {
                videoMd5: [
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[87],
                        handleMd5: "",
                        name: "如何给婴儿穿脱衣服",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[88],
                        handleMd5: "",
                        name: "辅食制作",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[100],
                        handleMd5: "",
                        name: "高热惊厥及其正确处理",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[105],
                        handleMd5: "",
                        name: "背部叩击法模拟操作",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[106],
                        handleMd5: "",
                        name: "烫伤及其正确处理",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[107],
                        handleMd5: "",
                        name: "心脏胸外按压模拟操作",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[109],
                        handleMd5: "",
                        name: "宝宝抬头翻身练习",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[112],
                        handleMd5: "",
                        name: "婴儿被动操",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[116],
                        handleMd5: "",
                        name: "捏小豆豆",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[117],
                        handleMd5: "",
                        name: "小球塞塞塞游戏",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[119],
                        handleMd5: "",
                        name: "黑白卡",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[120],
                        handleMd5: "",
                        name: "对敲小玩具",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[121],
                        handleMd5: "",
                        name: "我唱你听",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[122],
                        handleMd5: "",
                        name: "趣味百宝箱",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[123],
                        handleMd5: "",
                        name: "按摩球滚滚滚",
                    },

                    {
                        isCollectVideo: false,
                        md5: this.resourceList[125],
                        handleMd5: "",
                        name: "绘本游戏",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[126],
                        handleMd5: "",
                        name: "看图说话游戏",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[127],
                        handleMd5: "",
                        name: "模仿发音游戏",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[129],
                        handleMd5: "",
                        name: "纱巾躲猫猫游戏",
                    },
                ],
            },
            unitQuestion: {
                isShowAnswer: false,
@@ -2329,12 +2454,12 @@
    },
    methods: {
        async getVidoePath() {
            this.videoPathOne = await getResourcePath(
                "d056878ebe8cb0dbf323afa4f50ce59e"
            );
            this.videoPathTwo = await getResourcePath(
                "be2714f3c8679bbe0ff150b5443321a9"
            );
            for (let index = 0; index < this.chapter001.videoMd5.length; index++) {
                const item = this.chapter001.videoMd5[index];
                if (item.md5 && !item.md5.includes("https:")) {
                    item.handleMd5 = await getResourcePath(item.md5);
                }
            }
        },
        setBookQuestion() {
            localStorage.setItem(
@@ -2362,26 +2487,16 @@
            this.unitQuestion.isShowAnswer = false;
        },
        handleCollect(e) {
            if (e == "video-01") {
            if (e) {
                this.handleCollectResource(
                    "d056878ebe8cb0dbf323afa4f50ce59e",
                    "d056878ebe8cb0dbf323afa4f50ce59e",
                    e.md5,
                    e.md5,
                    "",
                    "视频",
                    "bits",
                    "视频：孕期唐氏筛查"
                    "视频：" + e.md5,
                );
                this.chapterData.isCollectVideo = !this.chapterData.isCollectVideo;
            } else if (e == "video-02") {
                this.handleCollectResource(
                    "be2714f3c8679bbe0ff150b5443321a9",
                    "be2714f3c8679bbe0ff150b5443321a9",
                    "",
                    "视频",
                    "bits",
                    "视频：孕期保健"
                );
                this.chapterData.isCollectVideo01 = !this.chapterData.isCollectVideo01;
                e.isCollectVideo = !e.isCollectVideo;
            }
            this.handleChapterData();
        },

 src/books/aurturingAndEducationAged0to3/view/components/chapter004.vue

@@ -3175,6 +3175,9 @@
        showPageList: {
            type: Array,
        },
        resourceList: {
            type: Object,
        },
    },
    data() {
        return {
@@ -3201,6 +3204,156 @@
            },
            bookData: {
                one: "",
            },
            chapter001: {
                videoMd5: [
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[137],
                        handleMd5: "",
                        name: "指导幼儿正确刷牙",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[138],
                        handleMd5: "",
                        name: "指导幼儿正确洗手",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[159],
                        handleMd5: "",
                        name: "维生素D缺乏性佝偻病",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[168],
                        handleMd5: "",
                        name: "婴幼儿安全环境创设指导",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[170],
                        handleMd5: "",
                        name: "婴幼儿玩具科学投放指导（上）",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[171],
                        handleMd5: "",
                        name: "婴幼儿玩具科学投放指导（下）",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[175],
                        handleMd5: "",
                        name: "亲子阅读《好酸好酸的柠檬呀》",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[178],
                        handleMd5: "",
                        name: "“爬行”亲子游戏指导",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[179],
                        handleMd5: "",
                        name: "“投掷”亲子游戏指导",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[180],
                        handleMd5: "",
                        name: "“上、下楼梯”亲子游戏指导",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[181],
                        handleMd5: "",
                        name: "“跳跃”亲子游戏指导",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[182],
                        handleMd5: "",
                        name: "“踢球”亲子游戏指导",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[183],
                        handleMd5: "",
                        name: "“跑动”亲子游戏指导",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[185],
                        handleMd5: "",
                        name: "“搭积木”亲子游戏指导",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[186],
                        handleMd5: "",
                        name: "“旋腕”亲子游戏指导",
                    },

                    {
                        isCollectVideo: false,
                        md5: this.resourceList[187],
                        handleMd5: "",
                        name: "“三只捏”亲子游戏指导",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[188],
                        handleMd5: "",
                        name: "“嵌塞”亲子游戏指导",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[189],
                        handleMd5: "",
                        name: "“穿串珠”亲子游戏指导",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[190],
                        handleMd5: "",
                        name: "“拧螺丝”亲子游戏指导",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[193],
                        handleMd5: "",
                        name: "幼儿认知游戏“空气娃娃”",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[195],
                        handleMd5: "",
                        name: "幼儿独立培养",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[200],
                        handleMd5: "",
                        name: "切鸡蛋",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[203],
                        handleMd5: "",
                        name: "学生校内实训早教课",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[204],
                        handleMd5: "",
                        name: "亲子游戏“箱中取宝”",
                    },

                ],
            },
        };
    },
@@ -3233,12 +3386,12 @@
    },
    methods: {
        async getVidoePath() {
            this.videoPathOne = await getResourcePath(
                "d056878ebe8cb0dbf323afa4f50ce59e"
            );
            this.videoPathTwo = await getResourcePath(
                "be2714f3c8679bbe0ff150b5443321a9"
            );
            for (let index = 0; index < this.chapter001.videoMd5.length; index++) {
                const item = this.chapter001.videoMd5[index];
                if (item.md5 && !item.md5.includes("https:")) {
                    item.handleMd5 = await getResourcePath(item.md5);
                }
            }
        },
        setBookQuestion() {
            localStorage.setItem(
@@ -3266,26 +3419,16 @@
            this.unitQuestion.isShowAnswer = false;
        },
        handleCollect(e) {
            if (e == "video-01") {
            if (e) {
                this.handleCollectResource(
                    "d056878ebe8cb0dbf323afa4f50ce59e",
                    "d056878ebe8cb0dbf323afa4f50ce59e",
                    e.md5,
                    e.md5,
                    "",
                    "视频",
                    "bits",
                    "视频：孕期唐氏筛查"
                    "视频：" + e.md5,
                );
                this.chapterData.isCollectVideo = !this.chapterData.isCollectVideo;
            } else if (e == "video-02") {
                this.handleCollectResource(
                    "be2714f3c8679bbe0ff150b5443321a9",
                    "be2714f3c8679bbe0ff150b5443321a9",
                    "",
                    "视频",
                    "bits",
                    "视频：孕期保健"
                );
                this.chapterData.isCollectVideo01 = !this.chapterData.isCollectVideo01;
                e.isCollectVideo = !e.isCollectVideo;
            }
            this.handleChapterData();
        },

 src/books/aurturingAndEducationAged0to3/view/components/index.vue

@@ -9,11 +9,11 @@
      transformOrigin: 'center top',
    }">
      <pageHeader v-if="showCatalogList.indexOf(1) > -1" :showPageList="loadPageList"></pageHeader>
      <chapterOne v-if="showCatalogList.indexOf(2) > -1" :showPageList="loadPageList"></chapterOne>
      <chapterTwo v-if="showCatalogList.indexOf(3) > -1" :showPageList="loadPageList"></chapterTwo>
      <chapterThree v-if="showCatalogList.indexOf(4) > -1" :showPageList="loadPageList"></chapterThree>
      <chapterFour v-if="showCatalogList.indexOf(5) > -1" :showPageList="loadPageList"></chapterFour>
      <chapterFive v-if="showCatalogList.indexOf(6) > -1" :showPageList="loadPageList"></chapterFive>
      <chapterOne v-if="showCatalogList.indexOf(2) > -1" :showPageList="loadPageList"  :resourceList="resourceList"></chapterOne>
      <chapterTwo v-if="showCatalogList.indexOf(3) > -1" :showPageList="loadPageList"  :resourceList="resourceList"></chapterTwo>
      <chapterThree v-if="showCatalogList.indexOf(4) > -1" :showPageList="loadPageList"  :resourceList="resourceList"></chapterThree>
      <chapterFour v-if="showCatalogList.indexOf(5) > -1" :showPageList="loadPageList"  :resourceList="resourceList"></chapterFour>
      <chapterFive v-if="showCatalogList.indexOf(6) > -1" :showPageList="loadPageList"  ></chapterFive>
    </div>
  </div>
</template>
@@ -51,6 +51,7 @@
      audioPath: "",
      currentTime: null,
      videoList: [],
      resourceList: {},
    };
  },
  computed: {
@@ -102,6 +103,11 @@
          this.container ? this.container : document
        ).querySelector(".page-main");
        scrollBox.scrollTop = (scrollBox.scrollTop / oldVal) * newVal;
      },
    },
    resourceList: {
      handler(newVal, oldVal) {
        this.resourceList = newVal;
      },
    },
  },
@@ -166,7 +172,7 @@

    // 测试页面跳转
    setTimeout(() => {
      this.gotoPage(2, 12);
      this.gotoPage(3, 29);
    }, 500);

    // const pageDom = (this.container ? this.container : document)

 src/books/preschoolEvaluation/assets/images/0068-01-01.jpg

 src/books/preschoolEvaluation/assets/images/0068-01-02.jpg

 src/books/preschoolEvaluation/view/components/chapter001.vue

@@ -1422,6 +1422,27 @@
                        name: '韦克斯勒智力分类表',
                    },
                },

                                videoMd5: [
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[35],
                        handleMd5: "",
                        name: "泰勒的目标达成评价模式",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[37],
                        handleMd5: "",
                        name: "斯塔弗尔比姆的CIPP评价模式",
                    },
                    {
                        isCollectVideo: false,
                        md5: this.resourceList[50],
                        handleMd5: "",
                        name: "档案袋评价模式",
                    },
                ],
            },
            questionData: {
                teskOne: {

 src/books/preschoolEvaluation/view/components/chapter003.vue

@@ -278,7 +278,8 @@
                    <p class="img1">表3-1 评价设计大纲<sup
                            title="D.L.Stufflebeam，G.F.Madaus，T.Kellaghan，Evaluation Models：Viewpoints on Educational and Human Services Evaluation，Second Edition，Boston，Kluwer Academic Publishers，2000，p.313.">③</sup>
                    </p>
                    <p class="center openImgBox"><img class="img-0" alt="" src="../../assets/images/0074-1.jpg" /></p>
                    <p class="center openImgBox"><img class="img-0" alt="" src="../../assets/images/0068-01-01.jpg" />
                    </p>
                    <hr class="img-g">
                    <p class="note td-1">&nbsp;&nbsp;<a id="m1">①</a>&emsp;高振强：《CIPP教育评价模式述评》，载《教学与管理》，1998（Z1）。
                    </p>
@@ -300,7 +301,8 @@
                </ul>
                <div class="bodystyle">
                    <p class="continued fz-14">续表</p>
                    <p class="center openImgBox"><img class="img-0" alt="" src="../../assets/images/0074-1.jpg" /></p>
                    <p class="center openImgBox"><img class="img-0" alt="" src="../../assets/images/0068-01-02.jpg" />
                    </p>
                    <p>CIPP评价模式的具体实施过程可以被看作一个不断循环的过程，我们从它的流程图（见图3-2）可以看出，这是一个不断收集和利用新信息的过程。</p>
                    <p class="center openImgBox mt-10"><img class="img-a" alt="" src="../../assets/images/0075-1.jpg" />
                    </p>

 src/books/preschoolEvaluation/view/components/index.vue

@@ -6,18 +6,26 @@
      transformOrigin: 'center top',
    }">
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 src/books/textToddlerSportsSafetyProtection/view/components/header.vue

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 src/books/textToddlerSportsSafetyProtection/view/components/index.vue

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 src/books/textToddlerSportsSafetyProtection/view/index.vue

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 src/books/toddlerGameImplementation/view/components/header.vue

@@ -14,7 +14,7 @@
    <div class="page-box" page="3">
      <div v-if="showPageList.indexOf(3) > -1">
        <div style="margin: 0 auto; padding: 50% 40% 10% 10%;">
          <p class="td-1 fz-15 block2"><b>图书在版编目（CIP）数据</b></p>
          <p class="td-1 fz-15 block2"><b>图书在版编目（CIP）数据123</b></p>
          <p class="td-1 fz-15 block2">
            婴幼儿游戏活动实施/赖莎莉，李晶主编.—北京：北京师范大学出版社，2024.6（2025.2重印）
          </p>

 src/books/toddlerSportsSafetyProtection/assets/images/0174-01.jpg

 src/books/toddlerSportsSafetyProtection/assets/images/0175-01.jpg

Binary files differ

 src/books/toddlerSportsSafetyProtection/assets/main.less

@@ -7,7 +7,14 @@
        box-sizing: border-box;
        min-height: 1128px;
        margin-bottom: 20px;
        box-shadow: 0 3px 6px 1px #00000029;
        box-shadow: 0 3px 6px 1px rgba(0, 0, 0, 0.15);
        background-color: #fff;
    }

    .special-box {
        box-sizing: border-box;
        min-height: 500px !important;
        margin-bottom: 0 !important;
        background-color: #fff;
    }

@@ -235,6 +242,7 @@

    .page-father {
        display: flex;
        width: 100%;
    }

    .header-left {
@@ -380,6 +388,7 @@
        text-indent: 0em;
        font-size: 22px;
        line-height: 28px;
        margin-top: 0;
    }

    .tipes {
@@ -413,13 +422,14 @@
            outline: none;
        }
    }

    // 文本框
    .textarea-question {
        border-color: #7acab4 !important;
    }

    .textarea-question:focus {
         outline: none;
        outline: none;
        /* 移除默认的焦点轮廓 */
    }

@@ -472,6 +482,10 @@

    .p-even {
        padding-left: 8%;
    }

    .pt-30 {
        padding-top: 30px !important;
    }

    .p-continued {
@@ -1042,16 +1056,51 @@

    div.bodystyle {
        text-align: justify;
        margin: 13% 13% 10% 3%;
        padding: 13% 13% 10% 3%;
        line-height: 30px;
        min-width: 70%;
    }

    div.bodystyle-left {
        text-align: justify;
        margin: 13% 3% 10% 13%;
        padding: 13% 3% 10% 13%;
        line-height: 30px;
        min-width: 70%;
    }

    .special-bodystyle-top {
        padding: 80px 15% 0 15%;
        line-height: 30px;
        padding-bottom: 2px;
        position: relative;
    }

    .special-bodystyle-bottom {
        padding: 0 15% 80px 15%;
        line-height: 30px;
        position: relative;
    }

    .special-bodystyle {
        padding: 0 15%;
        padding-top: 5px;
        padding-bottom: 2px;
        line-height: 30px;
        position: relative;
    }

    .page-header {
        width: 50px;
        text-align: center;
        position: absolute;
        padding-right: 30px;
        border: 1px solid #7acab4;
        color: #7acab4;
        border-radius: 10px 0 0 10px;
        border-right: #7acab4;
        right: 0;
        top: 80px;
        font-size: 14px;
    }

    .UnitCover {
@@ -1255,7 +1304,7 @@
        margin-bottom: 5px;
        margin-top: 5px;

        span{
        span {
            width: auto;
        }
    }
@@ -1297,8 +1346,7 @@
    div.bk3 {
        background-color: #d6ece5;
        border: 1px solid #7acab4;
        padding: 25px 19px 20px 19px;
        margin-top: 2em;
        padding: 2em 19px 20px 19px;
        margin-bottom: 1em;
        position: relative;
    }

 src/books/toddlerSportsSafetyProtection/view/components/chapter001.vue

@@ -1,5 +1,5 @@
<template>
  <div class="chapter" num="10">
  <div class="chapter" num="1">
    <!-- 1页 -->
    <div class="page-box" page="10">
      <div v-if="showPageList.indexOf(10) > -1">

