揭秘!巴西医生是如何证实小头症的元凶是寨卡病毒?

2016-02-07 MedSci MedSci原创

据Medscape近日报道,首例小头症的超声扫描影像是恐怖的。在巴西,小头症患儿脑发育迟缓。颅内室扩大,呈畸形,其他的一些重要结构也发生了改变。Source: Courtesy of Adriana Melo, MD最令巴西大坎皮纳产科医生和胎儿医学专家Adriana Melo费解的是,患儿脑组织中出现了星罗棋布的亮点——钙化。“自从首次检查以来,当我开始看到这一奇特影像时,我认为它是非比寻常的,

据Medscape近日报道,首例小头症的超声扫描影像是恐怖的。

在巴西,小头症患儿脑发育迟缓。颅内室扩大,呈畸形,其他的一些重要结构也发生了改变。



Source: Courtesy of Adriana Melo, MD

最令巴西大坎皮纳产科医生和胎儿医学专家Adriana Melo费解的是,患儿脑组织中出现了星罗棋布的亮点——钙化。

“自从首次检查以来,当我开始看到这一奇特影像时,我认为它是非比寻常的,这在巴西也很新奇,”Melo称。

她表示,颅内室扩大常意味着存在遗传问题,但钙化则提示存在感染。这一现象令她困惑不已。

往年,在巴西的一个医生可能只能见到一两例这样的孕妇,但到去年10月,Melo听说罹患此症的婴儿就超过了60例。

种下恐惧的种子。

起初有谣言称是疫苗导致的小头症,并有人开始相信这一谣言。但Melo医生认为另有其因,并急于寻找答案。

“我们不能在这里干坐着,”她说,“我知道我看到了一些非比寻常的东西,一些我们此前未曾见过的新的东西。”

她的首例患者是一位34岁的头次怀孕的母亲。Melo自该孕妇怀孕起就是她的产科医生。该名孕妇没有小头症的风险因素,她不吸烟,不喝酒,不吸毒,也不存在相关家族遗传史。

但她在孕8周时出现了皮疹、关节痛症状,后来症状消退,她似乎也完全康复了过来。

没有人怀疑寨卡病毒。

“登革热在我们这里已持续了数年,只是我们还没有那么担心这一病毒,我们认为这次也是一样的,”Melo 称。

寨卡病毒感染看起来并不严重,约有80%的感染者甚至都不知晓自己染病。症状轻微的患者也能很快康复,如出现皮疹、关节痛、发热、红眼等症状。

Melo说,去年7月在坎皮纳她首次听说了寨卡病毒感染。她和其他的医生耸耸肩,这在热带气候并不意外。

当她试图弄清为何会有如此之多的孕妇同时“遭殃”时,她想起她的患者也出现了皮疹和关节痛症状,难道是寨卡病毒?

Melo尽可能多地阅读了些寨卡病毒相关资料。她了解到这是一种嗜神经组织的病毒,这意味着它喜欢感染神经系统。她还发现有2例报告显示,在母亲实验感染和寨卡同一家族的病毒后,胚胎牛和胚胎羊脑中也出现了同样的损伤。

Melo知道将会发生一些事情。

11月10日,她用一根长针从她的2例患者苍白的羊水中抽取了样本,这些孕妇的胎儿显示存在小头症征兆。然后,送去进行分析。

周四,她有幸参加了一个在圣保罗举行的有关胎儿大脑发育的医学会议。圣保罗离坎皮纳南部约有1600英里。

她带上了患者病历记录和她的超声扫描片子。

在那里,她遇到了以色列特拉维夫Sourasky医学中心产科超声中心主任Gustavo Malinger。她知道,Malinger医生是世界上最伟大的胎儿大脑专家之一。

他很感兴趣,但同时也表示怀疑。

“他认为小头症根本不可能是病毒所致,”她说。“但我坚信我们看到了一种影像,这种影像令他印像深刻。”

他问她是否可以把患者带来,以便他对患者进行反复的扫描检查。她告诉他不可能,因为患者居住的地方离北部有数千英里。

但她知道这是证据关键所在。她离开Malinger后立即向巴西卫生部发出请求,说服他们支付患者次日抵达圣保罗的机票。

在发现有一家私人医院允许进行超声和磁共振检查后,Malinger说,“我在圣保罗实施了检查,” 

