问答丨10天3位青年医生过世,“过劳”如何将人推向绝境?

2019-07-11 许珈 澎湃新闻

据媒体报道,在过去的10天里,接连有3位优秀的青年医生过世,原因都和心脏有关。“过劳死”这个话题再一次刷屏。“过劳”是如何影响健康,将人一步步推向绝境?上海交通大学医学院附属仁济医院南院老年科主任医师刘建平解释,过劳死大部分都是猝死。在医学上,猝死是指貌似健康的人或疾病经治疗后病情已经稳定的患者,在很短时间内发生意想不到的非创伤性死亡。世界卫生组织规定:发病后6小时内死亡者为猝死,多数学者主张为1

据媒体报道,在过去的10天里,接连有3位优秀的青年医生过世,原因都和心脏有关。“过劳死”这个话题再一次刷屏。“过劳”是如何影响健康,将人一步步推向绝境?

上海交通大学医学院附属仁济医院南院老年科主任医师刘建平解释,过劳死大部分都是猝死。在医学上,猝死是指貌似健康的人或疾病经治疗后病情已经稳定的患者,在很短时间内发生意想不到的非创伤性死亡。世界卫生组织规定:发病后6小时内死亡者为猝死,多数学者主张为1小时。

这种出人意料的自然死亡,似乎更倾向男性以及年轻人。从年龄上来看,18-39岁的青年占43%;40-59岁中年占39%;60-80岁老年占17%,男女比例则为4.3:1

猝死可以有很多原因造成,心血管系统疾病占百分之六十左右,这也是为何很多猝死最终都是因为心梗。此外,呼吸系统疾病,神经系统疾病,消化系统疾病、内分泌系统疾病、过敏性休克、毒品和药品过量等可能引起悲剧。

刘建平主任医师告诉记者,不同的人在不同的环境引发猝死的原因都不同。比如,久坐不动引发猝死可能是因为肺栓塞;跑马拉松时发生的猝死大多因为恶性心律失常。年轻人过劳死主要病因还是心脑血管疾病引起的可能性大。

“现在急性心肌梗死年轻化,我们临床上遇到二十多岁、三十多岁急性心肌梗死,还有是先天性脑动脉瘤破裂猝死。”刘建平主任医师表示,过劳还会导致交感神经兴奋,诱发动脉斑块破裂导致急性心肌梗死或诱发动脉瘤破裂,都会导致猝死。

直到现在,猝死的预防都是难题,但的确有些猝死是可以通过改变自己的生活习惯做好相应的预防措施。

比如,体检发现冠心病的危险因素并控制这些危险因素,如高血压、高血脂、高血糖、高尿酸、高同型半胱氨酸、吸烟等等;做头颅MRA检查时,若发现脑动脉瘤应及时治疗。

需要强调的是,急性心肌梗死的年轻患者如果早期送到医院,以目前的急诊介入治疗水平,虽不能百分百保证都能抢救过来,但尽早尽快送医的确能让大多数人得到较好的救治。刘建平主任医师提醒,先天性脑动脉瘤破裂死亡率极高,及时送医抢救是唯一办法。

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    2019-09-09 qilu_qi
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    2020-03-14 jyzxjiangqin

    过劳死的影响。

    0

  4. 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createdBy=371f26156655, createdName=huhuaidong396, createdTime=Sat Oct 19 13:55:00 CST 2019, time=2019-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=380465, encodeId=16cb38046500, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Sat Mar 14 18:28:01 CST 2020, time=2020-03-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=380033, encodeId=995838003350, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Tue Mar 03 17:58:21 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=378961, encodeId=01063e896182, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Thu Feb 06 17:56:22 CST 2020, time=2020-02-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=378561, encodeId=f9d43e8561d7, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Mon Jan 27 18:56:20 CST 2020, time=2020-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=378179, encodeId=a6d53e817991, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Wed Jan 15 18:54:23 CST 2020, time=2020-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=377744, encodeId=56413e7744be, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Fri Jan 03 20:14:04 CST 2020, time=2020-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=377210, encodeId=acec3e72108e, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=15, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Fri Dec 20 19:08:15 CST 2019, time=2019-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=376706, encodeId=39163e670679, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Sun Dec 08 19:34:40 CST 2019, time=2019-12-08, status=1, ipAttribution=)]
    2020-03-03 jyzxjiangqin