 src/books/toddlerSportsSafetyProtection/view/components/chapter005.vue

@@ -1,7 +1,7 @@
<template>
  <div class="chapter" num="2">
    <!-- 154页 -->
    <div class="page-box" page="163">
    <div class="page-box special-box mb-20" page="163">
      <div v-if="showPageList.indexOf(163) > -1">
        <div class="UnitCover">
          <div class="seriesTitle">
@@ -28,12 +28,7 @@
            <img class="g-pic" src="../../assets/images/0013_02.jpg" alt="" />
          </p>
          <div class="bodyPic openImgBox">
            <img
              src="../../assets/images/0013-03.jpg"
              style="width: 100%"
              alt=""
              active="true"
            />
            <img src="../../assets/images/0013-03.jpg" style="width: 100%" alt="" active="true" />
          </div>
          <p class="content td-0">
            <img class="g-pic" src="../../assets/images/0013_04.jpg" alt="" />
@@ -48,1855 +43,1188 @@
      </div>
    </div>
    <!-- 155页 -->
    <div class="page-box" page="164">
    <div class="page-box special-box" page="164">
      <div v-if="showPageList.indexOf(164) > -1">
        <div class="page-father">
          <div class="bodystyle-left">
            <h2 class="secondsubHead-2">第一节&ensp;运动伤害处理的概述</h2>
            <p class="titleQuot-1">一、运动伤害急救的原则</p>
            <p class="content">
              急救是对意外或突然发生的伤病事故进行紧急的临时性处理。其目的是保护伤病者的生命安全，避免再度伤害，减轻伤病者痛苦，预防并发症，并为伤病者的转运和进一步治疗创造条件。因此，无论何种急性损伤，做好现场急救都是十分重要的。
            </p>
            <p class="content">
              急救时必须抓住主要矛盾，救命在先，做好休克的防治。骨折、关节脱位、严重软组织损伤或其他器官损伤时，伤者常因出血、疼痛而发生休克。在现场急救时，首先要注意预防休克，若发生休克，必须优先抢救休克。其次，急救必须分秒必争，力求迅速、准确、有效，做到快救、快送医院处理。
            </p>
            <p class="content">
              为了更好地完成这一任务，还必须遵守以下六条原则。
            </p>
            <p class="content">
              1．先复后固的原则：是指遇有心跳呼吸骤停又有骨折者，应首先用口对口呼吸和胸外按压等技术使心肺复苏，直到心跳呼吸恢复后，再进行固定骨折的原则。
            </p>
            <p class="content">
              2．先止后包的原则：是指遇到大出血又有伤口者，首先立即用指压、止血带或药物等方法止血，接着再消毒伤口进行包扎的原则。
            </p>
            <p class="content">
              3．先重后轻的原则：是指遇到垂危的和较轻的伤者时，优先抢救危重者，后抢救较轻的伤者的原则。
            </p>
            <p class="content">
              4．先救后送的原则：过去遇到伤者，多数是先送后救，这样常贻误了抢救时机，致使不应死亡者丧失了性命。应颠倒过来，先救后送。在送伤者到医院途中，不要停顿抢救措施，应继续观察伤病变化，少颠簸，注意保暖，平安到达目的地。
            </p>
            <p class="content">
              5．急救与呼救并重的原则：在遇到成批伤者时，又有多人在场的情况下，应较快地争取到急救外援。
            </p>
            <p class="content">
              6．搬运与医护的一致原则：在许多情况下，协调配合不好，途中应该继续抢救却没有得到保障，加之车辆严重颠簸等情况，结果增加了伤者不应有的痛苦和死亡。医护和抢救应在任务要求一致、协调一致、完成任务一致的情况下进行，在运送危重伤者时，就能减少痛苦，减少死亡，安全到达目的地。
            </p>
            <p class="titleQuot-1">二、运动伤害的判断与处理流程</p>
            <p class="content">
              运动伤害事件出现后正确的判断和处理流程对救护的效果起着决定性作用。幼教机构和家长应熟悉正确的处理流程，为应对紧急情况做好准备。幼教机构应提前制订运动伤害事件紧急处理程序预案。预案里应包括不同运动伤害事件的类型、疏散、急救常识和处理流程等。在出现运动伤害事件后可以按照以下流程处理。
            </p>
            <p><br /></p>
            <p><br /></p>
            <p><br /></p>
        <div class="special-bodystyle-top">
          <div class="page-header">
            155
          </div>
          <ul class="header-right">
            <li class="header-right-img">
              <img src="../../assets/images/a2.jpg" alt="" />
            </li>
            <div class="header-right-imgBottom">
              <img
                class="header-right-imgTop"
                src="../../assets/images/a3.jpg"
                alt=""
              />
              <li class="header-right-Number">155</li>
              <li class="header-right-Text">第<br />五<br />章</li>
              <li class="header-right-Text-bottom">
                婴<br />幼<br />儿<br />常<br />见<br />运<br />动<br />伤<br />害<br />的<br />处<br />理<br />与<br />急<br />救
              </li>
            </div>
          </ul>
          <h2 class="secondsubHead-2">第一节&ensp;运动伤害处理的概述</h2>
          <p class="titleQuot-1">一、运动伤害急救的原则</p>
          <p class="content">
            急救是对意外或突然发生的伤病事故进行紧急的临时性处理。其目的是保护伤病者的生命安全，避免再度伤害，减轻伤病者痛苦，预防并发症，并为伤病者的转运和进一步治疗创造条件。因此，无论何种急性损伤，做好现场急救都是十分重要的。
          </p>
          <p class="content">
            急救时必须抓住主要矛盾，救命在先，做好休克的防治。骨折、关节脱位、严重软组织损伤或其他器官损伤时，伤者常因出血、疼痛而发生休克。在现场急救时，首先要注意预防休克，若发生休克，必须优先抢救休克。其次，急救必须分秒必争，力求迅速、准确、有效，做到快救、快送医院处理。
          </p>
          <p class="content">
            为了更好地完成这一任务，还必须遵守以下六条原则。
          </p>
          <p class="content">
            1．先复后固的原则：是指遇有心跳呼吸骤停又有骨折者，应首先用口对口呼吸和胸外按压等技术使心肺复苏，直到心跳呼吸恢复后，再进行固定骨折的原则。
          </p>
          <p class="content">
            2．先止后包的原则：是指遇到大出血又有伤口者，首先立即用指压、止血带或药物等方法止血，接着再消毒伤口进行包扎的原则。
          </p>
          <p class="content">
            3．先重后轻的原则：是指遇到垂危的和较轻的伤者时，优先抢救危重者，后抢救较轻的伤者的原则。
          </p>
          <p class="content">
            4．先救后送的原则：过去遇到伤者，多数是先送后救，这样常贻误了抢救时机，致使不应死亡者丧失了性命。应颠倒过来，先救后送。在送伤者到医院途中，不要停顿抢救措施，应继续观察伤病变化，少颠簸，注意保暖，平安到达目的地。
          </p>
          <p class="content">
            5．急救与呼救并重的原则：在遇到成批伤者时，又有多人在场的情况下，应较快地争取到急救外援。
          </p>
          <p class="content">
            6．搬运与医护的一致原则：在许多情况下，协调配合不好，途中应该继续抢救却没有得到保障，加之车辆严重颠簸等情况，结果增加了伤者不应有的痛苦和死亡。医护和抢救应在任务要求一致、协调一致、完成任务一致的情况下进行，在运送危重伤者时，就能减少痛苦，减少死亡，安全到达目的地。
          </p>
          <p class="titleQuot-1">二、运动伤害的判断与处理流程</p>
          <p class="content">
            运动伤害事件出现后正确的判断和处理流程对救护的效果起着决定性作用。幼教机构和家长应熟悉正确的处理流程，为应对紧急情况做好准备。幼教机构应提前制订运动伤害事件紧急处理程序预案。预案里应包括不同运动伤害事件的类型、疏散、急救常识和处理流程等。在出现运动伤害事件后可以按照以下流程处理。
          </p>
        </div>
      </div>
    </div>
    <!-- 156页 -->
    <div class="page-box" page="165">
    <div class="page-box special-box mb-20" page="165">
      <div v-if="showPageList.indexOf(165) > -1">
        <div class="page-father">
          <ul class="header-left">
            <li class="headerText">
              婴<br />幼<br />儿<br />常<br />见<br />运<br />动<br />伤<br />害<br />的<br />处<br />理<br />与<br />急<br />救
            </li>
            <li class="headerNumber">156</li>
            <img src="../../assets/images/a1.jpg" alt="" />
          </ul>
          <div class="bodystyle">
        <div class="special-bodystyle-bottom">
          <div class="page-header">
            156
          </div>
          <p class="content">
            第一步：患儿制动，停止运动，评估环境，确保安全。观察现场环境是否存在危险，对异常情况做出初步的快速判断，确保施救过程中的安全。施救过程中要保持冷静，安抚患儿情绪，帮助他们消除恐惧；同时不指责、责怪伤害者，避免其心理负担。
          </p>
          <p class="content">
            第二步：检查病情，初步处理。迅速判断患儿的意识、呼吸、脉搏、知觉、瞳孔反应等，时刻注意患儿的反应和需求。程度轻的，先做简单处理；若出现丧失意识、停止呼吸或濒死呼吸、脉搏消失时，应立即采取心肺复苏。
          </p>
          <p class="content">
            第三步：紧急呼救，寻求帮助。对现场病情初步检查后，如果情况严重应立即拨打急救电话呼救，或招呼周围人帮忙拨打医疗急救电话，要清晰地提供所有重要信息。同时可寻求周围人帮助，参与急救措施，维持现场秩序，疏散围观人群，保护患儿隐私。
          </p>
          <p class="content">
            第四步：进一步检查和处置。在救护车到达前，可就地取材，或尽其所能实施救治。对无意识但有呼吸的患儿可置于复原卧位（侧卧位），对伤口进行止血等措施。
          </p>
          <p class="content">
            第五步：如运动伤害事件发生在幼教机构，应及时通报家长，与家长及时沟通，及时做好家长的安抚工作。诚恳、客观、坦诚、详细地说明事件过程，以获取家长的理解，同时换位思考，体谅家长的心情感受，及时调整与家长的沟通策略。
          </p>
          <p class="content">
            第六步：及时形成书面报告，事故报告。幼教机构要认真、全面分析事件发生原因，分清责任，从中获取经验和教训，从而反思安全管理漏洞，加强安全管理，避免此类事件的再次发生。
          </p>
          <p class="titleQuot-1">小贴士</p>
          <div class="tipes">
            <p class="content">
              第一步：患儿制动，停止运动，评估环境，确保安全。观察现场环境是否存在危险，对异常情况做出初步的快速判断，确保施救过程中的安全。施救过程中要保持冷静，安抚患儿情绪，帮助他们消除恐惧；同时不指责、责怪伤害者，避免其心理负担。
              根据婴幼儿身体发展年龄特点，设计趣味性活动，合理安排训练内容和时长，提高婴幼儿的专注程度，充分做好热身和整理活动。
            </p>
            <p class="content">
              第二步：检查病情，初步处理。迅速判断患儿的意识、呼吸、脉搏、知觉、瞳孔反应等，时刻注意患儿的反应和需求。程度轻的，先做简单处理；若出现丧失意识、停止呼吸或濒死呼吸、脉搏消失时，应立即采取心肺复苏。
              运动太多和太少，同样损伤体力；饮食过多与过少，同样损害健康；唯有适度才可以增强体力和保持健康。
            </p>
            <p class="content">
              第三步：紧急呼救，寻求帮助。对现场病情初步检查后，如果情况严重应立即拨打急救电话呼救，或招呼周围人帮忙拨打医疗急救电话，要清晰地提供所有重要信息。同时可寻求周围人帮助，参与急救措施，维持现场秩序，疏散围观人群，保护患儿隐私。
              自我保护意识是预防受伤的重要保证。要引导幼儿充分了解损伤带来的后果，使其在进行体育活动和日常生活时集中注意力以正确完成运动，必要时佩戴适当的护具以预防骨折等损伤的发生。思想上的高度重视，可以有效减少运动伤害的发生。
            </p>
            <p class="content">
              第四步：进一步检查和处置。在救护车到达前，可就地取材，或尽其所能实施救治。对无意识但有呼吸的患儿可置于复原卧位（侧卧位），对伤口进行止血等措施。
            </p>
            <p class="content">
              第五步：如运动伤害事件发生在幼教机构，应及时通报家长，与家长及时沟通，及时做好家长的安抚工作。诚恳、客观、坦诚、详细地说明事件过程，以获取家长的理解，同时换位思考，体谅家长的心情感受，及时调整与家长的沟通策略。
            </p>
            <p class="content">
              第六步：及时形成书面报告，事故报告。幼教机构要认真、全面分析事件发生原因，分清责任，从中获取经验和教训，从而反思安全管理漏洞，加强安全管理，避免此类事件的再次发生。
            </p>
            <p class="titleQuot-1">小贴士</p>
            <div class="tipes">
              <p class="content">
                根据婴幼儿身体发展年龄特点，设计趣味性活动，合理安排训练内容和时长，提高婴幼儿的专注程度，充分做好热身和整理活动。
              </p>
              <p class="content">
                运动太多和太少，同样损伤体力；饮食过多与过少，同样损害健康；唯有适度才可以增强体力和保持健康。
              </p>
              <p class="content">
                自我保护意识是预防受伤的重要保证。要引导幼儿充分了解损伤带来的后果，使其在进行体育活动和日常生活时集中注意力以正确完成运动，必要时佩戴适当的护具以预防骨折等损伤的发生。思想上的高度重视，可以有效减少运动伤害的发生。
              </p>
            </div>
          </div>
        </div>
      </div>
    </div>
    <!-- 157页 -->
    <div class="page-box" page="166">
    <div class="page-box special-box" page="166">
      <div v-if="showPageList.indexOf(166) > -1">
        <div class="page-father">
          <div class="bodystyle-left">
            <h2 class="secondsubHead-2">
              第二节&ensp;常见的运动伤害类型的处理与急救
            </h2>
            <p class="titleQuot-1">一、软组织的处理与急救</p>
            <p class="poemtitle-l">（一）闭合性软组织损伤</p>
            <div class="img-float w115 openImgBox">
              <img
                src="../../assets/images/0169-01.jpg"
                style="width: 100%"
                alt=""
                active="true"
              />
              <p class="imgdescript">图5-1　钝挫伤</p>
            </div>
            <span>
              <p class="content ma-0">
                局部皮肤或黏膜完好，无裂口与外界相通，损伤时的出血积聚在组织内，称为闭合性软组织损伤。常见的闭合性软组织包括：肌肉、肌腱、筋膜、韧带和关节囊的拉伤、扭伤、钝挫伤。婴幼儿运动损伤中，膝关节、踝关节损伤最为常见，由于膝、踝
              </p>
            </span>
            <div class="img-rights w250 openImgBox">
              <img
                src="../../assets/images/0169-02.jpg"
                style="width: 100%"
                alt=""
                active="true"
              />
              <p class="imgdescript">图5-2　踝关节扭伤</p>
            </div>
            <span>
              <p class="content td-0 mb-30">
                关节结构复杂，损伤后患儿一般会出现疼痛、肿胀、损伤部位活动受限，甚至损伤部位出现畸形等症状，给患儿身体造成很大的伤害（见图5-1、图5-2）。
              </p>
            </span>
            <p class="content td-0">
              <img class="img-h" src="../../assets/images/0015_01.jpg" alt="" />
            </p>
            <p class="imgdescript-title">
              急性运动伤害遵循PRICE原则（见图5-3）
            </p>
            <div class="img-rights w210 openImgBox`">
              <img
                src="../../assets/images/0169-03.jpg"
                style="width: 100%"
                alt=""
                active="true"
              />
              <p class="imgdescript">图5-3　PRICE原则</p>
            </div>
            <span>
              <p class="quotation">
                1．保护（Protection）：停止运动，避免受伤的肢体再次受伤。
              </p>
              <p class="quotation">
                2．休息（Rest）：受伤部位休息24～48小时不要活动。
              </p>
              <p class="quotation">
                3．冰敷（Ice）：冷敷，受伤区域可用冰块或冰袋，皮肤与冰块之间可隔一毛巾，每次敷15分钟以免冻伤，或用毛巾浸湿冷水，稍挤出过多的水，折叠成块状敷于伤处20～30分钟，每天6～8次。若有专用冷冻镇痛喷雾剂也可直接喷于伤处，形成一薄层液体即可。48小时内以冰敷为主，不做热敷和揉捏治疗。
              </p>
              <p class="quotation">
                4．压迫（Compression）：可用布带、布条、毛巾或绷带稍用力加压包扎受伤处，不要太紧，以免导致神经受压和血液回流障碍。
              </p>
              <p class="quotation">
                5．抬高（Elevation）：无论是坐着还是躺着，都应将受伤区域置于枕上抬高，增加伤处的血液回流减轻肿胀，一般需要受伤肢体高于心脏平面。
              </p>
            </span>
        <div class="special-bodystyle-top">
          <div class="page-header">
            157
          </div>
          <ul class="header-right">
            <li class="header-right-img">
              <img src="../../assets/images/a2.jpg" alt="" />
            </li>
            <div class="header-right-imgBottom">
              <img
                class="header-right-imgTop"
                src="../../assets/images/a3.jpg"
                alt=""
              />
              <li class="header-right-Number">167</li>
              <li class="header-right-Text">第<br />五<br />章</li>
              <li class="header-right-Text-bottom">
                婴<br />幼<br />儿<br />常<br />见<br />运<br />动<br />伤<br />害<br />的<br />处<br />理<br />与<br />急<br />救
              </li>
            </div>
          </ul>
          <h2 class="secondsubHead-2">
            第二节&ensp;常见的运动伤害类型的处理与急救
          </h2>
          <p class="titleQuot-1">一、软组织的处理与急救</p>
          <p class="poemtitle-l">（一）闭合性软组织损伤</p>
          <div class="img-float w115 openImgBox">
            <img src="../../assets/images/0169-01.jpg" style="width: 100%" alt="" active="true" />
            <p class="imgdescript">图5-1　钝挫伤</p>
          </div>
          <span>
            <p class="content ma-0">
              局部皮肤或黏膜完好，无裂口与外界相通，损伤时的出血积聚在组织内，称为闭合性软组织损伤。常见的闭合性软组织包括：肌肉、肌腱、筋膜、韧带和关节囊的拉伤、扭伤、钝挫伤。婴幼儿运动损伤中，膝关节、踝关节损伤最为常见，由于膝、踝
            </p>
          </span>
          <div class="img-rights w250 openImgBox">
            <img src="../../assets/images/0169-02.jpg" style="width: 100%" alt="" active="true" />
            <p class="imgdescript">图5-2　踝关节扭伤</p>
          </div>
          <span>
            <p class="content td-0 mb-30">
              关节结构复杂，损伤后患儿一般会出现疼痛、肿胀、损伤部位活动受限，甚至损伤部位出现畸形等症状，给患儿身体造成很大的伤害（见图5-1、图5-2）。
            </p>
          </span>
          <p class="content td-0">
            <img class="img-h" src="../../assets/images/0015_01.jpg" alt="" />
          </p>
          <p class="imgdescript-title">
            急性运动伤害遵循PRICE原则（见图5-3）
          </p>
          <div class="img-rights w210 openImgBox`">
            <img src="../../assets/images/0169-03.jpg" style="width: 100%" alt="" active="true" />
            <p class="imgdescript">图5-3　PRICE原则</p>
          </div>
          <span>
            <p class="quotation">
              1．保护（Protection）：停止运动，避免受伤的肢体再次受伤。
            </p>
            <p class="quotation">
              2．休息（Rest）：受伤部位休息24～48小时不要活动。
            </p>
            <p class="quotation">
              3．冰敷（Ice）：冷敷，受伤区域可用冰块或冰袋，皮肤与冰块之间可隔一毛巾，每次敷15分钟以免冻伤，或用毛巾浸湿冷水，稍挤出过多的水，折叠成块状敷于伤处20～30分钟，每天6～8次。若有专用冷冻镇痛喷雾剂也可直接喷于伤处，形成一薄层液体即可。48小时内以冰敷为主，不做热敷和揉捏治疗。
            </p>
            <p class="quotation">
              4．压迫（Compression）：可用布带、布条、毛巾或绷带稍用力加压包扎受伤处，不要太紧，以免导致神经受压和血液回流障碍。
            </p>
            <p class="quotation">
              5．抬高（Elevation）：无论是坐着还是躺着，都应将受伤区域置于枕上抬高，增加伤处的血液回流减轻肿胀，一般需要受伤肢体高于心脏平面。
            </p>
          </span>
        </div>
      </div>
    </div>
    <!-- 158页 -->
    <div class="page-box" page="167">
    <div class="page-box special-box" page="167">
      <div v-if="showPageList.indexOf(167) > -1">
        <div class="page-father">
          <ul class="header-left">
            <li class="headerText">
              婴<br />幼<br />儿<br />常<br />见<br />运<br />动<br />伤<br />害<br />的<br />处<br />理<br />与<br />急<br />救
            </li>
            <li class="headerNumber">158</li>
            <img src="../../assets/images/a1.jpg" alt="" />
          </ul>
          <div class="bodystyle">
            <p class="content">
              受伤后应首先让婴幼儿停止活动，安静休息，减轻痛苦，并防止损伤继续加重。冰敷使血管收缩，减少伤处的血液渗出及疼痛，伤后能否立即使用冰敷将直接影响后期功能恢复的快慢。冰袋置于受伤部位，受伤后48小时内，每隔2～3小时冰敷15～20分钟。在冰敷的同时，可以用弹力绷带或其他胶带等包扎固定冰袋。这样，冰敷和加压包扎两个目的同时达到，非常实用。建议从伤处远端开始往近心端包，大约以一半做叠瓦重叠，稍微加压，伤处则较松些。露出脚趾或手指以观察颜色，如皮肤变色、麻木、刺痛等症状出现，表示包太紧，应及时解开弹性绷带重包，用弹性绷带包扎24～48小时，中间可解开适当放松。把患肢放置于稍高于心脏的位置，且尽可能在伤后一周内，都抬高患肢。这个简单的措施可以有效地改善静脉回流以促进消肿、减轻患肢胀痛不适。
            </p>
            <p class="content">
              近年来，国外学者提出适当负重（Optimal
              Loading）概念，即让肌肉不能因为受伤而“休息”，48小时后，可让患肢适当着地负重，开始早期活动，而不是一味躺着休息。早期适当负重，尽早开始活动，可使患儿尽快恢复功能，尽早回归正常生活。
            </p>
            <p class="content">
              挫伤、瘀青、轻度肌肉拉伤、韧带扭伤，经由上面几种方式处理，以及适当的方法治疗，都能够在短时间内恢复健康。严重的肌肉拉伤（断裂）、韧带扭伤（断裂）、骨折，则必须由专科医师手术治疗。
            </p>
            <p class="content td-0 mt-20">
              <img class="img-h" src="../../assets/images/0015_01.jpg" alt="" />
            </p>
            <p class="quotation fm-kt">
              1．冰块不能直接放于患儿损伤部位，可用毛巾包裹冰块再处理；没有冰块时可用冷毛巾代替。
            </p>
            <p class="quotation fm-kt">2．抬高患肢前要注意检查是否骨折等。</p>
            <p class="quotation fm-kt">
              3．冰敷还是热敷？一般热敷可以刺激血液流动，放松肌肉，总体上能产生镇静的作用，从而促进治疗。但是受伤后立刻热敷会使肿胀更严重、增强疼痛感、延缓伤口愈合过程。所以受伤处理方式是先冰敷，48小时后肿胀和疼痛感减轻后，再使用热敷的方法。
            </p>
            <p class="poemtitle-l">（二）开放性软组织损伤</p>
            <div class="img-rights w200 openImgBox">
              <img
                src="../../assets/images/0170-01.jpg"
                style="width: 100%"
                alt=""
                active="true"
              />
              <p class="imgdescript">图5-4　擦伤</p>
            </div>
            <span>
              <p class="content">
                在婴幼儿运动过程中，常见的开放性软组织损伤包括皮肤擦伤、裂伤、切割伤、刺伤。通常局部皮肤或黏膜破损，伤口与外界相通，常有组织液渗出或血液从创口流出，称为开放性软组织损伤。这些损伤的共同特点就是有伤口和出血。其中擦伤是身体表面与粗糙物相互摩擦造成的皮肤组织损伤（见图5-4）。
              </p>
            </span>
        <div class="special-bodystyle">
          <div class="page-header">
            158
          </div>
          <p class="content">
            受伤后应首先让婴幼儿停止活动，安静休息，减轻痛苦，并防止损伤继续加重。冰敷使血管收缩，减少伤处的血液渗出及疼痛，伤后能否立即使用冰敷将直接影响后期功能恢复的快慢。冰袋置于受伤部位，受伤后48小时内，每隔2～3小时冰敷15～20分钟。在冰敷的同时，可以用弹力绷带或其他胶带等包扎固定冰袋。这样，冰敷和加压包扎两个目的同时达到，非常实用。建议从伤处远端开始往近心端包，大约以一半做叠瓦重叠，稍微加压，伤处则较松些。露出脚趾或手指以观察颜色，如皮肤变色、麻木、刺痛等症状出现，表示包太紧，应及时解开弹性绷带重包，用弹性绷带包扎24～48小时，中间可解开适当放松。把患肢放置于稍高于心脏的位置，且尽可能在伤后一周内，都抬高患肢。这个简单的措施可以有效地改善静脉回流以促进消肿、减轻患肢胀痛不适。
          </p>
          <p class="content">
            近年来，国外学者提出适当负重（Optimal
            Loading）概念，即让肌肉不能因为受伤而“休息”，48小时后，可让患肢适当着地负重，开始早期活动，而不是一味躺着休息。早期适当负重，尽早开始活动，可使患儿尽快恢复功能，尽早回归正常生活。
          </p>
          <p class="content">
            挫伤、瘀青、轻度肌肉拉伤、韧带扭伤，经由上面几种方式处理，以及适当的方法治疗，都能够在短时间内恢复健康。严重的肌肉拉伤（断裂）、韧带扭伤（断裂）、骨折，则必须由专科医师手术治疗。
          </p>
          <p class="content td-0 mt-20">
            <img class="img-h" src="../../assets/images/0015_01.jpg" alt="" />
          </p>
          <p class="quotation fm-kt">
            1．冰块不能直接放于患儿损伤部位，可用毛巾包裹冰块再处理；没有冰块时可用冷毛巾代替。
          </p>
          <p class="quotation fm-kt">2．抬高患肢前要注意检查是否骨折等。</p>
          <p class="quotation fm-kt">
            3．冰敷还是热敷？一般热敷可以刺激血液流动，放松肌肉，总体上能产生镇静的作用，从而促进治疗。但是受伤后立刻热敷会使肿胀更严重、增强疼痛感、延缓伤口愈合过程。所以受伤处理方式是先冰敷，48小时后肿胀和疼痛感减轻后，再使用热敷的方法。
          </p>
          <p class="poemtitle-l">（二）开放性软组织损伤</p>
          <div class="img-rights w200 openImgBox">
            <img src="../../assets/images/0170-01.jpg" style="width: 100%" alt="" active="true" />
            <p class="imgdescript">图5-4　擦伤</p>
          </div>
          <span>
            <p class="content">
              在婴幼儿运动过程中，常见的开放性软组织损伤包括皮肤擦伤、裂伤、切割伤、刺伤。通常局部皮肤或黏膜破损，伤口与外界相通，常有组织液渗出或血液从创口流出，称为开放性软组织损伤。这些损伤的共同特点就是有伤口和出血。其中擦伤是身体表面与粗糙物相互摩擦造成的皮肤组织损伤（见图5-4）。
            </p>
          </span>
        </div>
      </div>
    </div>
    <!-- 159页 -->
    <div class="page-box" page="168">
    <div class="page-box special-box" page="168">
      <div v-if="showPageList.indexOf(168) > -1">
        <div class="page-father">
          <div class="bodystyle-left">
            <p class="content">
              一般的表皮擦伤后，可涂碘伏消毒，避免使用龙胆紫和红汞，以免色素沉积。若伤口有泥沙，用双氧水或清水冲洗，而后涂抹碘伏或酒精，注意面部不用碘伏涂抹，酒精涂抹时会产生疼痛刺激。
            </p>
            <p class="content">
              稍大或稍深的伤口，包扎前伤口可先用碘伏或酒精沿伤口边缘由内向外涂擦，要避免消毒液滴入伤口内。若伤口内可见异物如钉子、玻璃碎片则要慎重处理，大而表浅的容易取出的异物可以取出，小而深且不易取出的则不硬性取出，以免造成大血管及神经损伤，增加出血或增加伤口再感染的机会，应立刻送医院治疗。对于造成皮肤及软组织出血的，正确包扎可使伤口流血减少，感染机会减少，疼痛减轻。包扎时动作要轻柔敏捷、部位准确，包扎松紧适当。
            </p>
            <p class="content ma-0 td-0">
              <img class="img-h" src="../../assets/images/0015_01.jpg" alt="" />
            </p>
            <p class="quotation mb-20">
              医用酒精浓度为75%，主要用于消毒、杀菌。轻度擦伤时应进行伤口表面消毒，并注意保持伤口卫生，严重时应结合抗菌药物，甚至注射破伤风抗毒素。
            </p>
            <div class="img-rights w250 openImgBox mt-20">
              <img
                src="../../assets/images/0171-01.jpg"
                style="width: 100%"
                alt=""
                active="true"
              />
              <p class="imgdescript">图5-5　外伤出血分类示意图</p>
            </div>
            <span>
              <p class="titleQuot-1">二、出血的处理与急救</p>
              <p class="content">
                婴幼儿在生活中和运动时，经常会出现出血的情况，小到划破、擦伤，大到撞伤、刀伤，如果不及时加以处理，很有可能会引起更严重的后果。由于运动外伤引起的大出血，如不及时予以止血与包扎，会严重地威胁婴幼儿的健康，乃至生命安全。
              </p>
              <p class="content">
                外伤出血可分为毛细血管出血、静脉出血和动脉出血（见图5-5）。
              </p>
              <p class="content">
                毛细血管出血：出血时，血液呈水珠样流出，多能自动凝固止血。通常用碘伏或酒精消毒伤口周围皮肤后，以消毒纱布和棉垫盖在伤口上缠以绷带，即可止血。
              </p>
              <p class="content">
                静脉出血：出血时缓缓不断地外流，呈紫红色。如大静脉出血，往往受呼吸运动的影响，吸气时流出较缓，呼气时流出较快。如不是大静脉出血，止血方法与毛细血管类似，消毒后，用消毒纱布和棉垫覆盖，稍加压力缠敷绷带。
              </p>
              <p class="content">
                动脉出血：由于动脉血管内压力较高，所以出血时呈泉涌、搏动性，尤其是大的动脉血管破裂，血液呈喷射状，颜色鲜红，常在短时内造成大量失血，易引起生命危险。
              </p>
            </span>
            <p><br /></p>
            <p><br /></p>
            <p><br /></p>
            <p><br /></p>
        <div class="special-bodystyle">
          <div class="page-header">
            159
          </div>
          <ul class="header-right">
            <li class="header-right-img">
              <img src="../../assets/images/a2.jpg" alt="" />
            </li>
            <div class="header-right-imgBottom">
              <img
                class="header-right-imgTop"
                src="../../assets/images/a3.jpg"
                alt=""
              />
              <li class="header-right-Number">159</li>
              <li class="header-right-Text">第<br />五<br />章</li>
              <li class="header-right-Text-bottom">
                婴<br />幼<br />儿<br />常<br />见<br />运<br />动<br />伤<br />害<br />的<br />处<br />理<br />与<br />急<br />救
              </li>
            </div>
          </ul>
          <p class="content">
            一般的表皮擦伤后，可涂碘伏消毒，避免使用龙胆紫和红汞，以免色素沉积。若伤口有泥沙，用双氧水或清水冲洗，而后涂抹碘伏或酒精，注意面部不用碘伏涂抹，酒精涂抹时会产生疼痛刺激。
          </p>
          <p class="content">
            稍大或稍深的伤口，包扎前伤口可先用碘伏或酒精沿伤口边缘由内向外涂擦，要避免消毒液滴入伤口内。若伤口内可见异物如钉子、玻璃碎片则要慎重处理，大而表浅的容易取出的异物可以取出，小而深且不易取出的则不硬性取出，以免造成大血管及神经损伤，增加出血或增加伤口再感染的机会，应立刻送医院治疗。对于造成皮肤及软组织出血的，正确包扎可使伤口流血减少，感染机会减少，疼痛减轻。包扎时动作要轻柔敏捷、部位准确，包扎松紧适当。
          </p>
          <p class="content ma-0 td-0">
            <img class="img-h" src="../../assets/images/0015_01.jpg" alt="" />
          </p>
          <p class="quotation mb-20">
            医用酒精浓度为75%，主要用于消毒、杀菌。轻度擦伤时应进行伤口表面消毒，并注意保持伤口卫生，严重时应结合抗菌药物，甚至注射破伤风抗毒素。
          </p>
          <div class="img-rights w250 openImgBox mt-20">
            <img src="../../assets/images/0171-01.jpg" style="width: 100%" alt="" active="true" />
            <p class="imgdescript">图5-5　外伤出血分类示意图</p>
          </div>
          <span>
            <p class="titleQuot-1">二、出血的处理与急救</p>
            <p class="content">
              婴幼儿在生活中和运动时，经常会出现出血的情况，小到划破、擦伤，大到撞伤、刀伤，如果不及时加以处理，很有可能会引起更严重的后果。由于运动外伤引起的大出血，如不及时予以止血与包扎，会严重地威胁婴幼儿的健康，乃至生命安全。
            </p>
            <p class="content">
              外伤出血可分为毛细血管出血、静脉出血和动脉出血（见图5-5）。
            </p>
            <p class="content">
              毛细血管出血：出血时，血液呈水珠样流出，多能自动凝固止血。通常用碘伏或酒精消毒伤口周围皮肤后，以消毒纱布和棉垫盖在伤口上缠以绷带，即可止血。
            </p>
            <p class="content">
              静脉出血：出血时缓缓不断地外流，呈紫红色。如大静脉出血，往往受呼吸运动的影响，吸气时流出较缓，呼气时流出较快。如不是大静脉出血，止血方法与毛细血管类似，消毒后，用消毒纱布和棉垫覆盖，稍加压力缠敷绷带。
            </p>
            <p class="content">
              动脉出血：由于动脉血管内压力较高，所以出血时呈泉涌、搏动性，尤其是大的动脉血管破裂，血液呈喷射状，颜色鲜红，常在短时内造成大量失血，易引起生命危险。
            </p>
          </span>
        </div>
      </div>
    </div>
    <!-- 160页 -->
    <div class="page-box" page="169">
    <div class="page-box special-box" page="169">
      <div v-if="showPageList.indexOf(169) > -1">
        <div class="page-father">
          <ul class="header-left">
            <li class="headerText">
              婴<br />幼<br />儿<br />常<br />见<br />运<br />动<br />伤<br />害<br />的<br />处<br />理<br />与<br />急<br />救
            </li>
            <li class="headerNumber">160</li>
            <img src="../../assets/images/a1.jpg" alt="" />
          </ul>
          <div class="bodystyle">
            <p class="poemtitle-l">（一）止血方法</p>
            <div class="video-box">
              <p class="center text td-0">
                <video
                  :src="videoPathOne"
                  webkit-playsinline="true"
                  x-webkit-airplay="true"
                  playsinline="true"
                  x5-video-orientation="h5"
                  x5-video-player-fullscreen="true"
                  x5-playsinline=""
                  controls
                  controlslist="nodownload"
                  class="w100 video"
                  style="border-radius: 10px"
                ></video>
              </p>
              <p class="center videoname">
                <span>视频：婴幼儿出血处理</span>
                <el-tooltip
                  class="item"
                  effect="dark"
                  :content="
                    chapterData.isCollectVideoOne ? '点击取消' : '点击收藏'
                  "
                  placement="top-start"
                >
                  <img
                    :src="
                      collectResourceList.findIndex(
                        (item) => item.id == '758EFE380803FE03E335BBBE8204F0BC'
                      ) > -1
                        ? collectCheck
                        : collectImg
                    "
                    alt=""
                    class="collect-btn"
                    @click="handleCollect('video-01')"
                  />
                </el-tooltip>
              </p>
            </div>
            <p class="content">1．指压止血法</p>
            <p class="content">
              在伤口的上方，即近心端，找到跳动的血管，用手指紧紧压住。在不能使用止血带的部位，在身边没有器材或紧急情况下，可暂用指压止血法。此法为紧急的临时止血法，与此同时，应准备材料换用其他止血方法。采用此法，救护人必须熟悉各部位血管出血的压迫点。
        <div class="special-bodystyle">
          <div class="page-header">
            160
          </div>
          <p class="poemtitle-l">（一）止血方法</p>
          <div class="video-box">
            <p class="center text td-0">
              <video :src="videoPathOne" webkit-playsinline="true" x-webkit-airplay="true" playsinline="true"
                x5-video-orientation="h5" x5-video-player-fullscreen="true" x5-playsinline="" controls
                controlslist="nodownload" class="w100 video" style="border-radius: 10px"></video>
            </p>