“结果很令人吃惊,”他说。“脑部结构大部分已被破坏,眼睛也受损。”他说,他们没有希望。

Malinger 于11月14日做了检查。在第二周的周一,Melo取回了她的实验室检查结果。结果显示,胎儿羊水周围存在大量寨卡病毒。

“周一,当我把结果递给他后,他是真吃惊了。”Melo说。“我们能在羊水中检测到寨卡病毒,这在世界上还是首次。而且我们已经证明这种病毒如何‘咄咄逼人’。”

两人随后在《妇产科超声》(Ultrasound in Obstetrics and Gynecology)杂志上发表了他们的这一新发现《医师警戒》(Physician Alert)。


原始出处:

Oliveira Melo AS, Malinger G, Ximenes R, Szejnfeld PO, Alves Sampaio S, Bispo de Filippis AM.Zika virus intrauterine infection causes fetal brain abnormality and microcephaly: tip of the iceberg? Ultrasound Obstet Gynecol. 2016 Jan;47(1):6-7.


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    2016-02-22 alpha0919

    这是中国医生要学习的,不要只知道报哪里钙化,还要知道为什么!

    0

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    2016-02-12 1de3b290m83(暂无匿称)

    追求真理

    0

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  5. [GetPortalCommentsPageByObjectIdResponse(id=1694737, encodeId=c1ce1694e37dd, content=<a href='/topic/show?id=f80c4e003e1' target=_blank style='color:#2F92EE;'>#小头症#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=47003, encryptionId=f80c4e003e1, topicName=小头症)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7a1229733121, createdName=nian.wang1992, createdTime=Mon Sep 12 19:23:00 CST 2016, time=2016-09-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=65156, encodeId=901d6515625, content=这是中国医生要学习的,不要只知道报哪里钙化,还要知道为什么!, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cae11682556, createdName=alpha0919, createdTime=Mon Feb 22 10:06:00 CST 2016, time=2016-02-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=64095, encodeId=37286409571, content=追求真理, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTK29w9r0upRgxUXHNhe7bd3VxHnhBSpibMbKOjtX92zXr78SkuZfUNuADrjHiaw6uibZaEYjh9cJLzew/132, createdBy=261e1682638, createdName=1de3b290m83(暂无匿称), createdTime=Fri Feb 12 23:15:00 CST 2016, time=2016-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1359967, encodeId=2571135996e3d, content=<a href='/topic/show?id=6783466083f' target=_blank style='color:#2F92EE;'>#寨卡病毒#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46608, encryptionId=6783466083f, topicName=寨卡病毒)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Tue Feb 09 10:23:00 CST 2016, time=2016-02-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1512777, encodeId=9e831512e77f7, content=<a href='/topic/show?id=f0364660360' target=_blank style='color:#2F92EE;'>#寨卡#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46603, encryptionId=f0364660360, topicName=寨卡)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d79610514526, createdName=12498710m14暂无昵称, createdTime=Tue Feb 09 10:23:00 CST 2016, time=2016-02-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1580815, encodeId=0a891580815cd, content=<a href='/topic/show?id=cc274831170' target=_blank style='color:#2F92EE;'>#巴西#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=48311, encryptionId=cc274831170, topicName=巴西)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=81dd16663079, createdName=ms9833124466084992, createdTime=Tue Feb 09 10:23:00 CST 2016, time=2016-02-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63736, encodeId=7ed263e36a1, content=有什么, beContent=null, objectType=article, channel=null, level=null, likeNumber=127, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJXCR8W80NNgQuicJU3aIm3JtiaNAFLYSMlBuVfGkSlw5Z5VpmZK4PyiaDURLAorhvwhWVnaM1gQdJXA/132, createdBy=a01444383, createdName=lixh1719, createdTime=Mon Feb 08 20:24:00 CST 2016, time=2016-02-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63713, encodeId=fdad63e13e0, content=孕妇最要小心!, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a5105539, createdName=lovetcm, createdTime=Mon Feb 08 14:43:00 CST 2016, time=2016-02-08, status=1, ipAttribution=)]
  6. [GetPortalCommentsPageByObjectIdResponse(id=1694737, encodeId=c1ce1694e37dd, content=<a href='/topic/show?id=f80c4e003e1' target=_blank style='color:#2F92EE;'>#小头症#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=47003, encryptionId=f80c4e003e1, topicName=小头症)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7a1229733121, createdName=nian.wang1992, createdTime=Mon Sep 12 19:23:00 CST 2016, time=2016-09-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=65156, encodeId=901d6515625, content=这是中国医生要学习的,不要只知道报哪里钙化,还要知道为什么!, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cae11682556, createdName=alpha0919, createdTime=Mon Feb 22 10:06:00 CST 2016, time=2016-02-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=64095, encodeId=37286409571, content=追求真理, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTK29w9r0upRgxUXHNhe7bd3VxHnhBSpibMbKOjtX92zXr78SkuZfUNuADrjHiaw6uibZaEYjh9cJLzew/132, createdBy=261e1682638, createdName=1de3b290m83(暂无匿称), createdTime=Fri Feb 12 23:15:00 CST 