{"text": "# [妊娠期] 专著清洗\n【来源】6a4d8690-856c-4ee9-a892-3a76fc6ce38d_sample_pregnancy.txt\n【人群】妊娠期/哺乳期\n【job_id】6a4d8690-856c-4ee9-a892-3a76fc6ce38d\n【引擎】llm\n【正文】", "metadata": {"source": "6a4d8690-856c-4ee9-a892-3a76fc6ce38d_sample_pregnancy.txt", "人群": "妊娠期/哺乳期", "书型": "专著", "section_title": "[妊娠期] 专著清洗", "profile": "pregnancy_monograph", "job_id": "6a4d8690-856c-4ee9-a892-3a76fc6ce38d", "关键词": ["妊娠期/哺乳期", "[妊娠期] 专著清洗"], "chunk_id": "mono-web::4e669b22fccf", "engine": "monograph_chunker_v1"}, "chunk_role": "section", "unit_id": "S1", "continued": false}
{"text": "# 第9章 妊娠人群的药物处置\n\n妊娠期间会发生吸收、分布、代谢与肾排泄等多方面药代动力学变化。制定用药方案时必须充分考虑胎儿风险与母体治疗需求。", "metadata": {"source": "6a4d8690-856c-4ee9-a892-3a76fc6ce38d_sample_pregnancy.txt", "人群": "妊娠期/哺乳期", "书型": "专著", "section_title": "第9章 妊娠人群的药物处置", "profile": "pregnancy_monograph", "job_id": "6a4d8690-856c-4ee9-a892-3a76fc6ce38d", "关键词": ["妊娠期/哺乳期", "第9章 妊娠人群的药物处置"], "chunk_id": "mono-web::77bd77d2b8d4", "engine": "monograph_chunker_v1"}, "chunk_role": "section", "unit_id": "S2", "continued": false}
{"text": "## 第一节 生理变化与给药\n\n妊娠期血容量增加，肾小球滤过率上升，部分药物清除加快。脂溶性药物更易透过胎盘，需警惕长期蓄积。", "metadata": {"source": "6a4d8690-856c-4ee9-a892-3a76fc6ce38d_sample_pregnancy.txt", "人群": "妊娠期/哺乳期", "书型": "专著", "section_title": "第一节 生理变化与给药", "profile": "pregnancy_monograph", "job_id": "6a4d8690-856c-4ee9-a892-3a76fc6ce38d", "关键词": ["妊娠期/哺乳期", "第一节 生理变化与给药"], "chunk_id": "mono-web::27529c240563", "engine": "monograph_chunker_v1"}, "chunk_role": "section", "unit_id": "S3", "continued": false}
{"text": "## 第二节 风险分级与沟通\n\n用药前应向孕妇说明已知证据等级、可选替代方案与监测要点。能局部给药者优先局部；能推迟者不在孕早期冒险全身用药。", "metadata": {"source": "6a4d8690-856c-4ee9-a892-3a76fc6ce38d_sample_pregnancy.txt", "人群": "妊娠期/哺乳期", "书型": "专著", "section_title": "第二节 风险分级与沟通", "profile": "pregnancy_monograph", "job_id": "6a4d8690-856c-4ee9-a892-3a76fc6ce38d", "关键词": ["妊娠期/哺乳期", "第二节 风险分级与沟通"], "chunk_id": "mono-web::7be7222f9d9f", "engine": "monograph_chunker_v1"}, "chunk_role": "section", "unit_id": "S4", "continued": false}
{"text": "## 第三节 常见场景示例\n\n抗组胺药中，部分第一代药物嗜睡明显，驾驶与高空作业需特别提醒。任何处方都应记录适应证、剂量、疗程与随访计划。", "metadata": {"source": "6a4d8690-856c-4ee9-a892-3a76fc6ce38d_sample_pregnancy.txt", "人群": "妊娠期/哺乳期", "书型": "专著", "section_title": "第三节 常见场景示例", "profile": "pregnancy_monograph", "job_id": "6a4d8690-856c-4ee9-a892-3a76fc6ce38d", "关键词": ["妊娠期/哺乳期", "第三节 常见场景示例"], "chunk_id": "mono-web::f993ca5f7bdb", "engine": "monograph_chunker_v1"}, "chunk_role": "section", "unit_id": "S5", "continued": false}