            <p class="content">各压迫点如下：</p>
            <p class="content">
              （1）面部出血：用拇指压迫下颌角与颏结节之间的面动脉，用于腮部及颜面部出血（见图5-6）。
            </p>
            <p class="content">
              （2）头顶及头前部出血：压迫耳前下颌关节上方的颞浅动脉（太阳穴附近）（见图5-7）。
            </p>
            <p class="content">
              （3）头后部出血：压住耳后突起下面稍外侧的耳后动脉（见图5-8）。
            </p>
            <div class="fl al-c openImgBox">
              <div class="tl-c">
                <img
                  src="../../assets/images/0172-02.jpg"
                  style="width: 70%"
                  alt=""
                  active="true"
                />
                <p class="imgdescript">图5-6　面动脉止血</p>
              </div>
              <div class="tl-c">
                <img
                  src="../../assets/images/0172-03.jpg"
                  style="width: 70%"
                  alt=""
                  active="true"
                />
                <p class="imgdescript">图5-7　颞浅动脉止血</p>
              </div>
              <div class="tl-c">
                <img
                  src="../../assets/images/0172-04.jpg"
                  style="width: 70%"
                  alt=""
                  active="true"
                />
                <p class="imgdescript">图5-8　耳后动脉止血</p>
              </div>
            </div>
            <p class="content">
              （4）腋窝和肩部出血：在锁骨上凹，胸锁乳突肌外缘向下内后方，对准第一肋骨，压住锁骨下动脉（见图5-9）。
            </p>
            <p class="content">
              （5）前臂出血：将上肢外展外旋，屈肘抬高上肢，在上臂肱二头肌内侧沟处，施以压力，将肱动脉压于肱骨上（测血压的地方）（见图5-10）。
            </p>
            <p class="content">
              （6）手掌和手背出血：在腕关节内，腕横纹上方，按到跳动的尺桡动脉血管压住，即我们通常摸脉搏的地方（见图5-11）。
            </p>
            <p class="content">
              （7）手指出血：用健侧的手指，使劲捏住伤手的手指根部，即可止血（见图5-12）。
            </p>
            <p class="content">
              （8）大腿出血：屈曲大腿，使肌肉放松，用大拇指压住股动脉搏动点（大腿根部的腹股沟中点），用力向后压，为增强压力，另一手的拇指可重叠压力（见图5-13）。
            <p class="center videoname">
              <span>视频：婴幼儿出血处理</span>
              <el-tooltip class="item" effect="dark" :content="chapterData.isCollectVideoOne ? '点击取消' : '点击收藏'
                " placement="top-start">
                <img :src="collectResourceList.findIndex(
                  (item) => item.id == '758EFE380803FE03E335BBBE8204F0BC'
                ) > -1
                  ? collectCheck
                  : collectImg
                  " alt="" class="collect-btn" @click="handleCollect('video-01')" />
              </el-tooltip>
            </p>
          </div>
          <p class="content">1．指压止血法</p>
          <p class="content">
            在伤口的上方，即近心端，找到跳动的血管，用手指紧紧压住。在不能使用止血带的部位，在身边没有器材或紧急情况下，可暂用指压止血法。此法为紧急的临时止血法，与此同时，应准备材料换用其他止血方法。采用此法，救护人必须熟悉各部位血管出血的压迫点。
          </p>

          <p class="content">各压迫点如下：</p>
          <p class="content">
            （1）面部出血：用拇指压迫下颌角与颏结节之间的面动脉，用于腮部及颜面部出血（见图5-6）。
          </p>
          <p class="content">
            （2）头顶及头前部出血：压迫耳前下颌关节上方的颞浅动脉（太阳穴附近）（见图5-7）。
          </p>
          <p class="content">
            （3）头后部出血：压住耳后突起下面稍外侧的耳后动脉（见图5-8）。
          </p>
          <div class="fl al-c openImgBox">
            <div class="tl-c">
              <img src="../../assets/images/0172-02.jpg" style="width: 70%" alt="" active="true" />
              <p class="imgdescript">图5-6　面动脉止血</p>
            </div>
            <div class="tl-c">
              <img src="../../assets/images/0172-03.jpg" style="width: 70%" alt="" active="true" />
              <p class="imgdescript">图5-7　颞浅动脉止血</p>
            </div>
            <div class="tl-c">
              <img src="../../assets/images/0172-04.jpg" style="width: 70%" alt="" active="true" />
              <p class="imgdescript">图5-8　耳后动脉止血</p>
            </div>
          </div>
          <p class="content">
            （4）腋窝和肩部出血：在锁骨上凹，胸锁乳突肌外缘向下内后方，对准第一肋骨，压住锁骨下动脉（见图5-9）。
          </p>
          <p class="content">
            （5）前臂出血：将上肢外展外旋，屈肘抬高上肢，在上臂肱二头肌内侧沟处，施以压力，将肱动脉压于肱骨上（测血压的地方）（见图5-10）。
          </p>
          <p class="content">
            （6）手掌和手背出血：在腕关节内，腕横纹上方，按到跳动的尺桡动脉血管压住，即我们通常摸脉搏的地方（见图5-11）。
          </p>
          <p class="content">
            （7）手指出血：用健侧的手指，使劲捏住伤手的手指根部，即可止血（见图5-12）。
          </p>
          <p class="content">
            （8）大腿出血：屈曲大腿，使肌肉放松，用大拇指压住股动脉搏动点（大腿根部的腹股沟中点），用力向后压，为增强压力，另一手的拇指可重叠压力（见图5-13）。
          </p>
        </div>
      </div>
    </div>
    <!-- 161页 -->
    <div class="page-box" page="170">
    <div class="page-box special-box" page="170">
      <div v-if="showPageList.indexOf(170) > -1">
        <div class="page-father">
          <div class="bodystyle-left">
            <p class="content">
              （9）足部出血：用两手食指或拇指分别压迫足背中间近脚腕处（足背动脉）和足跟内侧与内踝之间（胫后动脉）止血（见图5-14）。
            </p>
            <div class="fl al-c openImgBox mb-20">
              <div class="tl-c">
                <img
                  src="../../assets/images/0173-01.jpg"
                  style="width: 70%"
                  alt=""
                  active="true"
                />
                <p class="imgdescript">图5-9　锁骨下动脉止血</p>
              </div>
              <div class="tl-c">
                <img
                  src="../../assets/images/0173-02.jpg"
                  style="width: 70%"
                  alt=""
                  active="true"
                />
                <p class="imgdescript">图5-10　肱动脉止血</p>
              </div>
              <div class="tl-c">
                <img
                  src="../../assets/images/0173-03.jpg"
                  style="width: 70%"
                  alt=""
                  active="true"
                />
                <p class="imgdescript">图5-11　尺桡动脉止血</p>
              </div>
            </div>
            <div class="fl al-fe openImgBox">
              <div class="tl-c">
                <img
                  src="../../assets/images/0173-04.jpg"
                  style="width: 70%"
                  alt=""
                  active="true"
                />
                <p class="imgdescript">图5-12　手指止血</p>
              </div>
              <div class="tl-c">
                <img
                  src="../../assets/images/0173-05.jpg"
                  style="width: 70%"
                  alt=""
                  active="true"
                />
                <p class="imgdescript">图5-13　股动脉止血</p>
              </div>
              <div class="tl-c">
                <img
                  src="../../assets/images/0173-06.jpg"
                  style="width: 70%"
                  alt=""
                  active="true"
                />
                <p class="imgdescript">图5-14　足部止血</p>
              </div>
            </div>
            <p class="content">2．加压包扎止血法</p>
            <p class="content">
              用消毒的纱布、棉花做成软垫放在伤口上，再用力加以包扎，以增大压力达到止血的目的。此法应用普遍，效果也佳。
            </p>
            <p class="content">3．直接压迫止血法</p>
            <p class="content">
              主要用于小动脉、静脉、毛细血管的出血。将伤口用无菌纱布、清洁的毛巾、衣物或手帕覆盖后，用手指或手掌直接用力压迫5～10分钟，出血往往可以停止，然后再选用加压包扎止血法。
            </p>
            <p class="content">4．填塞止血法</p>
            <p class="content">
              用于腹股沟、腋窝、鼻腔出血或一些大而深的伤口。应先用无菌纱布或洁净的布料填塞伤口，再选用加压包扎止血法。
            </p>
            <p><br /></p>
            <p><br /></p>
            <p><br /></p>
            <p><br /></p>
            <p><br /></p>
            <p><br /></p>
            <p><br /></p>
        <div class="special-bodystyle">
          <div class="page-header">
            161
          </div>
          <ul class="header-right">
            <li class="header-right-img">
              <img src="../../assets/images/a2.jpg" alt="" />
            </li>
            <div class="header-right-imgBottom">
              <img
                class="header-right-imgTop"
                src="../../assets/images/a3.jpg"
                alt=""
              />
              <li class="header-right-Number">161</li>
              <li class="header-right-Text">第<br />五<br />章</li>
              <li class="header-right-Text-bottom">
                婴<br />幼<br />儿<br />常<br />见<br />运<br />动<br />伤<br />害<br />的<br />处<br />理<br />与<br />急<br />救
              </li>
          <p class="content">
            （9）足部出血：用两手食指或拇指分别压迫足背中间近脚腕处（足背动脉）和足跟内侧与内踝之间（胫后动脉）止血（见图5-14）。
          </p>
          <div class="fl al-c openImgBox mb-20">
            <div class="tl-c">
              <img src="../../assets/images/0173-01.jpg" style="width: 70%" alt="" active="true" />
              <p class="imgdescript">图5-9　锁骨下动脉止血</p>
            </div>
          </ul>
            <div class="tl-c">
              <img src="../../assets/images/0173-02.jpg" style="width: 70%" alt="" active="true" />
              <p class="imgdescript">图5-10　肱动脉止血</p>
            </div>
            <div class="tl-c">
              <img src="../../assets/images/0173-03.jpg" style="width: 70%" alt="" active="true" />
              <p class="imgdescript">图5-11　尺桡动脉止血</p>
            </div>
          </div>
          <div class="fl al-fe openImgBox">
            <div class="tl-c">
              <img src="../../assets/images/0173-04.jpg" style="width: 70%" alt="" active="true" />
              <p class="imgdescript">图5-12　手指止血</p>
            </div>
            <div class="tl-c">
              <img src="../../assets/images/0173-05.jpg" style="width: 70%" alt="" active="true" />
              <p class="imgdescript">图5-13　股动脉止血</p>
            </div>
            <div class="tl-c">
              <img src="../../assets/images/0173-06.jpg" style="width: 70%" alt="" active="true" />
              <p class="imgdescript">图5-14　足部止血</p>
            </div>
          </div>
          <p class="content">2．加压包扎止血法</p>
          <p class="content">
            用消毒的纱布、棉花做成软垫放在伤口上，再用力加以包扎，以增大压力达到止血的目的。此法应用普遍，效果也佳。
          </p>
          <p class="content">3．直接压迫止血法</p>
          <p class="content">
            主要用于小动脉、静脉、毛细血管的出血。将伤口用无菌纱布、清洁的毛巾、衣物或手帕覆盖后，用手指或手掌直接用力压迫5～10分钟，出血往往可以停止，然后再选用加压包扎止血法。
          </p>
          <p class="content">4．填塞止血法</p>
          <p class="content">
            用于腹股沟、腋窝、鼻腔出血或一些大而深的伤口。应先用无菌纱布或洁净的布料填塞伤口，再选用加压包扎止血法。
          </p>
        </div>
      </div>
    </div>
    <!-- 162页 -->
    <div class="page-box" page="171">
    <div class="page-box special-box" page="171">
      <div v-if="showPageList.indexOf(171) > -1">
        <div class="page-father">
          <ul class="header-left">
            <li class="headerText">
              婴<br />幼<br />儿<br />常<br />见<br />运<br />动<br />伤<br />害<br />的<br />处<br />理<br />与<br />急<br />救
            </li>
            <li class="headerNumber">162</li>
            <img src="../../assets/images/a1.jpg" alt="" />
          </ul>
          <div class="bodystyle">
            <p class="content">5．止血带止血法</p>
            <p class="content">
              此法是用于四肢大动脉破裂大出血时的重要救命方法，当其他止血方法不能止血时可用此方法。使用止血带时，应先用三角巾、毛巾等平整地垫在伤口处，再结扎止血带。结扎止血带的部位应在伤口近端，上肢结扎在上臂的上1/3段，不要结扎在中1/3段（以防损伤桡神经），下肢结扎在大腿中段。止血带以橡皮带、布带为宜，禁用无弹性的铁丝、电线、绳子等，止血带的松紧以停止出血或远端动脉搏动消失为度。结扎止血带的时间不宜超过3小时，应每隔40～50分钟松解5～10分钟，以暂时恢复远端肢体的供血。如此时仍有出血，应用指压止血法。松解两三分钟后，应在比原结扎部位稍低的位置重新结扎止血带。
            </p>
            <p class="titleQuot-1">三、骨折的处理与急救</p>
            <p class="content">
              婴幼儿活泼好动，运动过程中，难免出现躲避不及时或意外撞伤摔倒等情况，造成骨折。骨折分为闭合性骨折、开放性骨折和复杂性骨折，主要由直接暴力、间接暴力造成。病理征象有疼痛、肿胀及皮下淤血、功能丧失、畸形、压痛和震痛、假关节活动，经X线检查可见有骨折线等（见表5-1、图5-15、图5-16）。
            </p>
            <p class="imgdescript">表5-1　婴幼儿常见骨折</p>
            <div class="bodyPic openImgBox">
              <img
                src="../../assets/images/0174-01.jpg"
                style="width: 100%"
                alt=""
                active="true"
              />
            </div>
        <div class="special-bodystyle">
          <div class="page-header">
            162
          </div>
          <p class="content">5．止血带止血法</p>
          <p class="content">
            此法是用于四肢大动脉破裂大出血时的重要救命方法，当其他止血方法不能止血时可用此方法。使用止血带时，应先用三角巾、毛巾等平整地垫在伤口处，再结扎止血带。结扎止血带的部位应在伤口近端，上肢结扎在上臂的上1/3段，不要结扎在中1/3段（以防损伤桡神经），下肢结扎在大腿中段。止血带以橡皮带、布带为宜，禁用无弹性的铁丝、电线、绳子等，止血带的松紧以停止出血或远端动脉搏动消失为度。结扎止血带的时间不宜超过3小时，应每隔40～50分钟松解5～10分钟，以暂时恢复远端肢体的供血。如此时仍有出血，应用指压止血法。松解两三分钟后，应在比原结扎部位稍低的位置重新结扎止血带。
          </p>
          <p class="titleQuot-1">三、骨折的处理与急救</p>
          <p class="content">
            婴幼儿活泼好动，运动过程中，难免出现躲避不及时或意外撞伤摔倒等情况，造成骨折。骨折分为闭合性骨折、开放性骨折和复杂性骨折，主要由直接暴力、间接暴力造成。病理征象有疼痛、肿胀及皮下淤血、功能丧失、畸形、压痛和震痛、假关节活动，经X线检查可见有骨折线等（见表5-1、图5-15、图5-16）。
          </p>
          <p class="imgdescript">表5-1　婴幼儿常见骨折</p>
          <div class="bodyPic openImgBox">
            <img src="../../assets/images/0174-01.jpg" style="width: 100%" alt="" active="true" />
          </div>
        </div>
      </div>
    </div>
    <!-- 163页 -->
    <div class="page-box" page="172">
    <div class="page-box special-box" page="172">
      <div v-if="showPageList.indexOf(172) > -1">
        <div class="page-father">
          <div class="bodystyle-left">
            <div class="bodyPic openImgBox">
              <img
                src="../../assets/images/0175-01.jpg"
                style="width: 100%"
                alt=""
                active="true"
              />
            </div>
            <div class="qrbodyPic openImgBox mt-20 tl-c">
              <img
                src="../../assets/images/0175-02.jpg"
                style="width: 80%"
                alt=""
                active="true"
              />
              <p class="imgdescript">图5-15　头面部位置图</p>
            </div>
            <p class="poemtitle-l">（一）处置流程</p>
            <p class="content">
              开放性骨折后需要立即用干净的衣物临时给予包扎，防止软组织、血管和神经进一步损伤，骨折外露的患儿要在保证生命体征稳定的前提下进行处理，止血要采用局部压迫止血。同时给予补充液体，保证生命体征的平稳，纠正休克及低血容量。可采用木板、木条、树枝等物体进行固定，防止骨折进一步移位，损伤局部的血管和神经，具体处置流程如下。
            </p>
        <div class="special-bodystyle">
          <div class="page-header">
            163
          </div>
          <ul class="header-right">
            <li class="header-right-img">
              <img src="../../assets/images/a2.jpg" alt="" />
            </li>
            <div class="header-right-imgBottom">
              <img
                class="header-right-imgTop"
                src="../../assets/images/a3.jpg"
                alt=""
              />
              <li class="header-right-Number">163</li>
              <li class="header-right-Text">第<br />五<br />章</li>
              <li class="header-right-Text-bottom">
                婴<br />幼<br />儿<br />常<br />见<br />运<br />动<br />伤<br />害<br />的<br />处<br />理<br />与<br />急<br />救
              </li>
            </div>
          </ul>
          <div class="qrbodyPic openImgBox mt-20 tl-c">
            <img src="../../assets/images/0175-02.jpg" style="width: 80%" alt="" active="true" />
            <p class="imgdescript">图5-15　头面部位置图</p>
          </div>
          <p class="poemtitle-l">（一）处置流程</p>
          <p class="content">
            开放性骨折后需要立即用干净的衣物临时给予包扎，防止软组织、血管和神经进一步损伤，骨折外露的患儿要在保证生命体征稳定的前提下进行处理，止血要采用局部压迫止血。同时给予补充液体，保证生命体征的平稳，纠正休克及低血容量。可采用木板、木条、树枝等物体进行固定，防止骨折进一步移位，损伤局部的血管和神经，具体处置流程如下。
          </p>
        </div>
      </div>
    </div>
    <!-- 164页 -->
    <div class="page-box" page="173">
    <div class="page-box special-box" page="173">
      <div v-if="showPageList.indexOf(173) > -1">
        <div class="page-father">
          <ul class="header-left">
            <li class="headerText">
              婴<br />幼<br />儿<br />常<br />见<br />运<br />动<br />伤<br />害<br />的<br />处<br />理<br />与<br />急<br />救
            </li>
            <li class="headerNumber">156</li>
            <img src="../../assets/images/a1.jpg" alt="" />
          </ul>
          <div class="bodystyle">
            <div class="qrbodyPic openImgBox tl-c">
              <img
                src="../../assets/images/0176-01.jpg"
                style="width: 100%"
                alt=""
                active="true"
              />
              <p class="imgdescript">图5-16　头面部骨骼</p>
            </div>
            <p class="content">
              1．固定：把患肢用木板、树枝、枪托或者使用夹板石膏进行简单的外固定，防止骨折断端在搬运过程中造成血管神经内脏新的损伤。
            </p>
            <p class="content">
              2．止血：有伤口出血者要采用加压包扎，或者在肢体的近端用橡皮筋绑扎止血，防止出血过多引起失血性休克。
            </p>
            <p class="content">
              3．抗休克：如果已经发生了失血性休克，要及时地输液补充血容量，抗休克治疗。
            </p>
            <p class="content">
              4．平托搬运：脊柱骨折搬运患儿的过程中要采用三人平托搬运，防止脊髓损伤造成截瘫。
            </p>
            <p class="content">5．安全护送至医院，尽快就医。</p>
            <p class="poemtitle-l">（二）固定方法</p>
            <p class="content">
              医院外急救骨折固定时，常常就地取材，如各种2～3厘米厚的木板、竹竿、竹片、树枝、木棍、硬纸板、枪托，以及患儿健（下）肢等，均可作为固定代用品。
            </p>
            <p class="content">
              1．颈椎骨折固定：使患儿的头颈与躯干保持直线位置，将木板放置于头至臀下，用棉布、衣物等，将患儿颈、头两侧垫好，防止左右摆动；然后用绷带或布带将额部、肩和上胸、臀部固定于木板上，使之稳固（见图5-17）。
            </p>
        <div class="special-bodystyle">
          <div class="page-header">
            164
          </div>
          <div class="qrbodyPic openImgBox tl-c">
            <img src="../../assets/images/0176-01.jpg" style="width: 100%" alt="" active="true" />
            <p class="imgdescript">图5-16　头面部骨骼</p>
          </div>
          <p class="content">
            1．固定：把患肢用木板、树枝、枪托或者使用夹板石膏进行简单的外固定，防止骨折断端在搬运过程中造成血管神经内脏新的损伤。
          </p>
          <p class="content">
            2．止血：有伤口出血者要采用加压包扎，或者在肢体的近端用橡皮筋绑扎止血，防止出血过多引起失血性休克。
          </p>
          <p class="content">
            3．抗休克：如果已经发生了失血性休克，要及时地输液补充血容量，抗休克治疗。
          </p>
          <p class="content">
            4．平托搬运：脊柱骨折搬运患儿的过程中要采用三人平托搬运，防止脊髓损伤造成截瘫。
          </p>
          <p class="content">5．安全护送至医院，尽快就医。</p>
          <p class="poemtitle-l">（二）固定方法</p>
          <p class="content">
            医院外急救骨折固定时，常常就地取材，如各种2～3厘米厚的木板、竹竿、竹片、树枝、木棍、硬纸板、枪托，以及患儿健（下）肢等，均可作为固定代用品。
          </p>
          <p class="content">
            1．颈椎骨折固定：使患儿的头颈与躯干保持直线位置，将木板放置于头至臀下，用棉布、衣物等，将患儿颈、头两侧垫好，防止左右摆动；然后用绷带或布带将额部、肩和上胸、臀部固定于木板上，使之稳固（见图5-17）。
          </p>
        </div>
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                      <img src="../../assets/images/0174-1.jpg" />
                      <p class="img">图5-17　颈椎骨折固定</p>
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                      <p class="img">图5-17　颈椎骨折固定</p>
                    </div>
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                      <img src="../../assets/images/0174-3.jpg" />
                      <p class="img">图5-17　颈椎骨折固定</p>
                    </div>
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                  <div class="swiper-slide">
                    <div class="imgBox" style="width: 100%; height: 100%">
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                      <p class="img">图5-17　颈椎骨折固定</p>
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            <p class="content">
              2．锁骨骨折固定：用绷带在肩背做“8”字形固定，并用三角巾或宽布条系于颈部吊托前臂（见图5-18）。
            </p>
            <!-- 轮播图 -->
            <div class="imgBox-003 openImgBox">
              <div class="swiper-container swiper-img">
                <div class="swiper-wrapper">
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                    <div class="imgBox" style="width: 100%; height: 100%">
                      <img src="../../assets/images/0174-5.jpg" />
                      <p class="img">图5-18　锁骨骨折固定</p>
                    </div>
                  </div>
                  <div class="swiper-slide">
                    <div class="imgBox" style="width: 100%; height: 100%">
                      <img src="../../assets/images/0174-6.jpg" />
                      <p class="img">图5-18　锁骨骨折固定</p>
                    </div>
                  </div>
                </div>
                <div class="swiper-button-next"></div>
                <div class="swiper-button-prev"></div>
              </div>
            </div>
            <div class="img-rights w150">
              <img
                src="../../assets/images/0177-03.jpg"
                style="width: 100%"
                alt=""
                active="true"
              />
              <p class="imgdescript">图5-19　肱骨骨折固定</p>
            </div>
            <span>
              <p class="content">
                3．肱骨骨折固定：用代用夹板2～3块固定患肢，并用三角巾、布条将其悬吊于颈部（见图5-19）。
              </p>