2016, time=2016-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1359967, encodeId=2571135996e3d, content=<a href='/topic/show?id=6783466083f' target=_blank style='color:#2F92EE;'>#寨卡病毒#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46608, encryptionId=6783466083f, topicName=寨卡病毒)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Tue Feb 09 10:23:00 CST 2016, time=2016-02-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1512777, encodeId=9e831512e77f7, content=<a href='/topic/show?id=f0364660360' target=_blank style='color:#2F92EE;'>#寨卡#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46603, encryptionId=f0364660360, topicName=寨卡)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d79610514526, createdName=12498710m14暂无昵称, createdTime=Tue Feb 09 10:23:00 CST 2016, time=2016-02-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1580815, encodeId=0a891580815cd, content=<a href='/topic/show?id=cc274831170' target=_blank style='color:#2F92EE;'>#巴西#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=48311, encryptionId=cc274831170, topicName=巴西)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=81dd16663079, createdName=ms9833124466084992, createdTime=Tue Feb 09 10:23:00 CST 2016, time=2016-02-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63736, encodeId=7ed263e36a1, content=有什么, beContent=null, objectType=article, channel=null, level=null, likeNumber=127, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJXCR8W80NNgQuicJU3aIm3JtiaNAFLYSMlBuVfGkSlw5Z5VpmZK4PyiaDURLAorhvwhWVnaM1gQdJXA/132, createdBy=a01444383, createdName=lixh1719, createdTime=Mon Feb 08 20:24:00 CST 2016, time=2016-02-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63713, encodeId=fdad63e13e0, content=孕妇最要小心!, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a5105539, createdName=lovetcm, createdTime=Mon Feb 08 14:43:00 CST 2016, time=2016-02-08, status=1, ipAttribution=)]
  7. [GetPortalCommentsPageByObjectIdResponse(id=1694737, encodeId=c1ce1694e37dd, content=<a href='/topic/show?id=f80c4e003e1' target=_blank style='color:#2F92EE;'>#小头症#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=47003, encryptionId=f80c4e003e1, topicName=小头症)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7a1229733121, createdName=nian.wang1992, createdTime=Mon Sep 12 19:23:00 CST 2016, time=2016-09-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=65156, encodeId=901d6515625, content=这是中国医生要学习的,不要只知道报哪里钙化,还要知道为什么!, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cae11682556, createdName=alpha0919, createdTime=Mon Feb 22 10:06:00 CST 2016, time=2016-02-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=64095, encodeId=37286409571, content=追求真理, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTK29w9r0upRgxUXHNhe7bd3VxHnhBSpibMbKOjtX92zXr78SkuZfUNuADrjHiaw6uibZaEYjh9cJLzew/132, createdBy=261e1682638, createdName=1de3b290m83(暂无匿称), createdTime=Fri Feb 12 23:15:00 CST 2016, time=2016-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1359967, encodeId=2571135996e3d, content=<a href='/topic/show?id=6783466083f' target=_blank style='color:#2F92EE;'>#寨卡病毒#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46608, encryptionId=6783466083f, topicName=寨卡病毒)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Tue Feb 09 10:23:00 CST 2016, time=2016-02-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1512777, encodeId=9e831512e77f7, content=<a href='/topic/show?id=f0364660360' target=_blank style='color:#2F92EE;'>#寨卡#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46603, encryptionId=f0364660360, topicName=寨卡)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d79610514526, createdName=12498710m14暂无昵称, createdTime=Tue Feb 09 10:23:00 CST 2016, time=2016-02-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1580815, encodeId=0a891580815cd, content=<a href='/topic/show?id=cc274831170' target=_blank style='color:#2F92EE;'>#巴西#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=48311, encryptionId=cc274831170, topicName=巴西)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=81dd16663079, createdName=ms9833124466084992, createdTime=Tue Feb 09 10:23:00 CST 2016, time=2016-02-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63736, encodeId=7ed263e36a1, content=有什么, beContent=null, objectType=article, channel=null, level=null, likeNumber=127, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJXCR8W80NNgQuicJU3aIm3JtiaNAFLYSMlBuVfGkSlw5Z5VpmZK4PyiaDURLAorhvwhWVnaM1gQdJXA/132, createdBy=a01444383, createdName=lixh1719, createdTime=Mon Feb 08 20:24:00 CST 2016, time=2016-02-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63713, encodeId=fdad63e13e0, content=孕妇最要小心!, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a5105539, createdName=lovetcm, createdTime=Mon Feb 08 14:43:00 CST 2016, time=2016-02-08, status=1, ipAttribution=)]
    2016-02-08 lixh1719