    过劳死的影响。

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1654170, encodeId=10bd16541e018, content=<a href='/topic/show?id=fb1c93983c3' target=_blank style='color:#2F92EE;'>#过劳#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93983, encryptionId=fb1c93983c3, topicName=过劳)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=33cb24457942, createdName=qilu_qi, createdTime=Mon Sep 09 18:55:00 CST 2019, time=2019-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1667639, encodeId=9459166e6396f, content=<a href='/topic/show?id=b1719899890' target=_blank style='color:#2F92EE;'>#青年医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98998, encryptionId=b1719899890, topicName=青年医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=371f26156655, createdName=huhuaidong396, createdTime=Sat Oct 19 13:55:00 CST 2019, time=2019-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=380465, encodeId=16cb38046500, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Sat Mar 14 18:28:01 CST 2020, time=2020-03-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=380033, encodeId=995838003350, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Tue Mar 03 17:58:21 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=378961, encodeId=01063e896182, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Thu Feb 06 17:56:22 CST 2020, time=2020-02-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=378561, encodeId=f9d43e8561d7, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Mon Jan 27 18:56:20 CST 2020, time=2020-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=378179, encodeId=a6d53e817991, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Wed Jan 15 18:54:23 CST 2020, time=2020-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=377744, encodeId=56413e7744be, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Fri Jan 03 20:14:04 CST 2020, time=2020-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=377210, encodeId=acec3e72108e, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=15, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Fri Dec 20 19:08:15 CST 2019, time=2019-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=376706, encodeId=39163e670679, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Sun Dec 08 19:34:40 CST 2019, time=2019-12-08, status=1, ipAttribution=)]
    2020-02-06 jyzxjiangqin

    过劳死的影响。

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1654170, encodeId=10bd16541e018, content=<a href='/topic/show?id=fb1c93983c3' target=_blank style='color:#2F92EE;'>#过劳#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93983, encryptionId=fb1c93983c3, topicName=过劳)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=33cb24457942, createdName=qilu_qi, createdTime=Mon Sep 09 18:55:00 CST 2019, time=2019-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1667639, encodeId=9459166e6396f, content=<a href='/topic/show?id=b1719899890' target=_blank style='color:#2F92EE;'>#青年医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98998, encryptionId=b1719899890, topicName=青年医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=371f26156655, createdName=huhuaidong396, createdTime=Sat Oct 19 13:55:00 CST 2019, time=2019-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=380465, encodeId=16cb38046500, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Sat Mar 14 18:28:01 CST 2020, time=2020-03-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=380033, encodeId=995838003350, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Tue Mar 03 17:58:21 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=378961, encodeId=01063e896182, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Thu Feb 06 17:56:22 CST 2020, time=2020-02-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=378561, encodeId=f9d43e8561d7, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Mon Jan 27 18:56:20 CST 2020, time=2020-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=378179, encodeId=a6d53e817991, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Wed Jan 15 18:54:23 CST 2020, time=2020-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=377744, encodeId=56413e7744be, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Fri Jan 03 20:14:04 CST 2020, time=2020-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=377210, encodeId=acec3e72108e, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=15, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Fri Dec 20 19:08:15 CST 2019, time=2019-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=376706, encodeId=39163e670679, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Sun Dec 08 19:34:40 CST 2019, time=2019-12-08, status=1, ipAttribution=)]
    2020-01-27 jyzxjiangqin

    过劳死的影响。

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1654170, encodeId=10bd16541e018, content=<a href='/topic/show?id=fb1c93983c3' target=_blank style='color:#2F92EE;'>#过劳#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93983, encryptionId=fb1c93983c3, topicName=过劳)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=33cb24457942, createdName=qilu_qi, createdTime=Mon Sep 09 18:55:00 CST 2019, time=2019-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1667639, encodeId=9459166e6396f, content=<a href='/topic/show?id=b1719899890' target=_blank style='color:#2F92EE;'>#青年医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98998, encryptionId=b1719899890, topicName=青年医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=371f26156655, createdName=huhuaidong396, createdTime=Sat Oct 19 13:55:00 CST 2019, time=2019-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=380465, encodeId=16cb38046500, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Sat Mar 14 18:28:01 CST 2020, time=2020-03-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=380033, encodeId=995838003350, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Tue Mar 03 17:58:21 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=378961, encodeId=01063e896182, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Thu Feb 06 17:56:22 CST 2020, time=2020-02-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=378561, encodeId=f9d43e8561d7, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Mon Jan 27 18:56:20 CST 2020, time=2020-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=378179, encodeId=a6d53e817991, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Wed Jan 15 18:54:23 CST 2020, time=2020-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=377744, encodeId=56413e7744be, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Fri Jan 03 20:14:04 CST 2020, time=2020-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=377210, encodeId=acec3e72108e, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=15, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Fri Dec 20 19:08:15 CST 2019, time=2019-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=376706, encodeId=39163e670679, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Sun Dec 08 19:34:40 CST 2019, time=2019-12-08, status=1, ipAttribution=)]
    2020-01-15 jyzxjiangqin