              <p class="content">
                4．前臂骨折固定：选用两块木板，长度要超过肘关节，分别置于前臂的掌、背两侧，然后用布带或三角巾捆绑托起（见图5-20）。
              </p>
              <p class="content">
                5．股骨骨折固定：选用长木板两块，将大腿小腿连同腰部齐平，一起固定。置于大腿前后长达腰部，并将踝关节一起固定，以防这两部位活动引起骨折错位（见图5-21、图5-22）。
              </p>
            </span>
            <p><br /></p>
            <p><br /></p>
        <div class="special-bodystyle">
          <div class="page-header">
            165
          </div>
          <ul class="header-right">
            <li class="header-right-img">
              <img src="../../assets/images/a2.jpg" alt="" />
            </li>
            <div class="header-right-imgBottom">
              <img
                class="header-right-imgTop"
                src="../../assets/images/a3.jpg"
                alt=""
              />
              <li class="header-right-Number">165</li>
              <li class="header-right-Text">第<br />五<br />章</li>
              <li class="header-right-Text-bottom">
                婴<br />幼<br />儿<br />常<br />见<br />运<br />动<br />伤<br />害<br />的<br />处<br />理<br />与<br />急<br />救
              </li>
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                    <img src="../../assets/images/0174-1.jpg" />
                    <p class="img">图5-17　颈椎骨折固定</p>
                  </div>
                </div>
                <div class="swiper-slide">
                  <div class="imgBox" style="width: 100%; height: 100%">
                    <img src="../../assets/images/0174-2.jpg" />
                    <p class="img">图5-17　颈椎骨折固定</p>
                  </div>
                </div>
                <div class="swiper-slide">
                  <div class="imgBox" style="width: 100%; height: 100%">
                    <img src="../../assets/images/0174-3.jpg" />
                    <p class="img">图5-17　颈椎骨折固定</p>
                  </div>
                </div>
                <div class="swiper-slide">
                  <div class="imgBox" style="width: 100%; height: 100%">
                    <img src="../../assets/images/0174-4.jpg" />
                    <p class="img">图5-17　颈椎骨折固定</p>
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            </div>
          </ul>
          </div>
          <p class="content">
            2．锁骨骨折固定：用绷带在肩背做“8”字形固定，并用三角巾或宽布条系于颈部吊托前臂（见图5-18）。
          </p>
          <!-- 轮播图 -->
          <div class="imgBox-003 openImgBox">
            <div class="swiper-container swiper-img">
              <div class="swiper-wrapper">
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                  <div class="imgBox" style="width: 100%; height: 100%">
                    <img src="../../assets/images/0174-5.jpg" />
                    <p class="img">图5-18　锁骨骨折固定</p>
                  </div>
                </div>
                <div class="swiper-slide">
                  <div class="imgBox" style="width: 100%; height: 100%">
                    <img src="../../assets/images/0174-6.jpg" />
                    <p class="img">图5-18　锁骨骨折固定</p>
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            <img src="../../assets/images/0177-03.jpg" style="width: 100%" alt="" active="true" />
            <p class="imgdescript">图5-19　肱骨骨折固定</p>
          </div>
          <span>
            <p class="content">
              3．肱骨骨折固定：用代用夹板2～3块固定患肢，并用三角巾、布条将其悬吊于颈部（见图5-19）。
            </p>

            <p class="content">
              4．前臂骨折固定：选用两块木板，长度要超过肘关节，分别置于前臂的掌、背两侧，然后用布带或三角巾捆绑托起（见图5-20）。
            </p>
            <p class="content">
              5．股骨骨折固定：选用长木板两块，将大腿小腿连同腰部齐平，一起固定。置于大腿前后长达腰部，并将踝关节一起固定，以防这两部位活动引起骨折错位（见图5-21、图5-22）。
            </p>
          </span>
        </div>
      </div>
    </div>
    <!-- 166页 -->
    <div class="page-box" page="175">
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      <div v-if="showPageList.indexOf(175) > -1">
        <div class="page-father">
          <ul class="header-left">
            <li class="headerText">
              婴<br />幼<br />儿<br />常<br />见<br />运<br />动<br />伤<br />害<br />的<br />处<br />理<br />与<br />急<br />救
            </li>
            <li class="headerNumber">166</li>
            <img src="../../assets/images/a1.jpg" alt="" />
          </ul>
          <div class="bodystyle">
            <div class="fl al-fe openImgBox">
              <div class="tl-c">
                <img
                  src="../../assets/images/0178-01.jpg"
                  style="width: 50%"
                  alt=""
                  active="true"
                />
                <p class="imgdescript">图5-20　前臂骨骨折固定</p>
              </div>
              <div class="tl-c">
                <img
                  src="../../assets/images/0178-02.jpg"
                  style="width: 50%"
                  alt=""
                  active="true"
                />
                <p class="imgdescript">图5-21　股骨骨折固定顺序</p>
              </div>
        <div class="special-bodystyle">
          <div class="page-header">
            166
          </div>
          <div class="fl al-fe openImgBox">
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              <img src="../../assets/images/0178-01.jpg" style="width: 50%" alt="" active="true" />
              <p class="imgdescript">图5-20　前臂骨骨折固定</p>
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            <!-- 轮播图 -->
            <div class="imgBox-003 openImgBox">
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                      <img
                        style="width: 60%"
                        src="../../assets/images/0175-1.jpg"
                      />
                      <p class="img">图5-22　股骨骨折固定</p>
                    </div>
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                    <div class="imgBox" style="width: 100%; height: 100%">
                      <img src="../../assets/images/0175-2.jpg" />
                      <p class="img">图5-22　股骨骨折固定</p>
                    </div>
            <div class="tl-c">
              <img src="../../assets/images/0178-02.jpg" style="width: 50%" alt="" active="true" />
              <p class="imgdescript">图5-21　股骨骨折固定顺序</p>
            </div>
          </div>
          <!-- 轮播图 -->
          <div class="imgBox-003 openImgBox">
            <div class="swiper-container swiper-img">
              <div class="swiper-wrapper">
                <div class="swiper-slide">
                  <div class="imgBox" style="width: 100%; height: 100%">
                    <img style="width: 60%" src="../../assets/images/0175-1.jpg" />
                    <p class="img">图5-22　股骨骨折固定</p>
                  </div>
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                <div class="swiper-button-next"></div>
                <div class="swiper-button-prev"></div>
              </div>
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            <p class="content">
              6．小腿骨折固定：用两块木板加垫后，放在小腿的内侧和外侧，关节处垫置软物，用五条三角巾或布带分段扎牢固定。首先固定小腿骨折的上下两端，然后，固定大腿中部、膝关节、踝关节并使小腿与脚掌呈垂直，用“8”字形固定。小腿骨折中固定腓骨骨折，在没有固定材料的情况下，可将患肢固定在健肢上（见图5-23）。
            </p>
            <!-- 轮播图 -->
            <div class="imgBox-003 openImgBox">
              <div class="swiper-container swiper-img">
                <div class="swiper-wrapper">
                  <div class="swiper-slide">
                    <div class="imgBox" style="width: 100%; height: 100%">
                      <img
                        style="width: 60%"
                        src="../../assets/images/0175-3.jpg"
                      />
                      <p class="img">图5-23　小腿骨折固定</p>
                    </div>
                  </div>
                  <div class="swiper-slide">
                    <div class="imgBox" style="width: 100%; height: 100%">
                      <img src="../../assets/images/0175-4.jpg" />
                      <p class="img">图5-23　小腿骨折固定</p>
                    </div>
                <div class="swiper-slide">
                  <div class="imgBox" style="width: 100%; height: 100%">
                    <img src="../../assets/images/0175-2.jpg" />
                    <p class="img">图5-22　股骨骨折固定</p>
                  </div>
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                <div class="swiper-button-prev"></div>
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              <div class="swiper-button-prev"></div>
            </div>
            <div class="video-box">
              <p class="center text td-0">
                <video
                  :src="videoPathTwo"
                  webkit-playsinline="true"
                  x-webkit-airplay="true"
                  playsinline="true"
                  x5-video-orientation="h5"
                  x5-video-player-fullscreen="true"
                  x5-playsinline=""
                  controls
                  controlslist="nodownload"
                  class="w100 video"
                  style="border-radius: 10px"
                ></video>
              </p>
              <p class="center videoname">
                <span>视频： 婴幼儿骨折处理流程</span>
                <el-tooltip
                  class="item"
                  effect="dark"
                  :content="
                    chapterData.isCollectVideoTwo ? '点击取消' : '点击收藏'
                  "
                  placement="top-start"
                >
                  <img
                    :src="
                      collectResourceList.findIndex(
                        (item) => item.id == '672F54E4542A0BB15AE6DAD12C1AA74C'
                      ) > -1
                        ? collectCheck
                        : collectImg
                    "
                    alt=""
                    class="collect-btn"
                    @click="handleCollect('video-02')"
                  />
                </el-tooltip>
              </p>
          </div>
          <p class="content">
            6．小腿骨折固定：用两块木板加垫后，放在小腿的内侧和外侧，关节处垫置软物，用五条三角巾或布带分段扎牢固定。首先固定小腿骨折的上下两端，然后，固定大腿中部、膝关节、踝关节并使小腿与脚掌呈垂直，用“8”字形固定。小腿骨折中固定腓骨骨折，在没有固定材料的情况下，可将患肢固定在健肢上（见图5-23）。
          </p>
          <!-- 轮播图 -->
          <div class="imgBox-003 openImgBox">
            <div class="swiper-container swiper-img">
              <div class="swiper-wrapper">
                <div class="swiper-slide">
                  <div class="imgBox" style="width: 100%; height: 100%">
                    <img style="width: 60%" src="../../assets/images/0175-3.jpg" />
                    <p class="img">图5-23　小腿骨折固定</p>
                  </div>
                </div>
                <div class="swiper-slide">
                  <div class="imgBox" style="width: 100%; height: 100%">
                    <img src="../../assets/images/0175-4.jpg" />
                    <p class="img">图5-23　小腿骨折固定</p>
                  </div>
                </div>
              </div>
              <div class="swiper-button-next"></div>
              <div class="swiper-button-prev"></div>
            </div>
            <p class="poemtitle-l">（三）脊柱损伤搬运方法</p>
            <p class="content">
              只要怀疑有脊柱损伤就应按脊柱损伤情况处理，将脊柱不稳定的患儿仰卧固定在一块坚硬长背板上并将其放置在中心直线位置，即头部、颈部、躯干、骨盆应以中心直线位置逐一固定，保持脊柱伸直位，严禁弯曲或扭转。
          </div>
          <div class="video-box">
            <p class="center text td-0">
              <video :src="videoPathTwo" webkit-playsinline="true" x-webkit-airplay="true" playsinline="true"
                x5-video-orientation="h5" x5-video-player-fullscreen="true" x5-playsinline="" controls
                controlslist="nodownload" class="w100 video" style="border-radius: 10px"></video>
            </p>
            <p class="content">
              1．现场评估：观察周围环境安全后，急救员正面走向患儿表明身份；告知患儿不要做任何动作，初步判断伤情，简要说明急救目的；先稳定自己再固定患儿，避免加重脊柱损伤。
            </p>
            <p class="content">
              2．体位：仰卧位，头部、颈部、躯干、骨盆应保持直线，脊柱不能屈曲或扭转。
            <p class="center videoname">
              <span>视频： 婴幼儿骨折处理流程</span>
              <el-tooltip class="item" effect="dark" :content="chapterData.isCollectVideoTwo ? '点击取消' : '点击收藏'
                " placement="top-start">
                <img :src="collectResourceList.findIndex(
                  (item) => item.id == '672F54E4542A0BB15AE6DAD12C1AA74C'
                ) > -1
                  ? collectCheck
                  : collectImg
                  " alt="" class="collect-btn" @click="handleCollect('video-02')" />
              </el-tooltip>
            </p>
          </div>
          <p class="poemtitle-l">（三）脊柱损伤搬运方法</p>
          <p class="content">
            只要怀疑有脊柱损伤就应按脊柱损伤情况处理，将脊柱不稳定的患儿仰卧固定在一块坚硬长背板上并将其放置在中心直线位置，即头部、颈部、躯干、骨盆应以中心直线位置逐一固定，保持脊柱伸直位，严禁弯曲或扭转。
          </p>
          <p class="content">
            1．现场评估：观察周围环境安全后，急救员正面走向患儿表明身份；告知患儿不要做任何动作，初步判断伤情，简要说明急救目的；先稳定自己再固定患儿，避免加重脊柱损伤。
          </p>
          <p class="content">
            2．体位：仰卧位，头部、颈部、躯干、骨盆应保持直线，脊柱不能屈曲或扭转。
          </p>
        </div>
      </div>
    </div>
    <!-- 167页 -->
    <div class="page-box" page="176">
    <div class="page-box special-box" page="176">
      <div v-if="showPageList.indexOf(176) > -1">
        <div class="page-father">
          <div class="bodystyle-left">
            <p class="content">
              3．操作方法：用脊柱板、担架等。三人至患儿同侧跪下插手，将双手臂置于患儿身下的颈肩、腰臀、下肢水平；同时抬高，换单腿，起立，搬运，换单腿，下跪，换双腿；同时施以平托法将患儿放于硬质担架上，禁用搂抱或一人抬头、一人抬足的搬运方法。在伤处垫一薄枕，使此处脊柱稍向上突，然后用四条带子把患儿固定在木板或硬质担架上（一般用带子固定胸与肱骨水平、前臂与腰水平、大腿水平、小腿水平，将患儿绑在硬质担架上），使患儿不能左右转动。如果伴有颈椎损伤，患儿的搬运除上述三人外，另一个辅助检查的人应站在患儿头部，用手托扶住患儿头颈部，先用颈托固定颈部，如无颈托用“头锁或肩锁”手法固定头颈部，其余人协调一致用力将患儿平直地抬到担架上或木板上，然后头部的左右两侧用软枕或衣服等物固定（见图5-24）。
            </p>
            <p class="content">
              4．监测与转运：检查固定带，观察患儿生命体征，选择合适转运工具，保证患儿安全。
            </p>
            <div class="qrbodyPic tl-c openImgBox">
              <img
                src="../../assets/images/0179-02.jpg"
                style="width: 60%"
                alt=""
                active="true"
              />
              <p class="imgdescript">图5-24　脊柱损伤搬运</p>
            </div>
            <div class="video-box">
              <p class="center text td-0">
                <video
                  :src="videoPathThree"
                  webkit-playsinline="true"
                  x-webkit-airplay="true"
                  playsinline="true"
                  x5-video-orientation="h5"
                  x5-video-player-fullscreen="true"
                  x5-playsinline=""
                  controls
                  controlslist="nodownload"
                  class="w100 video"
                  style="border-radius: 10px"
                ></video>
              </p>
              <p class="center videoname">
                <span>视频： 婴幼儿脊柱损伤搬运方法</span>
                <el-tooltip
                  class="item"
                  effect="dark"
                  :content="
                    chapterData.isCollectVideoThree ? '点击取消' : '点击收藏'
                  "
                  placement="top-start"
                >
                  <img
                    :src="
                      collectResourceList.findIndex(
                        (item) => item.id == '52D13E40E39BA98987EC269C1F41C16E'
                      ) > -1
                        ? collectCheck
                        : collectImg
                    "
                    alt=""
                    class="collect-btn"
                    @click="handleCollect('video-03')"
                  />
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            </div>
            <p class="content td-0">
              <img class="img-h" src="../../assets/images/0015_01.jpg" alt="" />
            </p>
            <p class="quotation">
              由于外力的作用，破坏了骨的完整性和连接性，造成的损伤叫“骨折”，可分为闭合性骨折、开放性骨折、复杂性骨折，骨折主要由直接暴力、间接暴力造成。
            </p>
            <p class="quotation">
              皮肤不破，没有伤口，断骨不与外界相通，称为闭合性骨折；骨头的尖端穿过皮肤，有伤口与外界相通，称为开放性骨折。
            </p>
            <p class="titleQuot-1">四、心跳呼吸骤停的处理与急救</p>
            <p class="content">
              心脏骤停一旦发生，如得不到即刻及时地抢救复苏，4～6分钟后会造成患儿脑和其他人体重要器官组织的不可逆的损害，因此心脏骤停后的心肺复苏必须在现场立即进行。心脏复苏通俗地讲就是当患儿停止呼吸和心停时，用人工呼吸和闭胸按压进行抢救的一种技术。人在心脏病、溺水、车祸、药物中毒、高血压、触电、异物堵塞时都可能会心脏骤停，呼吸停止，均可用心肺复苏术来抢救。其处置流程如下。
            </p>
            <p><br /></p>
        <div class="special-bodystyle">
          <div class="page-header">
            167
          </div>
          <ul class="header-right">
            <li class="header-right-img">
              <img src="../../assets/images/a2.jpg" alt="" />
            </li>
            <div class="header-right-imgBottom">
              <img
                class="header-right-imgTop"
                src="../../assets/images/a3.jpg"
                alt=""
              />
              <li class="header-right-Number">167</li>
              <li class="header-right-Text">第<br />五<br />章</li>
              <li class="header-right-Text-bottom">
                婴<br />幼<br />儿<br />常<br />见<br />运<br />动<br />伤<br />害<br />的<br />处<br />理<br />与<br />急<br />救
              </li>
            </div>
          </ul>
          <p class="content">
            3．操作方法：用脊柱板、担架等。三人至患儿同侧跪下插手，将双手臂置于患儿身下的颈肩、腰臀、下肢水平；同时抬高，换单腿，起立，搬运，换单腿，下跪，换双腿；同时施以平托法将患儿放于硬质担架上，禁用搂抱或一人抬头、一人抬足的搬运方法。在伤处垫一薄枕，使此处脊柱稍向上突，然后用四条带子把患儿固定在木板或硬质担架上（一般用带子固定胸与肱骨水平、前臂与腰水平、大腿水平、小腿水平，将患儿绑在硬质担架上），使患儿不能左右转动。如果伴有颈椎损伤，患儿的搬运除上述三人外，另一个辅助检查的人应站在患儿头部，用手托扶住患儿头颈部，先用颈托固定颈部，如无颈托用“头锁或肩锁”手法固定头颈部，其余人协调一致用力将患儿平直地抬到担架上或木板上，然后头部的左右两侧用软枕或衣服等物固定（见图5-24）。
          </p>
          <p class="content">
            4．监测与转运：检查固定带，观察患儿生命体征，选择合适转运工具，保证患儿安全。
          </p>
          <div class="qrbodyPic tl-c openImgBox">
            <img src="../../assets/images/0179-02.jpg" style="width: 60%" alt="" active="true" />
            <p class="imgdescript">图5-24　脊柱损伤搬运</p>
          </div>
          <div class="video-box">
            <p class="center text td-0">
              <video :src="videoPathThree" webkit-playsinline="true" x-webkit-airplay="true" playsinline="true"
                x5-video-orientation="h5" x5-video-player-fullscreen="true" x5-playsinline="" controls
                controlslist="nodownload" class="w100 video" style="border-radius: 10px"></video>
            </p>
            <p class="center videoname">
              <span>视频： 婴幼儿脊柱损伤搬运方法</span>
              <el-tooltip class="item" effect="dark" :content="chapterData.isCollectVideoThree ? '点击取消' : '点击收藏'
                " placement="top-start">
                <img :src="collectResourceList.findIndex(
                  (item) => item.id == '52D13E40E39BA98987EC269C1F41C16E'
                ) > -1
                  ? collectCheck
                  : collectImg
                  " alt="" class="collect-btn" @click="handleCollect('video-03')" />
              </el-tooltip>
            </p>
          </div>
          <p class="content td-0">
            <img class="img-h" src="../../assets/images/0015_01.jpg" alt="" />
          </p>
          <p class="quotation">
            由于外力的作用，破坏了骨的完整性和连接性，造成的损伤叫“骨折”，可分为闭合性骨折、开放性骨折、复杂性骨折，骨折主要由直接暴力、间接暴力造成。
          </p>
          <p class="quotation">
            皮肤不破，没有伤口，断骨不与外界相通，称为闭合性骨折；骨头的尖端穿过皮肤，有伤口与外界相通，称为开放性骨折。
          </p>
          <p class="titleQuot-1">四、心跳呼吸骤停的处理与急救</p>
          <p class="content">
            心脏骤停一旦发生，如得不到即刻及时地抢救复苏，4～6分钟后会造成患儿脑和其他人体重要器官组织的不可逆的损害，因此心脏骤停后的心肺复苏必须在现场立即进行。心脏复苏通俗地讲就是当患儿停止呼吸和心停时，用人工呼吸和闭胸按压进行抢救的一种技术。人在心脏病、溺水、车祸、药物中毒、高血压、触电、异物堵塞时都可能会心脏骤停，呼吸停止，均可用心肺复苏术来抢救。其处置流程如下。
          </p>