    有什么

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1694737, encodeId=c1ce1694e37dd, content=<a href='/topic/show?id=f80c4e003e1' target=_blank style='color:#2F92EE;'>#小头症#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=47003, encryptionId=f80c4e003e1, topicName=小头症)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7a1229733121, createdName=nian.wang1992, createdTime=Mon Sep 12 19:23:00 CST 2016, time=2016-09-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=65156, encodeId=901d6515625, content=这是中国医生要学习的,不要只知道报哪里钙化,还要知道为什么!, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cae11682556, createdName=alpha0919, createdTime=Mon Feb 22 10:06:00 CST 2016, time=2016-02-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=64095, encodeId=37286409571, content=追求真理, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTK29w9r0upRgxUXHNhe7bd3VxHnhBSpibMbKOjtX92zXr78SkuZfUNuADrjHiaw6uibZaEYjh9cJLzew/132, createdBy=261e1682638, createdName=1de3b290m83(暂无匿称), createdTime=Fri Feb 12 23:15:00 CST 2016, time=2016-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1359967, encodeId=2571135996e3d, content=<a href='/topic/show?id=6783466083f' target=_blank style='color:#2F92EE;'>#寨卡病毒#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46608, encryptionId=6783466083f, topicName=寨卡病毒)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Tue Feb 09 10:23:00 CST 2016, time=2016-02-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1512777, encodeId=9e831512e77f7, content=<a href='/topic/show?id=f0364660360' target=_blank style='color:#2F92EE;'>#寨卡#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46603, encryptionId=f0364660360, topicName=寨卡)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d79610514526, createdName=12498710m14暂无昵称, createdTime=Tue Feb 09 10:23:00 CST 2016, time=2016-02-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1580815, encodeId=0a891580815cd, content=<a href='/topic/show?id=cc274831170' target=_blank style='color:#2F92EE;'>#巴西#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=48311, encryptionId=cc274831170, topicName=巴西)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=81dd16663079, createdName=ms9833124466084992, createdTime=Tue Feb 09 10:23:00 CST 2016, time=2016-02-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63736, encodeId=7ed263e36a1, content=有什么, beContent=null, objectType=article, channel=null, level=null, likeNumber=127, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJXCR8W80NNgQuicJU3aIm3JtiaNAFLYSMlBuVfGkSlw5Z5VpmZK4PyiaDURLAorhvwhWVnaM1gQdJXA/132, createdBy=a01444383, createdName=lixh1719, createdTime=Mon Feb 08 20:24:00 CST 2016, time=2016-02-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63713, encodeId=fdad63e13e0, content=孕妇最要小心!, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a5105539, createdName=lovetcm, createdTime=Mon Feb 08 14:43:00 CST 2016, time=2016-02-08, status=1, ipAttribution=)]
    2016-02-08 lovetcm

    孕妇最要小心!

    0

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