    过劳死的影响。

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1654170, encodeId=10bd16541e018, content=<a href='/topic/show?id=fb1c93983c3' target=_blank style='color:#2F92EE;'>#过劳#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93983, encryptionId=fb1c93983c3, topicName=过劳)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=33cb24457942, createdName=qilu_qi, createdTime=Mon Sep 09 18:55:00 CST 2019, time=2019-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1667639, encodeId=9459166e6396f, content=<a href='/topic/show?id=b1719899890' target=_blank style='color:#2F92EE;'>#青年医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98998, encryptionId=b1719899890, topicName=青年医生)], attachment=null, authenticateStatus=null, createdAvatar=null, 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createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Tue Mar 03 17:58:21 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=378961, encodeId=01063e896182, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Thu Feb 06 17:56:22 CST 2020, time=2020-02-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=378561, encodeId=f9d43e8561d7, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, 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createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Fri Jan 03 20:14:04 CST 2020, time=2020-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=377210, encodeId=acec3e72108e, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=15, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Fri Dec 20 19:08:15 CST 2019, time=2019-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=376706, encodeId=39163e670679, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Sun Dec 08 19:34:40 CST 2019, time=2019-12-08, status=1, ipAttribution=)]
    2020-01-03 jyzxjiangqin

    过劳死的影响。

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1654170, encodeId=10bd16541e018, content=<a href='/topic/show?id=fb1c93983c3' target=_blank style='color:#2F92EE;'>#过劳#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93983, encryptionId=fb1c93983c3, topicName=过劳)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=33cb24457942, createdName=qilu_qi, createdTime=Mon Sep 09 18:55:00 CST 2019, time=2019-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1667639, encodeId=9459166e6396f, content=<a href='/topic/show?id=b1719899890' target=_blank style='color:#2F92EE;'>#青年医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98998, encryptionId=b1719899890, topicName=青年医生)], attachment=null, authenticateStatus=null, createdAvatar=null, 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createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Mon Jan 27 18:56:20 CST 2020, time=2020-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=378179, encodeId=a6d53e817991, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Wed Jan 15 18:54:23 CST 2020, time=2020-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=377744, encodeId=56413e7744be, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Fri Jan 03 20:14:04 CST 2020, time=2020-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=377210, encodeId=acec3e72108e, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=15, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Fri Dec 20 19:08:15 CST 2019, time=2019-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=376706, encodeId=39163e670679, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Sun Dec 08 19:34:40 CST 2019, time=2019-12-08, status=1, ipAttribution=)]
    2019-12-20 jyzxjiangqin

    过劳死的影响。

    0

  10. [GetPortalCommentsPageByObjectIdResponse(id=1654170, encodeId=10bd16541e018, content=<a href='/topic/show?id=fb1c93983c3' target=_blank style='color:#2F92EE;'>#过劳#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93983, encryptionId=fb1c93983c3, topicName=过劳)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=33cb24457942, createdName=qilu_qi, createdTime=Mon Sep 09 18:55:00 CST 2019, time=2019-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1667639, encodeId=9459166e6396f, content=<a href='/topic/show?id=b1719899890' target=_blank style='color:#2F92EE;'>#青年医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98998, encryptionId=b1719899890, topicName=青年医生)], attachment=null, authenticateStatus=null, createdAvatar=null, 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createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Fri Jan 03 20:14:04 CST 2020, time=2020-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=377210, encodeId=acec3e72108e, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=15, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Fri Dec 20 19:08:15 CST 2019, time=2019-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=376706, encodeId=39163e670679, content=过劳死的影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Sun Dec 08 19:34:40 CST 2019, time=2019-12-08, status=1, ipAttribution=)]
    2019-12-08 jyzxjiangqin

    过劳死的影响。

    0

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