        </div>
      </div>
    </div>
    <!-- 168页 -->
    <div class="page-box" page="177">
    <div class="page-box special-box" page="177">
      <div v-if="showPageList.indexOf(177) > -1">
        <div class="page-father">
          <ul class="header-left">
            <li class="headerText">
              婴<br />幼<br />儿<br />常<br />见<br />运<br />动<br />伤<br />害<br />的<br />处<br />理<br />与<br />急<br />救
            </li>
            <li class="headerNumber">168</li>
            <img src="../../assets/images/a1.jpg" alt="" />
          </ul>
          <div class="bodystyle">
            <p class="poemtitle-l">（一）处置流程</p>
            <p class="content">
              1．评估和现场安全。急救者在确认现场安全的情况下，使患儿处于去枕仰卧位，放在质地较硬的平台、地面或床上。轻拍患儿的肩膀，并大声呼喊“小朋友，你还好吗？”，判断患儿神智是否清醒，有无自主呼吸，检查有无颈动脉搏动。判断有无脉搏时触摸颈动脉不能用力过大，以免颈动脉受压妨碍头部供血，检查时间不可超过10秒。如果没有呼吸或者没有正常呼吸（即只有喘息），立刻启动应急反应系统，开始闭胸心脏按压。
            </p>
            <p class="content">
              2．闭胸心脏按压。如果患儿已经没有脉搏，则需进行闭胸心脏按压。施救者先要找到按压的部位。患儿两乳头连线中点。施救者以一手叠放于另一手手背，十指交叉，将掌根部置于刚才找到的位置，依靠上半身的力量垂直向下压，胸骨的下陷距离为4～5厘米，双手臂必须伸直，不能弯曲，压下后迅速抬起，频率控制在每分钟80～100次。注意事项：按压1岁以下婴儿时，使用两根手指；按压1—8岁幼儿时，使用一只手的手掌；按压8岁以上儿童时，使用两只手的手掌。按压过程必须控制力道，不可太过用劲，因为力道太大容易引起肋骨骨折，从而造成肋骨刺破心肺肝脾等重要脏器（见图5-25）。
            </p>
            <div class="qrbodyPic tl-c openImgBox mt-20">
              <img
                src="../../assets/images/0180-01.jpg"
                style="width: 100%"
                alt=""
                active="true"
              />
              <p class="imgdescript">图5-25　闭胸心脏按压<</p>
            </div>
            <p class="content">
              3．开放气道。将患儿置于平躺的仰卧位，昏迷的人常常会因舌后坠而造成气道堵塞，这时施救人员要跪在患儿身体的一侧，一手按住其额头向下压，另一手托起其下巴向上抬，标准是下颌与耳垂的连线垂直于地平线，这样就说明气道已经被打开。在开放气道的同时应注意清理患儿口中异物或呕吐物。开放气道用仰头举颌法时，注意手指不要压迫患儿颈前部、颌下软组织，也不要使颈过度伸长（见图5-26）。
            </p>
        <div class="special-bodystyle">
          <div class="page-header">
            168
          </div>
          <p class="poemtitle-l">（一）处置流程</p>
          <p class="content">
            1．评估和现场安全。急救者在确认现场安全的情况下，使患儿处于去枕仰卧位，放在质地较硬的平台、地面或床上。轻拍患儿的肩膀，并大声呼喊“小朋友，你还好吗？”，判断患儿神智是否清醒，有无自主呼吸，检查有无颈动脉搏动。判断有无脉搏时触摸颈动脉不能用力过大，以免颈动脉受压妨碍头部供血，检查时间不可超过10秒。如果没有呼吸或者没有正常呼吸（即只有喘息），立刻启动应急反应系统，开始闭胸心脏按压。
          </p>
          <p class="content">
            2．闭胸心脏按压。如果患儿已经没有脉搏，则需进行闭胸心脏按压。施救者先要找到按压的部位。患儿两乳头连线中点。施救者以一手叠放于另一手手背，十指交叉，将掌根部置于刚才找到的位置，依靠上半身的力量垂直向下压，胸骨的下陷距离为4～5厘米，双手臂必须伸直，不能弯曲，压下后迅速抬起，频率控制在每分钟80～100次。注意事项：按压1岁以下婴儿时，使用两根手指；按压1—8岁幼儿时，使用一只手的手掌；按压8岁以上儿童时，使用两只手的手掌。按压过程必须控制力道，不可太过用劲，因为力道太大容易引起肋骨骨折，从而造成肋骨刺破心肺肝脾等重要脏器（见图5-25）。
          </p>
          <div class="qrbodyPic tl-c openImgBox mt-20">
            <img src="../../assets/images/0180-01.jpg" style="width: 100%" alt="" active="true" />
            <p class="imgdescript">图5-25　闭胸心脏按压</p>
          </div>
          <p class="content">
            3．开放气道。将患儿置于平躺的仰卧位，昏迷的人常常会因舌后坠而造成气道堵塞，这时施救人员要跪在患儿身体的一侧，一手按住其额头向下压，另一手托起其下巴向上抬，标准是下颌与耳垂的连线垂直于地平线，这样就说明气道已经被打开。在开放气道的同时应注意清理患儿口中异物或呕吐物。开放气道用仰头举颌法时，注意手指不要压迫患儿颈前部、颌下软组织，也不要使颈过度伸长（见图5-26）。
          </p>
        </div>
      </div>
    </div>
    <!-- 169页 -->
    <div class="page-box" page="178">
    <div class="page-box special-box" page="178">
      <div v-if="showPageList.indexOf(178) > -1">
        <div class="page-father">
          <div class="bodystyle-left">
            <p class="content">
              4．人工呼吸。如患儿无呼吸，立即进行口对口人工呼吸两次，然后摸颈动脉，如果能感觉到搏动，那么仅做人工呼吸即可。方法：最好能找一块干净的纱布或手巾，盖在患儿的口部，防止细菌感染。施救者一手捏住患儿鼻子，大口吸气，屏住气，迅速俯身，用嘴包住患儿的嘴，快速将气体吹入。与此同时，施救者的眼睛需观察患儿的胸廓是否因气体的灌入而扩张，气吹完后，松开捏着鼻子的手，让气体呼出，这样就完成了一次呼吸过程。对婴儿及幼儿复苏，可将其头部稍后仰，把口唇封住患儿的嘴和鼻子，轻微吹气入患儿肺部。单人心脏按压与人工呼吸比例为30∶2。进行口对口人工呼吸时，每次吹气量不要过大，否则易造成胃内大量充气（见图5-27）。
            </p>
            <div class="fl al-c openImgBox mb-20">
              <div class="tl-c">
                <img
                  src="../../assets/images/0181-01.jpg"
                  style="width: 80%"
                  alt=""
                  active="true"
                />
                <p class="imgdescript">图5-26　开放气道</p>
              </div>
              <div class="tl-c">
                <img
                  src="../../assets/images/0181-02.jpg"
                  style="width: 80%"
                  alt=""
                  active="true"
                />
                <p class="imgdescript">图5-27　人工呼吸</p>
              </div>
        <div class="special-bodystyle">
          <div class="page-header">
            169
          </div>
          <p class="content">
            4．人工呼吸。如患儿无呼吸，立即进行口对口人工呼吸两次，然后摸颈动脉，如果能感觉到搏动，那么仅做人工呼吸即可。方法：最好能找一块干净的纱布或手巾，盖在患儿的口部，防止细菌感染。施救者一手捏住患儿鼻子，大口吸气，屏住气，迅速俯身，用嘴包住患儿的嘴，快速将气体吹入。与此同时，施救者的眼睛需观察患儿的胸廓是否因气体的灌入而扩张，气吹完后，松开捏着鼻子的手，让气体呼出，这样就完成了一次呼吸过程。对婴儿及幼儿复苏，可将其头部稍后仰，把口唇封住患儿的嘴和鼻子，轻微吹气入患儿肺部。单人心脏按压与人工呼吸比例为30∶2。进行口对口人工呼吸时，每次吹气量不要过大，否则易造成胃内大量充气（见图5-27）。
          </p>
          <div class="fl al-c openImgBox mb-20">
            <div class="tl-c">
              <img src="../../assets/images/0181-01.jpg" style="width: 80%" alt="" active="true" />
              <p class="imgdescript">图5-26　开放气道</p>
            </div>
            <p class="content">
              5．停止心肺复苏的指征。在施救的同时也要时刻观察患儿的生命体征。触摸患儿的手足，若温度有所回升，则进一步触摸颈动脉，发现有搏动即可停止心肺复苏，尽快把患儿送往医院进行进一步的治疗。
            </p>
            <div class="video-box">
              <p class="center text td-0">
                <video
                  :src="videoPathFour"
                  webkit-playsinline="true"
                  x-webkit-airplay="true"
                  playsinline="true"
                  x5-video-orientation="h5"
                  x5-video-player-fullscreen="true"
                  x5-playsinline=""
                  controls
                  controlslist="nodownload"
                  class="w100 video"
                  style="border-radius: 10px"
                ></video>
              </p>
              <p class="center videoname">
                <span>视频： 婴幼儿心跳呼吸骤停处理</span>
                <el-tooltip
                  class="item"
                  effect="dark"
                  :content="
                    chapterData.isCollectVideoFour ? '点击取消' : '点击收藏'
                  "
                  placement="top-start"
                >
                  <img
                    :src="
                      collectResourceList.findIndex(
                        (item) => item.id == '1DA74ED152C683BF7716A53EAAF304E9'
                      ) > -1
                        ? collectCheck
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                    class="collect-btn"
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            <div class="tl-c">
              <img src="../../assets/images/0181-02.jpg" style="width: 80%" alt="" active="true" />
              <p class="imgdescript">图5-27　人工呼吸</p>
            </div>
            <p class="content td-0 mt-20">
              <img class="img-h" src="../../assets/images/0015_01.jpg" alt="" />
          </div>
          <p class="content">
            5．停止心肺复苏的指征。在施救的同时也要时刻观察患儿的生命体征。触摸患儿的手足，若温度有所回升，则进一步触摸颈动脉，发现有搏动即可停止心肺复苏，尽快把患儿送往医院进行进一步的治疗。
          </p>
          <div class="video-box">
            <p class="center text td-0">
              <video :src="videoPathFour" webkit-playsinline="true" x-webkit-airplay="true" playsinline="true"
                x5-video-orientation="h5" x5-video-player-fullscreen="true" x5-playsinline="" controls
                controlslist="nodownload" class="w100 video" style="border-radius: 10px"></video>
            </p>
            <p class="quotation">
              1．胸外心脏按压用力应平稳、有规律地进行，不能间断，也不能忽快忽慢，禁止做冲击式猛压，按压时手指不要压在胸壁上，否则易引起肋骨或肋软骨骨折。
            </p>
            <p class="quotation">
              2．按压时用力应垂直向下（特别是肘关节要伸直），不要左右摆动，双手掌要重叠放置，不可交叉放置，按压后放松时定位的手掌根部不可离开胸骨定位点。
            </p>
            <p class="quotation">
              3．如发现患儿无反应无呼吸，急救者应拨打120，取来自动体外除颤仪（AED，如果有条件），对患儿实施心肺复苏（CPR），需要时立即进行除颤。
            </p>
            <p class="quotation">
              4．如有多名急救者在现场，其中一名急救者按步骤进行CPR，另一名急救者应拨打120，取来AED（如果有条件）。
            </p>
            <p class="quotation">
              5．在救助淹溺或窒息性心脏骤停患儿时，急救者应先进行5个周期（2分钟）的CPR，然后拨打120。
            </p>
            <p class="quotation">
              6．对于婴儿和幼儿，双人CPR时可采用15∶2的比率。即如双人或多人施救，应每2分钟或5个周期CPR（每个周期包括15次按压和2次人工呼吸）更换按压者，并在5秒钟内完成转换。因为研究表明，在按压开始1～2分钟后，操作者按压的质量就开始下降（表现为频率和幅度以及胸壁复位情况均不理想）。
            <p class="center videoname">
              <span>视频： 婴幼儿心跳呼吸骤停处理</span>
              <el-tooltip class="item" effect="dark" :content="chapterData.isCollectVideoFour ? '点击取消' : '点击收藏'
                " placement="top-start">
                <img :src="collectResourceList.findIndex(
                  (item) => item.id == '1DA74ED152C683BF7716A53EAAF304E9'
                ) > -1
                  ? collectCheck
                  : collectImg
                  " alt="" class="collect-btn" @click="handleCollect('video-04')" />
              </el-tooltip>
            </p>
          </div>
          <ul class="header-right">
            <li class="header-right-img">
              <img src="../../assets/images/a2.jpg" alt="" />
            </li>
            <div class="header-right-imgBottom">
              <img
                class="header-right-imgTop"
                src="../../assets/images/a3.jpg"
                alt=""
              />
              <li class="header-right-Number">169</li>
              <li class="header-right-Text">第<br />五<br />章</li>
              <li class="header-right-Text-bottom">
                婴<br />幼<br />儿<br />常<br />见<br />运<br />动<br />伤<br />害<br />的<br />处<br />理<br />与<br />急<br />救
              </li>
            </div>
          </ul>
          <p class="content td-0 mt-20">
            <img class="img-h" src="../../assets/images/0015_01.jpg" alt="" />
          </p>
          <p class="quotation">
            1．胸外心脏按压用力应平稳、有规律地进行，不能间断，也不能忽快忽慢，禁止做冲击式猛压，按压时手指不要压在胸壁上，否则易引起肋骨或肋软骨骨折。
          </p>
          <p class="quotation">
            2．按压时用力应垂直向下（特别是肘关节要伸直），不要左右摆动，双手掌要重叠放置，不可交叉放置，按压后放松时定位的手掌根部不可离开胸骨定位点。
          </p>
          <p class="quotation">
            3．如发现患儿无反应无呼吸，急救者应拨打120，取来自动体外除颤仪（AED，如果有条件），对患儿实施心肺复苏（CPR），需要时立即进行除颤。
          </p>
          <p class="quotation">
            4．如有多名急救者在现场，其中一名急救者按步骤进行CPR，另一名急救者应拨打120，取来AED（如果有条件）。
          </p>
          <p class="quotation">
            5．在救助淹溺或窒息性心脏骤停患儿时，急救者应先进行5个周期（2分钟）的CPR，然后拨打120。
          </p>
          <p class="quotation">
            6．对于婴儿和幼儿，双人CPR时可采用15∶2的比率。即如双人或多人施救，应每2分钟或5个周期CPR（每个周期包括15次按压和2次人工呼吸）更换按压者，并在5秒钟内完成转换。因为研究表明，在按压开始1～2分钟后，操作者按压的质量就开始下降（表现为频率和幅度以及胸壁复位情况均不理想）。
          </p>
        </div>
      </div>
    </div>
    <!-- 170页 -->
    <div class="page-box" page="179">
    <div class="page-box special-box" page="179">
      <div v-if="showPageList.indexOf(179) > -1">
        <div class="page-father">
          <ul class="header-left">
            <li class="headerText">
              婴<br />幼<br />儿<br />常<br />见<br />运<br />动<br />伤<br />害<br />的<br />处<br />理<br />与<br />急<br />救
            </li>
            <li class="headerNumber">170</li>
            <img src="../../assets/images/a1.jpg" alt="" />
          </ul>
          <div class="bodystyle">
            <p class="titleQuot-1">五、关节脱位的处理与急救</p>
            <p class="content">
              在外力作用下，使关节面彼此失去正常的连接关系，称为关节脱位，关节脱位一般都会引起关节囊撕裂和关节周围的韧带肌腱及其附着组织的损伤。婴幼儿受伤后脱位的关节会疼痛、肿胀、出现畸形，活动功能丧失。严重者，有时可能使血管、神经受损甚至伴有骨折。
            </p>
            <p class="content">
              婴幼儿常见肩关节、肘关节脱位，多为跌倒时手掌着地或暴力所致。
            </p>
            <p class="content">
              肩关节脱位表现为伤肩肿胀、疼痛，主动和被动活动受限，手掌不能搭在对侧肩部，患肢弹性固定于轻度外展位，常以健手托患臂，头和躯干向患侧倾斜，肩三角肌塌陷，呈方肩畸形，在腋窝，喙突下或锁骨下可触及移位的肱骨头，关节盂空虚。
            </p>
            <!-- 轮播图 -->
            <div class="imgBox-003 openImgBox">
              <div class="swiper-container swiper-img">
                <div class="swiper-wrapper">
                  <div class="swiper-slide">
                    <div class="imgBox" style="width: 100%; height: 100%">
                      <img
                        style="width: 60%"
                        src="../../assets/images/0179-1.jpg"
                      />
                      <p class="img">1.后方脱位</p>
                    </div>
                  </div>
                  <div class="swiper-slide">
                    <div class="imgBox" style="width: 100%; height: 100%">
                      <img src="../../assets/images/0179-2.jpg" />
                      <p class="img">2.后方脱位</p>
                    </div>
                  </div>
                  <div class="swiper-slide">
                    <div class="imgBox" style="width: 100%; height: 100%">
                      <img src="../../assets/images/0179-3.jpg" />
                      <p class="img">1.后方脱位</p>
                    </div>
        <div class="special-bodystyle">
          <div class="page-header">
            170
          </div>
          <p class="titleQuot-1">五、关节脱位的处理与急救</p>
          <p class="content">
            在外力作用下，使关节面彼此失去正常的连接关系，称为关节脱位，关节脱位一般都会引起关节囊撕裂和关节周围的韧带肌腱及其附着组织的损伤。婴幼儿受伤后脱位的关节会疼痛、肿胀、出现畸形，活动功能丧失。严重者，有时可能使血管、神经受损甚至伴有骨折。
          </p>
          <p class="content">
            婴幼儿常见肩关节、肘关节脱位，多为跌倒时手掌着地或暴力所致。
          </p>
          <p class="content">
            肩关节脱位表现为伤肩肿胀、疼痛，主动和被动活动受限，手掌不能搭在对侧肩部，患肢弹性固定于轻度外展位，常以健手托患臂，头和躯干向患侧倾斜，肩三角肌塌陷，呈方肩畸形，在腋窝，喙突下或锁骨下可触及移位的肱骨头，关节盂空虚。
          </p>
          <!-- 轮播图 -->
          <div class="imgBox-003 openImgBox">
            <div class="swiper-container swiper-img">
              <div class="swiper-wrapper">
                <div class="swiper-slide">
                  <div class="imgBox" style="width: 100%; height: 100%">
                    <img style="width: 60%" src="../../assets/images/0179-1.jpg" />
                    <p class="img">1.后方脱位</p>
                  </div>
                </div>
                <div class="swiper-button-next"></div>
                <div class="swiper-button-prev"></div>
                <div class="swiper-slide">
                  <div class="imgBox" style="width: 100%; height: 100%">
                    <img src="../../assets/images/0179-2.jpg" />
                    <p class="img">2.后方脱位</p>
                  </div>
                </div>
                <div class="swiper-slide">
                  <div class="imgBox" style="width: 100%; height: 100%">
                    <img src="../../assets/images/0179-3.jpg" />
                    <p class="img">1.后方脱位</p>
                  </div>
                </div>
              </div>
              <div class="swiper-button-next"></div>
              <div class="swiper-button-prev"></div>
            </div>
            <p class="imgdescript">图5-28　肘关节脱位</p>
            <p class="content">
              肘关节脱位，表现为肘关节肿痛，关节置于半屈曲状，伸屈活动受限。如肘后脱位，则肘后方空虚，鹰嘴部向后明显突出；侧方脱位，肘部呈现肘内翻或外翻畸形。肘窝部充盈饱满。肱骨内、外侧髁及鹰嘴构成的倒等腰三角形关系改变（见图5-28）。
          </div>
          <p class="imgdescript">图5-28　肘关节脱位</p>
          <p class="content">
            肘关节脱位，表现为肘关节肿痛，关节置于半屈曲状，伸屈活动受限。如肘后脱位，则肘后方空虚，鹰嘴部向后明显突出；侧方脱位，肘部呈现肘内翻或外翻畸形。肘窝部充盈饱满。肱骨内、外侧髁及鹰嘴构成的倒等腰三角形关系改变（见图5-28）。
          </p>
          <p class="content">
            婴幼儿关节脱位后，固定脱位关节，不得使之移动，更不得随意使用整复手法，迅速护送到医院进行整复、治疗。
          </p>
          <p class="content">
            如肩部脱位，可把患儿肘部弯成直角，再用三角巾把前臂和肘部托起，挂在颈上，再用一条宽带缠过脑部，在对侧脑作结。如髋部脱位，则应立即让患儿躺在平板上送往医院。
          </p>
          <div class="video-box">
            <p class="center text td-0">
              <video :src="videoPathFive" webkit-playsinline="true" x-webkit-airplay="true" playsinline="true"
                x5-video-orientation="h5" x5-video-player-fullscreen="true" x5-playsinline="" controls
                controlslist="nodownload" class="w100 video" style="border-radius: 10px"></video>
            </p>
            <p class="content">
              婴幼儿关节脱位后，固定脱位关节，不得使之移动，更不得随意使用整复手法，迅速护送到医院进行整复、治疗。
            </p>
            <p class="content">
              如肩部脱位，可把患儿肘部弯成直角，再用三角巾把前臂和肘部托起，挂在颈上，再用一条宽带缠过脑部，在对侧脑作结。如髋部脱位，则应立即让患儿躺在平板上送往医院。
            </p>
            <div class="video-box">
              <p class="center text td-0">
                <video
                  :src="videoPathFive"
                  webkit-playsinline="true"
                  x-webkit-airplay="true"
                  playsinline="true"
                  x5-video-orientation="h5"
                  x5-video-player-fullscreen="true"
                  x5-playsinline=""
                  controls
                  controlslist="nodownload"
                  class="w100 video"
                  style="border-radius: 10px"
                ></video>
              </p>
              <p class="center videoname">
                <span>视频： 婴幼儿关节脱位处理</span>
                <el-tooltip
                  class="item"
                  effect="dark"
                  :content="
                    chapterData.isCollectVideoFive ? '点击取消' : '点击收藏'
                  "
                  placement="top-start"
                >
                  <img
                    :src="
                      collectResourceList.findIndex(
                        (item) => item.id == '439863064461BF97467E94EA53280FBF'
                      ) > -1
                        ? collectCheck
                        : collectImg
                    "
                    alt=""
                    class="collect-btn"
                    @click="handleCollect('video-05')"
                  />
                </el-tooltip>
              </p>
            </div>
            <p class="content td-0 mt-20">
              <img class="img-h" src="../../assets/images/0015_01.jpg" alt="" />
            </p>
            <p class="quotation">
              一般关于脱位后均表现出关节畸形，这可作为判断依据之一。
            <p class="center videoname">
              <span>视频： 婴幼儿关节脱位处理</span>
              <el-tooltip class="item" effect="dark" :content="chapterData.isCollectVideoFive ? '点击取消' : '点击收藏'
                " placement="top-start">
                <img :src="collectResourceList.findIndex(
                  (item) => item.id == '439863064461BF97467E94EA53280FBF'
                ) > -1
                  ? collectCheck
                  : collectImg
                  " alt="" class="collect-btn" @click="handleCollect('video-05')" />
              </el-tooltip>
            </p>
          </div>
          <p class="content td-0 mt-20">
            <img class="img-h" src="../../assets/images/0015_01.jpg" alt="" />
          </p>
          <p class="quotation">
            一般关于脱位后均表现出关节畸形，这可作为判断依据之一。
          </p>
        </div>
      </div>
    </div>
    <!-- 171页 -->
    <div class="page-box" page="180">
    <div class="page-box special-box" page="180">
      <div v-if="showPageList.indexOf(180) > -1">
        <div class="page-father">
          <div class="bodystyle-left">
            <p class="titleQuot-1">六、脑震荡的处理与急救</p>
            <p class="content">
              头部受到外力打击或碰撞以后脑功能发生暂时性障碍，叫作脑震荡。婴幼儿如发生脑震荡后，会立即出现暂时的意识障碍，如哭不出、意识迷糊等情况，历时约半小时。受伤轻者仅有意识恍惚（神志迷糊），重者可发生意识丧失（昏迷不醒）、烦躁不安、轻度休克、面色苍白或恶心呕吐。有的嗜睡，在数小时或过夜以后清醒，在意识恢复后仍可伴有头痛（婴幼儿用手敲头部）、烦躁不安、呕吐或眩晕等现象，有的甚至可长时间失去知觉。如出现这类现象，则可能是颅骨骨折、头部血肿、脑出血等，应及时就医。
        <div class="special-bodystyle">
          <div class="page-header">
            171
          </div>
          <p class="titleQuot-1">六、脑震荡的处理与急救</p>
          <p class="content">
            头部受到外力打击或碰撞以后脑功能发生暂时性障碍，叫作脑震荡。婴幼儿如发生脑震荡后，会立即出现暂时的意识障碍，如哭不出、意识迷糊等情况，历时约半小时。受伤轻者仅有意识恍惚（神志迷糊），重者可发生意识丧失（昏迷不醒）、烦躁不安、轻度休克、面色苍白或恶心呕吐。有的嗜睡，在数小时或过夜以后清醒，在意识恢复后仍可伴有头痛（婴幼儿用手敲头部）、烦躁不安、呕吐或眩晕等现象，有的甚至可长时间失去知觉。如出现这类现象，则可能是颅骨骨折、头部血肿、脑出血等，应及时就医。
          </p>
          <p class="content">
            婴幼儿头部着地受到损伤时，教师、家长应给予足够的重视。情况较轻者，可卧床休息1～2天，如无特殊表现才可以下床活动，并应持续观察一周。如发现头部伴有血肿，应去医院拍片检查，判明有无颅骨骨折。凡有明显意识障碍，伴有休克的，应立即平卧、固定头部，紧急送往三级医院抢救。严禁摇动、牵扯，更不要随意移动位置，头部两侧用衣物填塞，以免左右摇晃，同时用毛巾浸湿冷敷头部，身体衣着要保暖。对神志不清者可用手指掐人中、合谷等穴，使其苏醒。
          </p>
          <div class="video-box">
            <p class="center text td-0">
              <video :src="videoPathSix" webkit-playsinline="true" x-webkit-airplay="true" playsinline="true"
                x5-video-orientation="h5" x5-video-player-fullscreen="true" x5-playsinline="" controls
                controlslist="nodownload" class="w100 video" style="border-radius: 10px"></video>
            </p>
            <p class="content">
              婴幼儿头部着地受到损伤时，教师、家长应给予足够的重视。情况较轻者，可卧床休息1～2天，如无特殊表现才可以下床活动，并应持续观察一周。如发现头部伴有血肿，应去医院拍片检查，判明有无颅骨骨折。凡有明显意识障碍，伴有休克的，应立即平卧、固定头部，紧急送往三级医院抢救。严禁摇动、牵扯，更不要随意移动位置，头部两侧用衣物填塞，以免左右摇晃，同时用毛巾浸湿冷敷头部，身体衣着要保暖。对神志不清者可用手指掐人中、合谷等穴，使其苏醒。
            </p>
            <div class="video-box">
              <p class="center text td-0">
                <video
                  :src="videoPathSix"
                  webkit-playsinline="true"
                  x-webkit-airplay="true"
                  playsinline="true"
                  x5-video-orientation="h5"
                  x5-video-player-fullscreen="true"
                  x5-playsinline=""
                  controls
                  controlslist="nodownload"
                  class="w100 video"
                  style="border-radius: 10px"
                ></video>
              </p>
              <p class="center videoname">
                <span>视频： 婴幼儿脑震荡处理</span>
                <el-tooltip
                  class="item"
                  effect="dark"
                  :content="
                    chapterData.isCollectVideoSix ? '点击取消' : '点击收藏'
                  "
                  placement="top-start"
                >
                  <img
                    :src="
                      collectResourceList.findIndex(
                        (item) => item.id == 'D85245AAC0CFCBDB8287FD5BEBFBBB51'
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                        ? collectCheck
                        : collectImg
                    "
                    alt=""
                    class="collect-btn"
                    @click="handleCollect('video-06')"
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            </div>
            <p class="content td-0 mt-20">
              <img class="img-h" src="../../assets/images/0015_01.jpg" alt="" />
            </p>
            <p class="quotation">
              竞技性运动造成重型颅脑损伤后死亡或持久残疾的情况相对少见，但轻型颅脑损伤（脑震荡）相当常见，且发生率在逐年上升。美国国家运动损伤与疾病报告系统在1975年开始追踪各种体育运动中的损伤，资料显示，橄榄球运动中发生轻型颅脑损伤的可能性为2%～6%，而其他运动的发生率一般少于2%。在很多情况下，运动员没有意识到他们存在轻型颅脑损伤的症状，或者勉强告诉同伴和教练员只是微不足道的问题，而没有退出比赛。
            </p>
            <p class="quotation">
              运动相关性脑震荡（Sports-Related Cerebral
              Concussion，SRCC）又称轻型头部损伤（Mild Head
              Injury，MHI），是常见运动损伤类型之一。SRCC的严重程度与性格、年龄有关，女性比男性严重，儿童和青少年比成人严重。那些发生过SRCC的运动员更容易再次发生SRCC，经常是短时间内发生多次，且症状严重。足球、跆拳道、曲棍球、篮球、冰球、美式橄榄球、拳击、散打等身体接触较多、对抗性强、比赛激烈的项目容易发生脑震荡。
            <p class="center videoname">
              <span>视频： 婴幼儿脑震荡处理</span>
              <el-tooltip class="item" effect="dark" :content="chapterData.isCollectVideoSix ? '点击取消' : '点击收藏'
                " placement="top-start">
                <img :src="collectResourceList.findIndex(
                  (item) => item.id == 'D85245AAC0CFCBDB8287FD5BEBFBBB51'
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                  : collectImg
                  " alt="" class="collect-btn" @click="handleCollect('video-06')" />
              </el-tooltip>
            </p>
          </div>
          <ul class="header-right">
            <li class="header-right-img">
              <img src="../../assets/images/a2.jpg" alt="" />
            </li>
            <div class="header-right-imgBottom">
              <img
                class="header-right-imgTop"
                src="../../assets/images/a3.jpg"
                alt=""
              />
              <li class="header-right-Number">171</li>
              <li class="header-right-Text">第<br />五<br />章</li>
              <li class="header-right-Text-bottom">
                婴<br />幼<br />儿<br />常<br />见<br />运<br />动<br />伤<br />害<br />的<br />处<br />理<br />与<br />急<br />救
              </li>
            </div>
          </ul>
          <p class="content td-0 mt-20">
            <img class="img-h" src="../../assets/images/0015_01.jpg" alt="" />
          </p>
          <p class="quotation">
            竞技性运动造成重型颅脑损伤后死亡或持久残疾的情况相对少见，但轻型颅脑损伤（脑震荡）相当常见，且发生率在逐年上升。美国国家运动损伤与疾病报告系统在1975年开始追踪各种体育运动中的损伤，资料显示，橄榄球运动中发生轻型颅脑损伤的可能性为2%～6%，而其他运动的发生率一般少于2%。在很多情况下，运动员没有意识到他们存在轻型颅脑损伤的症状，或者勉强告诉同伴和教练员只是微不足道的问题，而没有退出比赛。
          </p>
          <p class="quotation">
            运动相关性脑震荡（Sports-Related Cerebral
            Concussion，SRCC）又称轻型头部损伤（Mild Head
            Injury，MHI），是常见运动损伤类型之一。SRCC的严重程度与性格、年龄有关，女性比男性严重，儿童和青少年比成人严重。那些发生过SRCC的运动员更容易再次发生SRCC，经常是短时间内发生多次，且症状严重。足球、跆拳道、曲棍球、篮球、冰球、美式橄榄球、拳击、散打等身体接触较多、对抗性强、比赛激烈的项目容易发生脑震荡。
          </p>
        </div>
      </div>
    </div>
    <!-- 172页 -->
    <div class="page-box" page="181">
    <div class="page-box special-box" page="181">
      <div v-if="showPageList.indexOf(181) > -1">
        <div class="page-father">
          <ul class="header-left">
            <li class="headerText">
              婴<br />幼<br />儿<br />常<br />见<br />运<br />动<br />伤<br />害<br />的<br />处<br />理<br />与<br />急<br />救
            </li>
            <li class="headerNumber">172</li>
            <img src="../../assets/images/a1.jpg" alt="" />
          </ul>
          <div class="bodystyle">
            <p class="titleQuot-1">七、牙外伤的处理与急救</p>
            <div class="img-rights w200 openImgBox">
              <img
                src="../../assets/images/0184-01.jpg"
                style="width: 100%"
                alt=""
                active="true"
              />
              <p class="imgdescript">图5-29　牙外伤</p>
            </div>
            <span>
        <div class="special-bodystyle">
          <div class="page-header">
            172
          </div>
          <p class="titleQuot-1">七、牙外伤的处理与急救</p>
          <div class="img-rights w200 openImgBox">
            <img src="../../assets/images/0184-01.jpg" style="width: 100%" alt="" active="true" />
            <p class="imgdescript">图5-29　牙外伤</p>
          </div>
          <span>
            <p class="content">
              婴幼儿在户外活动时，发生碰撞，经常会殃及牙齿，而婴幼儿牙齿外伤中以前牙齿外伤最为多见，尤以上颌前牙最多。因为上颌前牙在面部的最前端，所以发生意外时婴幼儿的上颌前牙即大门牙最容易受到伤害，造成门牙松动、移位、折断、脱落等情况。8—10岁是恒前牙外伤的高发年龄，此时新长出的门牙牙根尚未完全发育完成，根管壁薄，外伤后及时治疗尤为重要（见图5-29）。
            </p>
          </span>
          <p class="poemtitle-l">（一）牙齿发生松动</p>
          <p class="content">
            1．牙齿叩痛和松动，此类情况牙齿受到碰撞力不大，主要让受伤牙得到休息，两周内不用患牙咬东西。
          </p>
          <p class="content">
            2．如牙齿松动明显，请到医院就诊，医生会给牙齿做结扎固定。
          </p>
          <p class="poemtitle-l">（二）乳牙因外伤脱落</p>
          <p class="content">
            1．尽快与牙医联系，迅速采取行动，这样可以减轻婴幼儿的不适并预防感染。
          </p>
          <p class="content">2．用水冲洗口腔，同时冷敷以减少肿胀。</p>
          <p class="content">
            3．好好安抚婴幼儿，不必到处找牙。乳牙不应被再植，因为这有可能对继承恒牙生长造成潜在损伤。
          </p>
          <p class="poemtitle-l">（三）恒牙因外伤脱落</p>
          <p class="content">
            1．找到牙齿，将其在凉水中慢慢冲洗，禁止擦洗或使用肥皂。
          </p>
          <p class="content">
            2．将牙齿放回牙槽窝中，并让幼儿咬住纱布或毛巾以固位。如发现无法将牙齿放回牙槽窝，记住一定要把牙齿放在干净的容器里，最好用冷牛奶浸泡。如没有牛奶，用生理盐水、隐形眼镜护理液、幼儿的唾液浸泡，或含在舌下也可，尽可能保存牙周膜活力。
          </p>
          <p class="content">3．立即将幼儿和湿润保存的脱落牙齿送往牙医处。</p>
          <p class="poemtitle-l">（四）牙齿发生折断</p>
          <div class="img-rights w200 openImgBox">
            <div class="tipes">
              <p class="content">
                婴幼儿在户外活动时，发生碰撞，经常会殃及牙齿，而婴幼儿牙齿外伤中以前牙齿外伤最为多见，尤以上颌前牙最多。因为上颌前牙在面部的最前端，所以发生意外时婴幼儿的上颌前牙即大门牙最容易受到伤害，造成门牙松动、移位、折断、脱落等情况。8—10岁是恒前牙外伤的高发年龄，此时新长出的门牙牙根尚未完全发育完成，根管壁薄，外伤后及时治疗尤为重要（见图5-29）。
                幼儿活动时，如存在跌倒、碰撞或接触坚硬表面及设备的风险，应让幼儿佩戴防护牙托。
              </p>
            </span>
            <p class="poemtitle-l">（一）牙齿发生松动</p>
            </div>
          </div>
          <span>
            <p class="content">
              1．牙齿叩痛和松动，此类情况牙齿受到碰撞力不大，主要让受伤牙得到休息，两周内不用患牙咬东西。
            </p>
            <p class="content">
              2．如牙齿松动明显，请到医院就诊，医生会给牙齿做结扎固定。
            </p>
            <p class="poemtitle-l">（二）乳牙因外伤脱落</p>
            <p class="content">
              1．尽快与牙医联系，迅速采取行动，这样可以减轻婴幼儿的不适并预防感染。
              1．尽快与牙医联系，快速采取行动，保存牙齿，预防感染并减少更大范围的口腔治疗。
            </p>
            <p class="content">2．用水冲洗口腔，同时冷敷以减少肿胀。</p>
            <p class="content">
              3．好好安抚婴幼儿，不必到处找牙。乳牙不应被再植，因为这有可能对继承恒牙生长造成潜在损伤。
              3．如能找到牙折断片，带上牙折断片，湿润保存，前往牙医处。
            </p>
            <p class="poemtitle-l">（三）恒牙因外伤脱落</p>
            <p class="content">
              1．找到牙齿，将其在凉水中慢慢冲洗，禁止擦洗或使用肥皂。
            </p>
            <p class="content">
              2．将牙齿放回牙槽窝中，并让幼儿咬住纱布或毛巾以固位。如发现无法将牙齿放回牙槽窝，记住一定要把牙齿放在干净的容器里，最好用冷牛奶浸泡。如没有牛奶，用生理盐水、隐形眼镜护理液、幼儿的唾液浸泡，或含在舌下也可，尽可能保存牙周膜活力。
            </p>
            <p class="content">3．立即将幼儿和湿润保存的脱落牙齿送往牙医处。</p>
            <p class="poemtitle-l">（四）牙齿发生折断</p>
            <div class="img-rights w200 openImgBox">
              <div class="tipes">
                <p class="content">
                  幼儿活动时，如存在跌倒、碰撞或接触坚硬表面及设备的风险，应让幼儿佩戴防护牙托。
                </p>
              </div>
            </div>
            <span>
              <p class="content">
                1．尽快与牙医联系，快速采取行动，保存牙齿，预防感染并减少更大范围的口腔治疗。
              </p>
              <p class="content">2．用水冲洗口腔，同时冷敷以减少肿胀。</p>
              <p class="content">
                3．如能找到牙折断片，带上牙折断片，湿润保存，前往牙医处。
              </p>
            </span>
          </div>
          </span>
        </div>
      </div>
    </div>
    <!-- 173页 -->
    <div class="page-box" page="182">
    <div class="page-box special-box" page="182">
      <div v-if="showPageList.indexOf(182) > -1">
        <div class="page-father">
          <div class="bodystyle-left">
            <p class="titleQuot-1">八、运动性腹痛的处理与急救</p>
            <p class="content">
              运动性腹痛是指由于运动引起或诱发的腹部疼痛，多发生在运动过程中或结束时，严重时常使运动者被迫中止运动。幼儿运动性腹痛多见于中长跑、跳跃活动中。疼痛的程度多与运动量、运动强度和运动的速度等因素有关。运动性腹痛可分为以下几种：
            </p>
            <p class="content">1．心血管系统的血液动力学障碍</p>
            <p class="content">
              部分幼儿平日体育锻炼基础较差，心血管系统的机能相对较弱，运动前又未认真做好准备活动，在剧烈运动中，心血管系统的机能水平就难以适应运动的负荷和强度，肝脾静脉回流受阻，血液淤积在肝、脾内，增大了肝脾的张力，使其膜上的神经受到牵扯，而产生疼痛。
            </p>
            <p class="content">疼痛性质：胀痛或牵扯痛。</p>
            <p class="content">疼痛部位：两侧肋部。</p>
            <p class="content">2．呼吸肌痉挛</p>
            <p class="content">
              幼儿在运动、比赛中情绪高度紧张，运动时，未掌握好或注意不到呼吸节律及动作的协调，以致呼吸肌活动紊乱，呼吸急促而浅，致使呼吸肌疲劳，发生痉挛或细微的损伤。运动速度或强度增加太快，心肺机能赶不上肌肉工作的需要，也会促使呼吸肌痉挛，产生疼痛的反应。
            </p>
            <p class="content">疼痛性质：锐痛。</p>
            <p class="content">疼痛位置：上腹部。</p>
            <p class="content">3．胃肠道局部血循环障碍</p>
            <p class="content">
              饭后过早参加运动，运动前喝得过多、吃得过饱或吃了难消化的食物（如豆类、薯类、牛肉）、喝了易产气的饮料、空腹锻炼（胃酸和冷空气对胃的刺激）等是胃肠受机械牵引容易引起胃肠道痉挛，从而引起腹痛的原因。
            </p>
            <div class="tipes mt-20">
              <p class="content">
                1．遵守科学训练原则，循序渐进地增加运动量，加强身体全面训练，提高心肺机能。
              </p>
              <p class="content">
                2．合理安排饮食，运动前不宜进食、饮水过多，进餐后休息1.5～2小时方可进行运动。
              </p>
              <p class="content">
                3．运动前准备活动要充分，运动中要注意呼吸节奏，中长跑时要合理分配速度。
              </p>
              <p class="content">
                4．幼儿腹痛有多种原因，腹腔内外疾患的病理性因素仅是发病机理中的一个方面，排除疾病因素，健康幼儿出现运动中腹痛多为循环、消化、痉挛这三种原因。
              </p>
              <p class="content">
                5．教师可提前与家长了解幼儿身体情况，对于各种引起腹痛的疾患，应及时诊治，并在医生指导下，进行适宜的体育锻炼。
              </p>
            </div>
        <div class="special-bodystyle">
          <div class="page-header">
            173
          </div>
          <ul class="header-right">
            <li class="header-right-img">
              <img src="../../assets/images/a2.jpg" alt="" />
            </li>
            <div class="header-right-imgBottom">
              <img
                class="header-right-imgTop"
                src="../../assets/images/a3.jpg"
                alt=""
              />
              <li class="header-right-Number">173</li>
              <li class="header-right-Text">第<br />五<br />章</li>
              <li class="header-right-Text-bottom">
                婴<br />幼<br />儿<br />常<br />见<br />运<br />动<br />伤<br />害<br />的<br />处<br />理<br />与<br />急<br />救
              </li>
            </div>
          </ul>
          <p class="titleQuot-1">八、运动性腹痛的处理与急救</p>
          <p class="content">
            运动性腹痛是指由于运动引起或诱发的腹部疼痛，多发生在运动过程中或结束时，严重时常使运动者被迫中止运动。幼儿运动性腹痛多见于中长跑、跳跃活动中。疼痛的程度多与运动量、运动强度和运动的速度等因素有关。运动性腹痛可分为以下几种：
          </p>
          <p class="content">1．心血管系统的血液动力学障碍</p>
          <p class="content">
            部分幼儿平日体育锻炼基础较差，心血管系统的机能相对较弱，运动前又未认真做好准备活动，在剧烈运动中，心血管系统的机能水平就难以适应运动的负荷和强度，肝脾静脉回流受阻，血液淤积在肝、脾内，增大了肝脾的张力，使其膜上的神经受到牵扯，而产生疼痛。
          </p>
          <p class="content">疼痛性质：胀痛或牵扯痛。</p>
          <p class="content">疼痛部位：两侧肋部。</p>
          <p class="content">2．呼吸肌痉挛</p>
          <p class="content">
            幼儿在运动、比赛中情绪高度紧张，运动时，未掌握好或注意不到呼吸节律及动作的协调，以致呼吸肌活动紊乱，呼吸急促而浅，致使呼吸肌疲劳，发生痉挛或细微的损伤。运动速度或强度增加太快，心肺机能赶不上肌肉工作的需要，也会促使呼吸肌痉挛，产生疼痛的反应。
          </p>
          <p class="content">疼痛性质：锐痛。</p>
          <p class="content">疼痛位置：上腹部。</p>
          <p class="content">3．胃肠道局部血循环障碍</p>
          <p class="content">
            饭后过早参加运动，运动前喝得过多、吃得过饱或吃了难消化的食物（如豆类、薯类、牛肉）、喝了易产气的饮料、空腹锻炼（胃酸和冷空气对胃的刺激）等是胃肠受机械牵引容易引起胃肠道痉挛，从而引起腹痛的原因。
          </p>
          <div class="tipes mt-20">
            <p class="content">
              1．遵守科学训练原则，循序渐进地增加运动量，加强身体全面训练，提高心肺机能。
            </p>
            <p class="content">
              2．合理安排饮食，运动前不宜进食、饮水过多，进餐后休息1.5～2小时方可进行运动。
            </p>
            <p class="content">
              3．运动前准备活动要充分，运动中要注意呼吸节奏，中长跑时要合理分配速度。
            </p>
            <p class="content">
              4．幼儿腹痛有多种原因，腹腔内外疾患的病理性因素仅是发病机理中的一个方面，排除疾病因素，健康幼儿出现运动中腹痛多为循环、消化、痉挛这三种原因。
            </p>
            <p class="content">
              5．教师可提前与家长了解幼儿身体情况，对于各种引起腹痛的疾患，应及时诊治，并在医生指导下，进行适宜的体育锻炼。
            </p>
          </div>
        </div>
      </div>
    </div>
    <!-- 174页 -->
    <div class="page-box" page="183">
    <div class="page-box special-box" page="183">
      <div v-if="showPageList.indexOf(183) > -1">
        <div class="page-father">
          <ul class="header-left">
            <li class="headerText">
              婴<br />幼<br />儿<br />常<br />见<br />运<br />动<br />伤<br />害<br />的<br />处<br />理<br />与<br />急<br />救
            </li>
            <li class="headerNumber">174</li>
            <img src="../../assets/images/a1.jpg" alt="" />
          </ul>
          <div class="bodystyle">
            <p class="content">疼痛性质：钝痛、胀痛甚至是绞痛。</p>
            <p class="content">疼痛位置：上腹部。</p>
            <p class="content">
              对于幼儿运动性腹痛的处理与急救，教师不要紧张，应安抚学生情绪，可采取以下措施：
        <div class="special-bodystyle">
          <div class="page-header">
            174
          </div>
          <p class="content">疼痛性质：钝痛、胀痛甚至是绞痛。</p>
          <p class="content">疼痛位置：上腹部。</p>
          <p class="content">
            对于幼儿运动性腹痛的处理与急救，教师不要紧张，应安抚学生情绪，可采取以下措施：
          </p>
          <p class="content">
            1．应降低运动强度，如减慢速度，及时调整呼吸节奏，加深呼吸。
          </p>
          <p class="content">
            2．用手按压疼痛部位并弯腰跑一段距离，做几次深呼吸，疼痛会减轻或消失。
          </p>
          <p class="content">
            3．如因胃肠道局部血循环障碍原因产生疼痛，可降低运动强度，散步慢跑，揉搓腹部，加速食物消化排出气体。
          </p>
          <p class="content">
            4．上述处理效果不理想，应该立刻停止运动。有条件的话可以口服阿托品、十滴水，并饮用少量的温盐水，一般来说腹部疼痛可以减轻或消失。
          </p>
          <p class="content">
            5．若通过上述处理腹部疼痛仍然没有好转，应及时将伤员送到医院做进一步的检查。
          </p>
          <p class="titleQuot-1">九、运动性休克的处理与急救</p>
          <div class="video-box">
            <p class="center text td-0">
              <video :src="videoPathSeven" webkit-playsinline="true" x-webkit-airplay="true" playsinline="true"
                x5-video-orientation="h5" x5-video-player-fullscreen="true" x5-playsinline="" controls
                controlslist="nodownload" class="w100 video" style="border-radius: 10px"></video>
            </p>
            <p class="content">
              1．应降低运动强度，如减慢速度，及时调整呼吸节奏，加深呼吸。
            <p class="center videoname">
              <span>视频： 幼儿运动性休克处理</span>
              <el-tooltip class="item" effect="dark" :content="chapterData.isCollectVideoSeven ? '点击取消' : '点击收藏'
                " placement="top-start">
                <img :src="collectResourceList.findIndex(
                  (item) => item.id == '558BD52BD08066945D05B243F61772B6'
                ) > -1
                  ? collectCheck
                  : collectImg
                  " alt="" class="collect-btn" @click="handleCollect('video-07')" />
              </el-tooltip>
            </p>
            <p class="content">
              2．用手按压疼痛部位并弯腰跑一段距离，做几次深呼吸，疼痛会减轻或消失。
            </p>
            <p class="content">
              3．如因胃肠道局部血循环障碍原因产生疼痛，可降低运动强度，散步慢跑，揉搓腹部，加速食物消化排出气体。
            </p>
            <p class="content">
              4．上述处理效果不理想，应该立刻停止运动。有条件的话可以口服阿托品、十滴水，并饮用少量的温盐水，一般来说腹部疼痛可以减轻或消失。
            </p>
            <p class="content">
              5．若通过上述处理腹部疼痛仍然没有好转，应及时将伤员送到医院做进一步的检查。
            </p>
            <p class="titleQuot-1">九、运动性休克的处理与急救</p>
            <div class="video-box">
              <p class="center text td-0">
                <video
                  :src="videoPathSeven"
                  webkit-playsinline="true"
                  x-webkit-airplay="true"
                  playsinline="true"
                  x5-video-orientation="h5"
                  x5-video-player-fullscreen="true"
                  x5-playsinline=""
                  controls
                  controlslist="nodownload"
                  class="w100 video"
                  style="border-radius: 10px"
                ></video>
              </p>
              <p class="center videoname">
                <span>视频： 幼儿运动性休克处理</span>
                <el-tooltip
                  class="item"
                  effect="dark"
                  :content="
                    chapterData.isCollectVideoSeven ? '点击取消' : '点击收藏'
                  "
                  placement="top-start"
                >
                  <img
                    :src="
                      collectResourceList.findIndex(
                        (item) => item.id == '558BD52BD08066945D05B243F61772B6'
                      ) > -1
                        ? collectCheck
                        : collectImg
                    "
                    alt=""
                    class="collect-btn"
                    @click="handleCollect('video-07')"
                  />
                </el-tooltip>
              </p>
            </div>
            <p class="content">
              运动性休克是指在特定的运动环境中，因受到各种不利因素的侵袭，而迅速出现循环系统及其他系统功能急剧下降的一种病理生理状态。多见于平素体育锻炼较少的人，尤以少年儿童为多见。过分紧张、激动或带病参加运动为其诱因。有时少年儿童剧烈奔跑或赛跑后，如果立即站立不动，会使下肢的毛细血管和静脉失去肌肉收缩时产生的挤压作用，血液由于重力作用而淤积于下肢扩张的静脉和毛细血管里，也会产生休克。
            </p>
            <p class="content">
              对于幼儿运动性休克的处理与急救，可采取如下办法（见图5-30）。
            </p>
            <p class="content">
              1．出现休克早期等症状时，应立即搀扶，尽可能让其继续行走，使下肢肌肉收缩，促使血液回流，使症状消失。
            </p>
            <div class="qrbodyPic tl-v openImgBox">
              <img
                src="../../assets/images/0186-02.jpg"
                style="width: 80%"
                alt=""
                active="true"
              />
              <p class="imgdescript">图5-30　运动性休克处理</p>
            </div>
          </div>
          <p class="content">
            运动性休克是指在特定的运动环境中，因受到各种不利因素的侵袭，而迅速出现循环系统及其他系统功能急剧下降的一种病理生理状态。多见于平素体育锻炼较少的人，尤以少年儿童为多见。过分紧张、激动或带病参加运动为其诱因。有时少年儿童剧烈奔跑或赛跑后，如果立即站立不动，会使下肢的毛细血管和静脉失去肌肉收缩时产生的挤压作用，血液由于重力作用而淤积于下肢扩张的静脉和毛细血管里，也会产生休克。
          </p>
          <p class="content">
            对于幼儿运动性休克的处理与急救，可采取如下办法（见图5-30）。
          </p>
          <p class="content">
            1．出现休克早期等症状时，应立即搀扶，尽可能让其继续行走，使下肢肌肉收缩，促使血液回流，使症状消失。
          </p>
          <div class="qrbodyPic tl-v openImgBox">
            <img src="../../assets/images/0186-02.jpg" style="width: 80%" alt="" active="true" />
            <p class="imgdescript">图5-30　运动性休克处理</p>
          </div>
        </div>
      </div>
    </div>
    <!-- 175页 -->
    <div class="page-box" page="184">
    <div class="page-box special-box" page="184">
      <div v-if="showPageList.indexOf(184) > -1">
        <div class="page-father">
          <div class="bodystyle-left">
            <p class="content">
              2．若无能力行走或已经昏倒，出现中度休克时，应将患儿平卧，头部放低，两下肢抬高，或由同伴二人抬其双下肢，由小腿向大腿做按摩或揉搓，以使血液尽早回流入心。在知觉恢复以前，不可给任何饮料或服药。
            </p>
            <p class="content">
              3．如有呕吐，应将其头偏向一侧，防止呕吐物堵塞气道。必要时可给血管收缩药，如皮下注射麻黄素或肾上腺素。
            </p>
            <p class="content">
              4．如呼吸停止，应做人工呼吸或皮下注射呼吸中枢兴奋剂，也可做50%葡萄糖静脉注射等抗休克处理。
            </p>
            <p class="content">5．病情较重者，经现场急救后，急需转医院抢救。</p>
            <p class="titleQuot-1">十、运动性脱水的处理与急救</p>
            <p class="content">
              在运动时，尤其是在热环境中运动时出汗率增加，如果没有足够饮水，就会造成纯体液的丢失以及过度缺水状态。脱水常常伴有电解质平衡的破坏和电解质通过汗液和尿液的丢失，影响细胞和系统的功能，而且还会降低人体的运动能力。轻度脱水（失水量为体重的2%）时，感觉不适，口渴，食欲下降，尿量减少，运动能力受到影响。中度失水（失水量为体重的4%）时，表现为严重的口渴，心率加快，皮肤出汗减少，头痛，头晕，无力，心血管系统压力也会增加，使心率的变化与运动强度不协调，并且限制人体从收缩肌肉传送热量到体表散热的能力，致使体温升高，进而导致运动能力下降，发生热损伤的可能性也相应增加。重度脱水（失水量为体重的6%）时，除中度脱水表现外，还可能出现呼吸频率增加，血压下降，甚至休克，肌肉抽搐。
            </p>
            <p class="content">
              对运动性脱水的处理与急救，最主要的措施就是及时补充丢失的液体，按照丢失1千克补充1000毫升液体计算。
            </p>
            <p class="content td-0 openImgBox mt-20">
              <img class="img-h" src="../../assets/images/0015_01.jpg" alt="" />
            </p>
            <p class="quotation">
              1．在运动过程中采取适宜的补液措施，可以帮助幼儿消除和减轻水、电解质平衡紊乱对机体生理功能和运动能力的影响。
            </p>
            <p class="quotation">
              2．准备活动前20～30分钟，按每千克体重补充7～8毫升的液体就能达到这个目的（即25千克的幼儿补充200毫升）。
            </p>
            <p class="quotation">
              3．运动时：每15分钟喝少量的液体（每千克体重2～3毫升，25千克的青少年喝50～75毫升）、鼓励幼儿在口渴之前补充水分。
            </p>
            <p class="quotation">
              4．幼儿会比成人丢失的钠和氯化物少，因而补充水分的饮料要比成人的稀薄一点。
            </p>
            <p><br /></p>
            <p><br /></p>
            <p><br /></p>
            <p><br /></p>
        <div class="special-bodystyle">
          <div class="page-header">
            175
          </div>
          <ul class="header-right">
            <li class="header-right-img">
              <img src="../../assets/images/a2.jpg" alt="" />
            </li>
            <div class="header-right-imgBottom">
              <img
                class="header-right-imgTop"
                src="../../assets/images/a3.jpg"
                alt=""
              />
              <li class="header-right-Number">175</li>
              <li class="header-right-Text">第<br />五<br />章</li>
              <li class="header-right-Text-bottom">
                婴<br />幼<br />儿<br />常<br />见<br />运<br />动<br />伤<br />害<br />的<br />处<br />理<br />与<br />急<br />救
              </li>
            </div>
          </ul>
          <p class="content">
            2．若无能力行走或已经昏倒，出现中度休克时，应将患儿平卧，头部放低，两下肢抬高，或由同伴二人抬其双下肢，由小腿向大腿做按摩或揉搓，以使血液尽早回流入心。在知觉恢复以前，不可给任何饮料或服药。
          </p>
          <p class="content">
            3．如有呕吐，应将其头偏向一侧，防止呕吐物堵塞气道。必要时可给血管收缩药，如皮下注射麻黄素或肾上腺素。
          </p>
          <p class="content">
            4．如呼吸停止，应做人工呼吸或皮下注射呼吸中枢兴奋剂，也可做50%葡萄糖静脉注射等抗休克处理。
          </p>
          <p class="content">5．病情较重者，经现场急救后，急需转医院抢救。</p>
          <p class="titleQuot-1">十、运动性脱水的处理与急救</p>
          <p class="content">
            在运动时，尤其是在热环境中运动时出汗率增加，如果没有足够饮水，就会造成纯体液的丢失以及过度缺水状态。脱水常常伴有电解质平衡的破坏和电解质通过汗液和尿液的丢失，影响细胞和系统的功能，而且还会降低人体的运动能力。轻度脱水（失水量为体重的2%）时，感觉不适，口渴，食欲下降，尿量减少，运动能力受到影响。中度失水（失水量为体重的4%）时，表现为严重的口渴，心率加快，皮肤出汗减少，头痛，头晕，无力，心血管系统压力也会增加，使心率的变化与运动强度不协调，并且限制人体从收缩肌肉传送热量到体表散热的能力，致使体温升高，进而导致运动能力下降，发生热损伤的可能性也相应增加。重度脱水（失水量为体重的6%）时，除中度脱水表现外，还可能出现呼吸频率增加，血压下降，甚至休克，肌肉抽搐。
          </p>
          <p class="content">
            对运动性脱水的处理与急救，最主要的措施就是及时补充丢失的液体，按照丢失1千克补充1000毫升液体计算。
          </p>
          <p class="content td-0 openImgBox mt-20">
            <img class="img-h" src="../../assets/images/0015_01.jpg" alt="" />
          </p>
          <p class="quotation">
            1．在运动过程中采取适宜的补液措施，可以帮助幼儿消除和减轻水、电解质平衡紊乱对机体生理功能和运动能力的影响。
          </p>
          <p class="quotation">
            2．准备活动前20～30分钟，按每千克体重补充7～8毫升的液体就能达到这个目的（即25千克的幼儿补充200毫升）。
          </p>
          <p class="quotation">
            3．运动时：每15分钟喝少量的液体（每千克体重2～3毫升，25千克的青少年喝50～75毫升）、鼓励幼儿在口渴之前补充水分。
          </p>
          <p class="quotation">
            4．幼儿会比成人丢失的钠和氯化物少，因而补充水分的饮料要比成人的稀薄一点。
          </p>
        </div>
      </div>
    </div>
    <!-- 176页 -->
    <div class="page-box" page="185">
    <div class="page-box special-box" page="185">
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        <div class="page-father">
          <ul class="header-left">
            <li class="headerText">
              婴<br />幼<br />儿<br />常<br />见<br />运<br />动<br />伤<br />害<br />的<br />处<br />理<br />与<br />急<br />救
            </li>
            <li class="headerNumber">176</li>
            <img src="../../assets/images/a1.jpg" alt="" />
          </ul>
          <div class="bodystyle">
            <div class="bk3">
              <img
                class="bk3-titOne img-j"
                src="../../assets//images/bk3-bg.png"
                alt=""
              />
              <img
                class="bk3-titTwo img-j"
                src="../../assets//images/bk3-bg.png"
                alt=""
              />
              <img
                class="bk3-titThree img-j"
                src="../../assets//images/bk3-bg.png"
                alt=""
              />
              <img
                class="bk3-titFour img-j"
                src="../../assets//images/bk3-bg.png"
                alt=""
              />
              <p class="bk3-top"></p>
              <p class="bk3-top-right"></p>
              <p class="bk3-bottom"></p>
              <p class="bk3-bottom-right"></p>
              <div>
                <p class="titleQuot-c center">小　结</p>
                <p class="content">
                  本章详细阐述了婴幼儿常见运动伤害的种类、症状、处理与急救方法，有利于教师学习掌握，并应用于实际工作中，从而可以降低运动伤害对婴幼儿的影响，加快其康复进程，使婴幼儿尽早回归正常生活和运动中。
                </p>
              </div>
            </div>

            <p class="content td-0 mb-10 mt-30">
              <img
                class="img-15"
                src="../../assets/images/0027_02.jpg"
                alt=""
              />
            </p>
            <p class="content">
              软组织损伤　骨折　脑震荡　运动性腹痛　心肺复苏　运动性脱水
            </p>
            <p class="content td-0 mb-10 mt-30">
              <img
                class="img-15"
                src="../../assets/images/0028_01.jpg"
                alt=""
              />
            </p>
            <p class="content"><span class="bold">一、简单题</span></p>
            <p class="content">1．婴幼儿运动伤害的判断与处理流程是什么？</p>
            <textarea
              v-model="videoQuestionData.one"
              placeholder="请输入内容"
              rows="5"
              style="max-width: 100%; width: 90%"
              class="fz-16 fm-son ml-40 textarea-question"
              @change="saveVideoQuestionData"
            ></textarea>
            <p class="content">2．急性运动伤害的PRICE原则是什么？</p>
            <textarea
              v-model="videoQuestionData.two"
              placeholder="请输入内容"
              rows="5"
              style="max-width: 100%; width: 90%"
              class="fz-16 fm-son ml-40 textarea-question"
              @change="saveVideoQuestionData"
            ></textarea>
            <p class="content">3．外伤出血的处理方法是什么？</p>
            <textarea
              v-model="videoQuestionData.three"
              placeholder="请输入内容"
              rows="5"
              style="max-width: 100%; width: 90%"
              class="fz-16 fm-son ml-40 textarea-question"
              @change="saveVideoQuestionData"
            ></textarea>
            <p class="content">4．骨折的处置流程是什么？</p>
            <textarea
              v-model="videoQuestionData.four"
              placeholder="请输入内容"
              rows="5"
              style="max-width: 100%; width: 90%"
              class="fz-16 fm-son ml-40 textarea-question"
              @change="saveVideoQuestionData"
            ></textarea>
            <p class="content">5．心肺复苏的操作流程有哪些？</p>
            <textarea
              v-model="videoQuestionData.five"
              placeholder="请输入内容"
              rows="5"
              style="max-width: 100%; width: 90%"
              class="fz-16 fm-son ml-40 textarea-question"
              @change="saveVideoQuestionData"
            ></textarea>
            <p class="content">6．牙外伤后的处理方法是什么？</p>
            <textarea
              v-model="videoQuestionData.six"
              placeholder="请输入内容 "
              rows="5"
              style="max-width: 100%; width: 90%"
              class="fz-16 fm-son ml-40 textarea-question"
              @change="saveVideoQuestionData"
            ></textarea>
            <p class="content">7．运动性腹痛的处理方法是什么？</p>
            <textarea
              v-model="videoQuestionData.seven"
              placeholder="请输入内容"
              rows="5"
              style="max-width: 100%; width: 90%"
              class="fz-16 fm-son ml-40 textarea-question"
              @change="saveVideoQuestionData"
            ></textarea>
            <p class="content">8．运动性休克的处理方法是什么？</p>
            <textarea
              v-model="videoQuestionData.eight"
              placeholder="请输入内容"
              rows="5"
              style="max-width: 100%; width: 90%"
              class="fz-16 fm-son ml-40 textarea-question"
              @change="saveVideoQuestionData"
            ></textarea>
            <p class="content">9．运动性脱水的表现及预防方法是什么？</p>
            <textarea
              v-model="videoQuestionData.nine"
              placeholder="请输入内容"
              rows="5"
              style="max-width: 100%; width: 90%"
              class="fz-16 fm-son ml-40 textarea-question"
              @change="saveVideoQuestionData"
            ></textarea>
            <p class="content"><span class="bold">二、实践与练习</span></p>
            <p class="content">
              三个人为一组，一人扮演患儿，两人扮演教师，练习踝关节扭伤后的急救处理和心肺复苏操作方法。
            </p>
            <p class="content td-0 mb-10 mt-30">
              <img
                class="img-15"
                src="../../assets/images/0028_02.jpg"
                alt=""
              />
            </p>
            <p class="content">
              王国祥、王虎主编：《体育运动伤害防护》，苏州，苏州大学出版社，2017。该书从运动损伤的发生机制、症状体征以及处理方法与措施等方面，对人体各部位常见运动损伤进行了详细介绍，着重介绍了头部、躯干和四肢主要关节部位的120多种急、慢性损伤，能满足进一步深入研究的需求。
            </p>
            <p class="dialogQuestion" @click="openQuestion(1)">
              <span class="td-0">【本节测试】</span>
              <span class="td-0">
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              </span>
            </p>
        <div class="special-bodystyle-bottom  pt-30">
          <div class="page-header">
            176
          </div>
          <div class="bk3">
            <img class="bk3-titOne img-j" src="../../assets//images/bk3-bg.png" alt="" />
            <img class="bk3-titTwo img-j" src="../../assets//images/bk3-bg.png" alt="" />
            <img class="bk3-titThree img-j" src="../../assets//images/bk3-bg.png" alt="" />
            <img class="bk3-titFour img-j" src="../../assets//images/bk3-bg.png" alt="" />
            <p class="bk3-top"></p>
            <p class="bk3-top-right"></p>
            <p class="bk3-bottom"></p>
            <p class="bk3-bottom-right"></p>
            <div>
              <p class="titleQuot-c center">小　结</p>
              <p class="content">
                本章详细阐述了婴幼儿常见运动伤害的种类、症状、处理与急救方法，有利于教师学习掌握，并应用于实际工作中，从而可以降低运动伤害对婴幼儿的影响，加快其康复进程，使婴幼儿尽早回归正常生活和运动中。
              </p>
            </div>
          </div>
          <p class="content td-0 mb-10 mt-30">
            <img class="img-15" src="../../assets/images/0027_02.jpg" alt="" />
          </p>
          <p class="content">
            软组织损伤　骨折　脑震荡　运动性腹痛　心肺复苏　运动性脱水
          </p>
          <p class="content td-0 mb-10 mt-30">
            <img class="img-15" src="../../assets/images/0028_01.jpg" alt="" />
          </p>
          <p class="content"><span class="bold">一、简单题</span></p>
          <p class="content">1．婴幼儿运动伤害的判断与处理流程是什么？</p>
          <textarea v-model="videoQuestionData.one" placeholder="请输入内容" rows="5" style="max-width: 100%; width: 90%"
            class="fz-16 fm-son ml-40 textarea-question" @change="saveVideoQuestionData"></textarea>
          <p class="content">2．急性运动伤害的PRICE原则是什么？</p>
          <textarea v-model="videoQuestionData.two" placeholder="请输入内容" rows="5" style="max-width: 100%; width: 90%"
            class="fz-16 fm-son ml-40 textarea-question" @change="saveVideoQuestionData"></textarea>
          <p class="content">3．外伤出血的处理方法是什么？</p>
          <textarea v-model="videoQuestionData.three" placeholder="请输入内容" rows="5" style="max-width: 100%; width: 90%"
            class="fz-16 fm-son ml-40 textarea-question" @change="saveVideoQuestionData"></textarea>
          <p class="content">4．骨折的处置流程是什么？</p>
          <textarea v-model="videoQuestionData.four" placeholder="请输入内容" rows="5" style="max-width: 100%; width: 90%"
            class="fz-16 fm-son ml-40 textarea-question" @change="saveVideoQuestionData"></textarea>
          <p class="content">5．心肺复苏的操作流程有哪些？</p>
          <textarea v-model="videoQuestionData.five" placeholder="请输入内容" rows="5" style="max-width: 100%; width: 90%"
            class="fz-16 fm-son ml-40 textarea-question" @change="saveVideoQuestionData"></textarea>
          <p class="content">6．牙外伤后的处理方法是什么？</p>
          <textarea v-model="videoQuestionData.six" placeholder="请输入内容 " rows="5" style="max-width: 100%; width: 90%"
            class="fz-16 fm-son ml-40 textarea-question" @change="saveVideoQuestionData"></textarea>
          <p class="content">7．运动性腹痛的处理方法是什么？</p>
          <textarea v-model="videoQuestionData.seven" placeholder="请输入内容" rows="5" style="max-width: 100%; width: 90%"
            class="fz-16 fm-son ml-40 textarea-question" @change="saveVideoQuestionData"></textarea>
          <p class="content">8．运动性休克的处理方法是什么？</p>
          <textarea v-model="videoQuestionData.eight" placeholder="请输入内容" rows="5" style="max-width: 100%; width: 90%"
            class="fz-16 fm-son ml-40 textarea-question" @change="saveVideoQuestionData"></textarea>
          <p class="content">9．运动性脱水的表现及预防方法是什么？</p>
          <textarea v-model="videoQuestionData.nine" placeholder="请输入内容" rows="5" style="max-width: 100%; width: 90%"
            class="fz-16 fm-son ml-40 textarea-question" @change="saveVideoQuestionData"></textarea>
          <p class="content"><span class="bold">二、实践与练习</span></p>
          <p class="content">
            三个人为一组，一人扮演患儿，两人扮演教师，练习踝关节扭伤后的急救处理和心肺复苏操作方法。
          </p>
          <p class="content td-0 mb-10 mt-30">
            <img class="img-15" src="../../assets/images/0028_02.jpg" alt="" />
          </p>
          <p class="content">
            王国祥、王虎主编：《体育运动伤害防护》，苏州，苏州大学出版社，2017。该书从运动损伤的发生机制、症状体征以及处理方法与措施等方面，对人体各部位常见运动损伤进行了详细介绍，着重介绍了头部、躯干和四肢主要关节部位的120多种急、慢性损伤，能满足进一步深入研究的需求。
          </p>
          <p class="dialogQuestion" @click="openQuestion(1)">
            <span class="td-0">【本节测试】</span>
            <span class="td-0">
              <svg t="1736157124915" class="icon" viewBox="0 0 1024 1024" version="1.1"
                xmlns="http://www.w3.org/2000/svg" p-id="2536" xmlns:xlink="http://www.w3.org/1999/xlink" width="28"
                height="28">
                <path
                  d="M798.72 76.8H947.2v145.92h51.2V25.6h-199.68zM947.2 798.72v145.92h-148.48v51.2H998.4v-197.12zM66.56 222.72V76.8h148.48V25.6H12.8v197.12zM215.04 944.64H66.56v-145.92H12.8v197.12h202.24z"
                  fill="#fff" p-id="2537"></path>
                <path
                  d="M826.88 522.24L512 207.36c0-2.56-2.56-2.56-7.68-2.56-2.56 0-5.12 0-7.68 2.56L184.32 524.8c-2.56 2.56-5.12 7.68-2.56 10.24 2.56 5.12 5.12 7.68 10.24 7.68h58.88V793.6c0 12.8 10.24 25.6 25.6 25.6 12.8 0 25.6-10.24 25.6-25.6V504.32c0-5.12-5.12-10.24-10.24-10.24h-2.56l217.6-220.16 220.16 222.72c-5.12 0-10.24 5.12-10.24 10.24V793.6c0 12.8 10.24 25.6 25.6 25.6 12.8 0 25.6-10.24 25.6-25.6v-250.88h51.2c5.12 0 10.24-5.12 10.24-10.24 2.56-5.12 0-7.68-2.56-10.24z"
                  fill="#fff" p-id="2538"></path>
                <path
                  d="M386.56 762.88h240.64c10.24 0 17.92 7.68 17.92 17.92 0 10.24-7.68 17.92-17.92 17.92h-240.64c-10.24 0-17.92-7.68-17.92-17.92 0-10.24 7.68-17.92 17.92-17.92z m0-69.12h240.64c10.24 0 17.92 7.68 17.92 17.92 0 10.24-7.68 17.92-17.92 17.92h-240.64c-10.24 0-17.92-7.68-17.92-17.92 0-10.24 7.68-17.92 17.92-17.92z m0-71.68h240.64c10.24 0 17.92 7.68 17.92 17.92 0 10.24-7.68 17.92-17.92 17.92h-240.64c-10.24 0-17.92-7.68-17.92-17.92 0-7.68 7.68-17.92 17.92-17.92zM514.56 535.04h-20.48c-5.12 0-7.68-2.56-7.68-7.68v-2.56c0-17.92 5.12-30.72 23.04-46.08 17.92-15.36 23.04-23.04 23.04-33.28s-7.68-20.48-20.48-20.48c-15.36 0-25.6 7.68-30.72 25.6 0 5.12-5.12 5.12-10.24 5.12l-25.6-5.12c-5.12 0-7.68-5.12-5.12-10.24 10.24-38.4 33.28-53.76 79.36-53.76 38.4 0 61.44 25.6 61.44 51.2 0 20.48-7.68 35.84-33.28 53.76-20.48 15.36-23.04 20.48-23.04 33.28-2.56 7.68-7.68 10.24-10.24 10.24zM481.28 588.8v-28.16c0-5.12 2.56-7.68 7.68-7.68h30.72c5.12 0 7.68 2.56 7.68 7.68V588.8c0 5.12-2.56 7.68-7.68 7.68h-30.72c-5.12 0-7.68-5.12-7.68-7.68z"
                  fill="#fff" p-id="2539"></path>
              </svg>
            </span>
          </p>
        </div>
      </div>
    </div>
    <dialogExaminations
      :isClear="dialogVisibleOne"
      :primaryColor="themeColor"
      :cardList="interfaceQuestion[questionNum]"
      v-if="interfaceQuestion"
      :chapter="2"
      :page="questionNum"
      :questionTitle="questionTitleMain"
      ref="dialogRef"
    >
    <dialogExaminations :isClear="dialogVisibleOne" :primaryColor="themeColor"
      :cardList="interfaceQuestion[questionNum]" v-if="interfaceQuestion" :chapter="2" :page="questionNum"
      :questionTitle="questionTitleMain" ref="dialogRef">
    </dialogExaminations>
  </div>
</template>

 src/books/toddlerSportsSafetyProtection/view/components/header.vue

@@ -16,7 +16,7 @@
      <div v-if="showPageList.indexOf(3) > -1">
        <div style="max-width: 400px; margin: 0 auto; padding: 10% 0">
          <hr />
          <p class="td-1 fm-hyzh fz-16">图书在版编目（CIP）数据</p>
          <p class="td-1 fm-hyzh fz-16">图书在版编目（CIP）数据132</p>
          <p class="left3 mr-0 td-1 fm-hyss fz-14">
            婴幼儿运动安全与保护/闫俊涛，张首文，孙璐主编.-北京:北京师范大学出版社，2022.1
          </p>

 src/books/toddlerSportsSafetyProtection/view/components/index.vue

@@ -3,39 +3,14 @@
    <div id="searchDomBox" style="display: none">
      <div id="searchContent"></div>
    </div>
    <div
      class="page-content"
      :style="{
        fontSize: fontSize + 'px',
        transform: `scale(${pageZoom})`,
        transformOrigin: 'center top',
      }"
    >
      <pageHeader
        v-if="showCatalogList.indexOf(1) > -1"
        :showPageList="loadPageList"
      ></pageHeader>
      <!-- <chapterOne
        v-if="showCatalogList.indexOf(2) > -1"
        :showPageList="loadPageList"
      ></chapterOne> -->
      <!-- <chapterTwo
          v-if="showCatalogList.indexOf(3) > -1"
          :showPageList="loadPageList"
        ></chapterTwo>
        <chapterThree
          v-if="showCatalogList.indexOf(4) > -1"
          :showPageList="loadPageList"
        ></chapterThree>
        <chapterFour
          v-if="showCatalogList.indexOf(5) > -1"
          :showPageList="loadPageList"
        ></chapterFour>-->
        <chapterFive
          v-if="showCatalogList.indexOf(2) > -1"
          :showPageList="loadPageList"
          :interfaceQuestion="questionDataMap"
        ></chapterFive> 
    <div class="page-content" :style="{
      fontSize: fontSize + 'px',
      transform: `scale(${pageZoom})`,
      transformOrigin: 'center top',
    }">
      <pageHeader v-if="showCatalogList.indexOf(1) > -1" :showPageList="loadPageList"></pageHeader>
      <chapterFive v-if="showCatalogList.indexOf(2) > -1" :showPageList="loadPageList"
        :interfaceQuestion="questionDataMap"></chapterFive>
    </div>
  </div>
</template>
@@ -186,9 +161,9 @@
    }, 500);

    // 测试页面跳转
    setTimeout(() => {
      this.gotoPage(2, 184);
    }, 500);
    // setTimeout(() => {
    //   this.gotoPage(2, 163);
    // }, 500);

    // const pageDom = (this.container ? this.container : document)
    //   .querySelector("#app")
@@ -464,8 +439,8 @@
          page && pageThemeColor && pageThemeColor[page]
            ? pageThemeColor[page]
            : chapterNum && chapterThemeColor && chapterThemeColor[chapterNum]
            ? chapterThemeColor[chapterNum]
            : bookThemeColor;
              ? chapterThemeColor[chapterNum]
              : bookThemeColor;
        if (themeColor) {
          domItem.style.color = themeColor;
        }
@@ -482,8 +457,8 @@
          page && pageThemeColor && pageThemeColor[page]
            ? pageThemeColor[page]
            : chapterNum && chapterThemeColor && chapterThemeColor[chapterNum]
            ? chapterThemeColor[chapterNum]
            : bookThemeColor;
              ? chapterThemeColor[chapterNum]
              : bookThemeColor;
        if (themeColor) {
          domItem.style.backgroundColor = themeColor;
        }
@@ -500,8 +475,8 @@
          page && pageThemeColor && pageThemeColor[page]
            ? pageThemeColor[page]
            : chapterNum && chapterThemeColor && chapterThemeColor[chapterNum]
            ? chapterThemeColor[chapterNum]
            : bookThemeColor;
              ? chapterThemeColor[chapterNum]
              : bookThemeColor;
        if (themeColor) {
          domItem.style.borderColor = themeColor;
        }
@@ -566,16 +541,15 @@
                    this.questionDataMap[page] = await getQuestionList(
                      page,
                      testData[catalog][page],
                      this.config.activeBook
                      this.config.ceShiActiveBook
                    );
                    debugger
                  } else {
                    const obj = {};
                    for (let key in testData[catalog][page]) {
                      obj[key] = await getQuestionList(
                        [],
                        testData[catalog][page][key],
                        this.config.activeBook
                        this.config.ceShiActiveBook
                      );
                    }
                    this.questionDataMap[page] = obj;
@@ -831,7 +805,7 @@
      // 记录高亮信息
      this.highlightData = data;
      // 跳转
      this.gotoPage(data.catalog, data.page, () => {});
      this.gotoPage(data.catalog, data.page, () => { });
    },
    // 页面向下滚动，音频小窗播放功能
    getAduio() {

 yarn.lock

@@ -1085,30 +1085,6 @@
  resolved "https://registry.npmmirror.com/@humanwhocodes/object-schema/-/object-schema-1.2.1.tgz"
  integrity sha512-ZnQMnLV4e7hDlUvw8H+U8ASL02SS2Gn6+9Ac3wGGLIe7+je2AeAOxPY+izIPJDfFDb7eDjev0Us8MO1iFRN8hA==

"@isaacs/balanced-match@^4.0.1":
  version "4.0.1"
  resolved "https://registry.npmmirror.com/@isaacs/balanced-match/-/balanced-match-4.0.1.tgz"
  integrity sha512-yzMTt9lEb8Gv7zRioUilSglI0c0smZ9k5D65677DLWLtWJaXIS3CqcGyUFByYKlnUj6TkjLVs54fBl6+TiGQDQ==

"@isaacs/brace-expansion@^5.0.0":
  version "5.0.0"
  resolved "https://registry.npmmirror.com/@isaacs/brace-expansion/-/brace-expansion-5.0.0.tgz"
  integrity sha512-ZT55BDLV0yv0RBm2czMiZ+SqCGO7AvmOM3G/w2xhVPH+te0aKgFjmBvGlL1dH+ql2tgGO3MVrbb3jCKyvpgnxA==
  dependencies:
    "@isaacs/balanced-match" "^4.0.1"

"@isaacs/cliui@^8.0.2":
  version "8.0.2"
  resolved "https://registry.npmmirror.com/@isaacs/cliui/-/cliui-8.0.2.tgz"
  integrity sha512-O8jcjabXaleOG9DQ0+ARXWZBTfnP4WNAqzuiJK7ll44AmxGKv/J2M4TPjxjY3znBCfvBXFzucm1twdyFybFqEA==
  dependencies:
    string-width "^5.1.2"
    string-width-cjs "npm:string-width@^4.2.0"
    strip-ansi "^7.0.1"
    strip-ansi-cjs "npm:strip-ansi@^6.0.1"
    wrap-ansi "^8.1.0"
    wrap-ansi-cjs "npm:wrap-ansi@^7.0.0"

"@jridgewell/gen-mapping@^0.3.5":
  version "0.3.5"
  resolved "https://registry.npmmirror.com/@jridgewell/gen-mapping/-/gen-mapping-0.3.5.tgz"
@@ -2068,11 +2044,6 @@
  resolved "https://registry.npmmirror.com/ansi-regex/-/ansi-regex-5.0.1.tgz"
  integrity sha512-quJQXlTSUGL2LH9SUXo8VwsY4soanhgo6LNSm84E1LBcE8s3O0wpdiRzyR9z/ZZJMlMWv37qOOb9pdJlMUEKFQ==

ansi-regex@^6.0.1:
  version "6.1.0"
  resolved "https://registry.npmmirror.com/ansi-regex/-/ansi-regex-6.1.0.tgz"
  integrity sha512-7HSX4QQb4CspciLpVFwyRe79O3xsIZDDLER21kERQ71oaPodF8jL725AgJMFAYbooIqolJoRLuM81SpeUkpkvA==

ansi-styles@^3.2.1:
  version "3.2.1"
  resolved "https://registry.npmmirror.com/ansi-styles/-/ansi-styles-3.2.1.tgz"
@@ -2093,11 +2064,6 @@
  integrity sha512-zbB9rCJAT1rbjiVDb2hqKFHNYLxgtk8NURxZ3IZwD3F6NtxbXZQCnnSi1Lkx+IDohdPlFp222wVALIheZJQSEg==
  dependencies:
    color-convert "^2.0.1"

ansi-styles@^6.1.0:
  version "6.2.1"
  resolved "https://registry.npmmirror.com/ansi-styles/-/ansi-styles-6.2.1.tgz"
  integrity sha512-bN798gFfQX+viw3R7yrGWRqnrN2oRkEkUjjl4JNn4E8GxxbjtG3FbrEIIY3l8/hrwUwIeCZvi4QuOTP4MErVug==

any-promise@^1.0.0:
  version "1.3.0"
@@ -2790,7 +2756,7 @@
    shebang-command "^1.2.0"
    which "^1.2.9"

cross-spawn@^7.0.2, cross-spawn@^7.0.3, cross-spawn@^7.0.6:
cross-spawn@^7.0.2, cross-spawn@^7.0.3:
  version "7.0.6"
  resolved "https://registry.npmmirror.com/cross-spawn/-/cross-spawn-7.0.6.tgz"
  integrity sha512-uV2QOWP2nWzsy2aMp8aRibhi9dlzF5Hgh5SHaB9OiTGEyDTiJJyx0uy51QXdyWbtAHNua4XJzUKca3OzKUd3vA==
@@ -3171,11 +3137,6 @@
  resolved "https://registry.npmmirror.com/duplexer/-/duplexer-0.1.2.tgz"
  integrity sha512-jtD6YG370ZCIi/9GTaJKQxWTZD045+4R4hTk/x1UyoqadyJ9x9CgSi1RlVDQF8U2sxLLSnFkCaMihqljHIWgMg==

eastasianwidth@^0.2.0:
  version "0.2.0"
  resolved "https://registry.npmmirror.com/eastasianwidth/-/eastasianwidth-0.2.0.tgz"
  integrity sha512-I88TYZWc9XiYHRQ4/3c5rjjfgkjhLyW2luGIheGERbNQ6OY7yTybanSpDXZa8y7VUP9YmDcYa+eyq4ca7iLqWA==

easy-stack@1.0.1:
  version "1.0.1"
  resolved "https://registry.npmmirror.com/easy-stack/-/easy-stack-1.0.1.tgz"
@@ -3207,11 +3168,6 @@
  version "8.0.0"
  resolved "https://registry.npmmirror.com/emoji-regex/-/emoji-regex-8.0.0.tgz"
  integrity sha512-MSjYzcWNOA0ewAHpz0MxpYFvwg6yjy1NG3xteoqz644VCo/RPgnr1/GGt+ic3iJTzQ8Eu3TdM14SawnVUmGE6A==

emoji-regex@^9.2.2:
  version "9.2.2"
  resolved "https://registry.npmmirror.com/emoji-regex/-/emoji-regex-9.2.2.tgz"
  integrity sha512-L18DaJsXSUk2+42pv8mLs5jJT2hqFkFE4j21wOmgbUqsZ2hL72NsUU785g9RXgo3s0ZNgVl42TiHp3ZtOv/Vyg==

emojis-list@^3.0.0:
  version "3.0.0"
@@ -3735,14 +3691,6 @@
  resolved "https://registry.npmmirror.com/follow-redirects/-/follow-redirects-1.15.6.tgz"
  integrity sha512-wWN62YITEaOpSK584EZXJafH1AGpO8RVgElfkuXbTOrPX4fIfOyEpW/CsiNd8JdYrAoOvafRTOEnvsO++qCqFA==

foreground-child@^3.3.1:
  version "3.3.1"
  resolved "https://registry.npmmirror.com/foreground-child/-/foreground-child-3.3.1.tgz"
  integrity sha512-gIXjKqtFuWEgzFRJA9WCQeSJLZDjgJUOMCMzxtvFq/37KojM1BFGufqsCy0r4qSQmYLsZYMeyRqzIWOMup03sw==
  dependencies:
    cross-spawn "^7.0.6"
    signal-exit "^4.0.1"

form-data@^4.0.0:
  version "4.0.0"
  resolved "https://registry.npmjs.org/form-data/-/form-data-4.0.0.tgz"
@@ -3882,18 +3830,6 @@
  version "0.4.1"
  resolved "https://registry.npmmirror.com/glob-to-regexp/-/glob-to-regexp-0.4.1.tgz"
  integrity sha512-lkX1HJXwyMcprw/5YUZc2s7DrpAiHB21/V+E1rHUrVNokkvB6bqMzT0VfV6/86ZNabt1k14YOIaT7nDvOX3Iiw==

glob@^11.0.0:
  version "11.0.3"
  resolved "https://registry.npmmirror.com/glob/-/glob-11.0.3.tgz"
  integrity sha512-2Nim7dha1KVkaiF4q6Dj+ngPPMdfvLJEOpZk/jKiUAkqKebpGAWQXAq9z1xu9HKu5lWfqw/FASuccEjyznjPaA==
  dependencies:
    foreground-child "^3.3.1"
    jackspeak "^4.1.1"
    minimatch "^10.0.3"
    minipass "^7.1.2"
    package-json-from-dist "^1.0.0"
    path-scurry "^2.0.0"

glob@^7.1.3:
  version "7.2.3"
@@ -4393,13 +4329,6 @@
  resolved "https://registry.npmmirror.com/isobject/-/isobject-3.0.1.tgz"
  integrity sha512-WhB9zCku7EGTj/HQQRz5aUQEUeoQZH2bWcltRErOpymJ4boYE6wL9Tbr23krRPSZ+C5zqNSrSw+Cc7sZZ4b7vg==

jackspeak@^4.1.1:
  version "4.1.1"
  resolved "https://registry.npmmirror.com/jackspeak/-/jackspeak-4.1.1.tgz"
  integrity sha512-zptv57P3GpL+O0I7VdMJNBZCu+BPHVQUk55Ft8/QCJjTVxrnJHuVuX/0Bl2A6/+2oyR/ZMEuFKwmzqqZ/U5nPQ==
  dependencies:
    "@isaacs/cliui" "^8.0.2"

javascript-stringify@^2.0.1:
  version "2.1.0"
  resolved "https://registry.npmmirror.com/javascript-stringify/-/javascript-stringify-2.1.0.tgz"
@@ -4717,11 +4646,6 @@
  dependencies:
    tslib "^2.0.3"

lru-cache@^11.0.0:
  version "11.1.0"
  resolved "https://registry.npmmirror.com/lru-cache/-/lru-cache-11.1.0.tgz"
  integrity sha512-QIXZUBJUx+2zHUdQujWejBkcD9+cs94tLn0+YL8UrCh+D5sCXZ4c7LaEH48pNwRY3MLDgqUFyhlCyjJPf1WP0A==

lru-cache@^4.0.1:
  version "4.1.5"
  resolved "https://registry.npmmirror.com/lru-cache/-/lru-cache-4.1.5.tgz"
@@ -4878,13 +4802,6 @@
  resolved "https://registry.npmmirror.com/minimalistic-assert/-/minimalistic-assert-1.0.1.tgz"
  integrity sha512-UtJcAD4yEaGtjPezWuO9wC4nwUnVH/8/Im3yEHQP4b67cXlD/Qr9hdITCU1xDbSEXg2XKNaP8jsReV7vQd00/A==

minimatch@^10.0.3:
  version "10.0.3"
  resolved "https://registry.npmmirror.com/minimatch/-/minimatch-10.0.3.tgz"
  integrity sha512-IPZ167aShDZZUMdRk66cyQAW3qr0WzbHkPdMYa8bzZhlHhO3jALbKdxcaak7W9FfT2rZNpQuUu4Od7ILEpXSaw==
  dependencies:
    "@isaacs/brace-expansion" "^5.0.0"

minimatch@^3.0.4, minimatch@^3.1.1:
  version "3.1.2"
  resolved "https://registry.npmmirror.com/minimatch/-/minimatch-3.1.2.tgz"
@@ -4908,11 +4825,6 @@
  version "5.0.0"
  resolved "https://registry.npmmirror.com/minipass/-/minipass-5.0.0.tgz"
  integrity sha512-3FnjYuehv9k6ovOEbyOswadCDPX1piCfhV8ncmYtHOjuPwylVWsghTLo7rabjC3Rx5xD4HDx8Wm1xnMF7S5qFQ==

minipass@^7.1.2:
  version "7.1.2"
  resolved "https://registry.npmmirror.com/minipass/-/minipass-7.1.2.tgz"
  integrity sha512-qOOzS1cBTWYF4BH8fVePDBOO9iptMnGUEZwNc/cMWnTV2nVLZ7VoNWEPHkYczZA0pdoA7dl6e7FL659nX9S2aw==

minizlib@^2.1.1:
  version "2.1.2"
@@ -5258,11 +5170,6 @@
  resolved "https://registry.npmmirror.com/p-try/-/p-try-2.2.0.tgz"
  integrity sha512-R4nPAVTAU0B9D35/Gk3uJf/7XYbQcyohSKdvAxIRSNghFl4e71hVoGnBNQz9cWaXxO2I10KTC+3jMdvvoKw6dQ==

package-json-from-dist@^1.0.0:
  version "1.0.1"
  resolved "https://registry.npmmirror.com/package-json-from-dist/-/package-json-from-dist-1.0.1.tgz"
  integrity sha512-UEZIS3/by4OC8vL3P2dTXRETpebLI2NiI5vIrjaD/5UtrkFX/tNbwjTSRAGC/+7CAo2pIcBaRgWmcBBHcsaCIw==

param-case@^3.0.4:
  version "3.0.4"
  resolved "https://registry.npmmirror.com/param-case/-/param-case-3.0.4.tgz"
@@ -5357,14 +5264,6 @@
  version "1.0.7"
  resolved "https://registry.npmmirror.com/path-parse/-/path-parse-1.0.7.tgz"
  integrity sha512-LDJzPVEEEPR+y48z93A0Ed0yXb8pAByGWo/k5YYdYgpY2/2EsOsksJrq7lOHxryrVOn1ejG6oAp8ahvOIQD8sw==

path-scurry@^2.0.0:
  version "2.0.0"
  resolved "https://registry.npmmirror.com/path-scurry/-/path-scurry-2.0.0.tgz"
  integrity sha512-ypGJsmGtdXUOeM5u93TyeIEfEhM6s+ljAhrk5vAvSx8uyY/02OvrZnA0YNGUrPXfpJMgI1ODd3nwz8Npx4O4cg==
  dependencies:
    lru-cache "^11.0.0"
    minipass "^7.1.2"

path-to-regexp@0.1.7:
  version "0.1.7"
@@ -5987,14 +5886,6 @@
  dependencies:
    glob "^7.1.3"

rimraf@^6.0.1:
  version "6.0.1"
  resolved "https://registry.npmmirror.com/rimraf/-/rimraf-6.0.1.tgz"
  integrity sha512-9dkvaxAsk/xNXSJzMgFqqMCuFgt2+KsOFek3TMLfo8NCPfWpBmqwyNn5Y+NX56QUYfCtsyhF3ayiboEoUmJk/A==
  dependencies:
    glob "^11.0.0"
    package-json-from-dist "^1.0.0"

run-parallel@^1.1.9:
  version "1.2.0"
  resolved "https://registry.npmmirror.com/run-parallel/-/run-parallel-1.2.0.tgz"
@@ -6266,11 +6157,6 @@
  resolved "https://registry.npmmirror.com/signal-exit/-/signal-exit-3.0.7.tgz"
  integrity sha512-wnD2ZE+l+SPC/uoS0vXeE9L1+0wuaMqKlfz9AMUo38JsyLSBWSFcHR1Rri62LZc12vLr1gb3jl7iwQhgwpAbGQ==

signal-exit@^4.0.1:
  version "4.1.0"
  resolved "https://registry.npmmirror.com/signal-exit/-/signal-exit-4.1.0.tgz"
  integrity sha512-bzyZ1e88w9O1iNJbKnOlvYTrWPDl46O1bG0D3XInv+9tkPrxrN8jUUTiFlDkkmKWgn1M6CfIA13SuGqOa9Korw==

simple-concat@^1.0.0:
  version "1.0.1"
  resolved "https://registry.npmmirror.com/simple-concat/-/simple-concat-1.0.1.tgz"
@@ -6445,15 +6331,6 @@
  dependencies:
    safe-buffer "~5.1.0"

"string-width-cjs@npm:string-width@^4.2.0":
  version "4.2.3"
  resolved "https://registry.npmmirror.com/string-width/-/string-width-4.2.3.tgz"
  integrity sha512-wKyQRQpjJ0sIp62ErSZdGsjMJWsap5oRNihHhu6G7JVO/9jIB6UyevL+tXuOqrng8j/cxKTWyWUwvSTriiZz/g==
  dependencies:
    emoji-regex "^8.0.0"
    is-fullwidth-code-point "^3.0.0"
    strip-ansi "^6.0.1"

"string-width@^1.0.2 || 2 || 3 || 4", string-width@^4.1.0, string-width@^4.2.0, string-width@^4.2.3:
  version "4.2.3"
  resolved "https://registry.npmmirror.com/string-width/-/string-width-4.2.3.tgz"
@@ -6471,22 +6348,6 @@
    is-fullwidth-code-point "^2.0.0"
    strip-ansi "^4.0.0"

string-width@^5.0.1, string-width@^5.1.2:
  version "5.1.2"
  resolved "https://registry.npmmirror.com/string-width/-/string-width-5.1.2.tgz"
  integrity sha512-HnLOCR3vjcY8beoNLtcjZ5/nxn2afmME6lhrDrebokqMap+XbeW8n9TXpPDOqdGK5qcI3oT0GKTW6wC7EMiVqA==
  dependencies:
    eastasianwidth "^0.2.0"
    emoji-regex "^9.2.2"
    strip-ansi "^7.0.1"

"strip-ansi-cjs@npm:strip-ansi@^6.0.1":
  version "6.0.1"
  resolved "https://registry.npmmirror.com/strip-ansi/-/strip-ansi-6.0.1.tgz"
  integrity sha512-Y38VPSHcqkFrCpFnQ9vuSXmquuv5oXOKpGeT6aGrr3o3Gc9AlVa6JBfUSOCnbxGGZF+/0ooI7KrPuUSztUdU5A==
  dependencies:
    ansi-regex "^5.0.1"

strip-ansi@^4.0.0:
  version "4.0.0"
  resolved "https://registry.npmmirror.com/strip-ansi/-/strip-ansi-4.0.0.tgz"
@@ -6500,13 +6361,6 @@
  integrity sha512-Y38VPSHcqkFrCpFnQ9vuSXmquuv5oXOKpGeT6aGrr3o3Gc9AlVa6JBfUSOCnbxGGZF+/0ooI7KrPuUSztUdU5A==
  dependencies:
    ansi-regex "^5.0.1"

strip-ansi@^7.0.1:
  version "7.1.0"
  resolved "https://registry.npmmirror.com/strip-ansi/-/strip-ansi-7.1.0.tgz"
  integrity sha512-iq6eVVI64nQQTRYq2KtEg2d2uU7LElhTJwsH4YzIHZshxlgZms/wIc4VoDQTlG/IvVIrBKG06CrZnp0qv7hkcQ==
  dependencies:
    ansi-regex "^6.0.1"

strip-eof@^1.0.0:
  version "1.0.0"
@@ -7202,15 +7056,6 @@
  resolved "https://registry.npmmirror.com/wildcard/-/wildcard-2.0.1.tgz"
  integrity sha512-CC1bOL87PIWSBhDcTrdeLo6eGT7mCFtrg0uIJtqJUFyK+eJnzl8A1niH56uu7KMa5XFrtiV+AQuHO3n7DsHnLQ==

"wrap-ansi-cjs@npm:wrap-ansi@^7.0.0":
  version "7.0.0"
  resolved "https://registry.npmmirror.com/wrap-ansi/-/wrap-ansi-7.0.0.tgz"
  integrity sha512-YVGIj2kamLSTxw6NsZjoBxfSwsn0ycdesmc4p+Q21c5zPuZ1pl+NfxVdxPtdHvmNVOQ6XSYG4AUtyt/Fi7D16Q==
  dependencies:
    ansi-styles "^4.0.0"
    string-width "^4.1.0"
    strip-ansi "^6.0.0"

wrap-ansi@^3.0.1:
  version "3.0.1"
  resolved "https://registry.npmmirror.com/wrap-ansi/-/wrap-ansi-3.0.1.tgz"
@@ -7227,15 +7072,6 @@
    ansi-styles "^4.0.0"
    string-width "^4.1.0"
    strip-ansi "^6.0.0"

wrap-ansi@^8.1.0:
  version "8.1.0"
  resolved "https://registry.npmmirror.com/wrap-ansi/-/wrap-ansi-8.1.0.tgz"
  integrity sha512-si7QWI6zUMq56bESFvagtmzMdGOtoxfR+Sez11Mobfc7tm+VkUckk9bW2UeffTGVUbOksxmSw0AA2gs8g71NCQ==
  dependencies:
    ansi-styles "^6.1.0"
    string-width "^5.0.1"
    strip-ansi "^7.0.1"

wrappy@1:
  version "1.0.2"