NEJM:血吸虫病-案例报道

2015-09-01 chenshuo 译 MedSci原创

一名8岁的男孩近日来院急诊,主诉于2个星期前开始出现不明原因的终末血尿。据该男孩称,他于两年前在加纳的一个灌溉水坝附近游泳后,随后便出现有无痛性终末血尿的现象,但这个症状后来得到了解决。尿液检查显示红细胞计数超过250每立方毫米(正常范围,0〜5)。而尿液镜下检查发现有椭圆形的鸡蛋状的伴有透明的外壳及端刺的虫卵(长度约110-170μm,宽度约50-70μm),与血吸虫的特征相似。毛蚴,是血吸虫的

一名8岁的男孩近日来院急诊,主诉于2个星期前开始出现不明原因的终末血尿。


据该男孩称,他于两年前在加纳的一个灌溉水坝附近游泳后,随后便出现有无痛性终末血尿的现象,但这个症状后来得到了解决。


尿液检查显示红细胞计数超过250/mm3(正常范围,0〜5)。而尿液镜下检查发现有椭圆形的鸡蛋状的伴有透明的外壳及端刺的虫卵(长度约110-170μm,宽度约50-70μm),与血吸虫的特征相似。

毛蚴,是血吸虫的幼虫状态,能自由游动,长约200μm长,通常出现在水环境中(例如,湖泊和河流),请观看本案例中的视频。

血吸虫在撒哈拉以南非洲的许多地区淡水水域流行,一般人们是在带有血吸虫的水域中游泳后发生的感染。

当人们感染了血吸虫后,存活在膀胱和盆腔静脉丛的成年蠕虫产生大量虫卵,虫卵穿透膀胱壁和输尿管,引起的肉芽肿和纤维化结节,从而导致血尿和慢性炎症。

若感染血吸虫后迟久未经治疗,可引起输尿管梗阻,继发尿路感染,诱发膀胱鳞状细胞癌以及肾功能衰竭等病变。

最后,主治医生对该男孩采用吡喹酮进行治疗,在接下来的8个月里对其进行随访,检测血尿、尿中虫卵和毛蚴间隙分辨率的情况。

原始出处:

Lakshmi Ganapathi,Michael Somers.A Child with Gross Hematuria.N Engl J Med.August 27, 2015

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (7)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=36898, encodeId=8a9e36898ad, content=较好的资料, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6a571628825, createdName=2863454482, createdTime=Mon Sep 14 10:46:00 CST 2015, time=2015-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36406, encodeId=741a3640618, content=有意思,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48ce1618316, createdName=stupidox, createdTime=Fri Sep 04 08:41:00 CST 2015, time=2015-09-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36372, encodeId=5dcd363e289, content=厉害,那么长时间的随访观察, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d1ab1619415, createdName=lecoo, createdTime=Fri Sep 04 00:10:00 CST 2015, time=2015-09-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36369, encodeId=5b8d3636914, content=视频在哪里?, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30461627905, createdName=Rosechen2953, createdTime=Thu Sep 03 21:51:00 CST 2015, time=2015-09-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1428857, encodeId=3534142885ec4, content=<a href='/topic/show?id=ce5a8898902' target=_blank style='color:#2F92EE;'>#血吸虫#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88989, encryptionId=ce5a8898902, topicName=血吸虫)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=38144138896, createdName=ylz8404, createdTime=Wed Sep 02 15:00:00 CST 2015, time=2015-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1620974, encodeId=25b216209e417, content=<a href='/topic/show?id=93f3889917c' target=_blank style='color:#2F92EE;'>#血吸虫病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88991, encryptionId=93f3889917c, topicName=血吸虫病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4a0a20182777, createdName=bugit, createdTime=Wed Sep 02 15:00:00 CST 2015, time=2015-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36325, encodeId=9d133632568, content=很好的学习资料, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=9e0b1603164, createdName=lovejing, createdTime=Wed Sep 02 00:04:00 CST 2015, time=2015-09-02, status=1, ipAttribution=)]
    2015-09-14 2863454482

    较好的资料

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=36898, encodeId=8a9e36898ad, content=较好的资料, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6a571628825, createdName=2863454482, createdTime=Mon Sep 14 10:46:00 CST 2015, time=2015-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36406, encodeId=741a3640618, content=有意思,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48ce1618316, createdName=stupidox, createdTime=Fri Sep 04 08:41:00 CST 2015, time=2015-09-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36372, encodeId=5dcd363e289, content=厉害,那么长时间的随访观察, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d1ab1619415, createdName=lecoo, createdTime=Fri Sep 04 00:10:00 CST 2015, time=2015-09-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36369, encodeId=5b8d3636914, content=视频在哪里?, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30461627905, createdName=Rosechen2953, createdTime=Thu Sep 03 21:51:00 CST 2015, time=2015-09-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1428857, encodeId=3534142885ec4, content=<a href='/topic/show?id=ce5a8898902' target=_blank style='color:#2F92EE;'>#血吸虫#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88989, encryptionId=ce5a8898902, topicName=血吸虫)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=38144138896, createdName=ylz8404, createdTime=Wed Sep 02 15:00:00 CST 2015, time=2015-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1620974, encodeId=25b216209e417, content=<a href='/topic/show?id=93f3889917c' target=_blank style='color:#2F92EE;'>#血吸虫病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88991, encryptionId=93f3889917c, topicName=血吸虫病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4a0a20182777, createdName=bugit, createdTime=Wed Sep 02 15:00:00 CST 2015, time=2015-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36325, encodeId=9d133632568, content=很好的学习资料, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=9e0b1603164, createdName=lovejing, createdTime=Wed Sep 02 00:04:00 CST 2015, time=2015-09-02, status=1, ipAttribution=)]
    2015-09-04 stupidox

    有意思,学习了

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=36898, encodeId=8a9e36898ad, content=较好的资料, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6a571628825, createdName=2863454482, createdTime=Mon Sep 14 10:46:00 CST 2015, time=2015-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36406, encodeId=741a3640618, content=有意思,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48ce1618316, createdName=stupidox, createdTime=Fri Sep 04 08:41:00 CST 2015, time=2015-09-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36372, encodeId=5dcd363e289, content=厉害,那么长时间的随访观察, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d1ab1619415, createdName=lecoo, createdTime=Fri Sep 04 00:10:00 CST 2015, time=2015-09-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36369, encodeId=5b8d3636914, content=视频在哪里?, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30461627905, createdName=Rosechen2953, createdTime=Thu Sep 03 21:51:00 CST 2015, time=2015-09-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1428857, encodeId=3534142885ec4, content=<a href='/topic/show?id=ce5a8898902' target=_blank style='color:#2F92EE;'>#血吸虫#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88989, encryptionId=ce5a8898902, topicName=血吸虫)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=38144138896, createdName=ylz8404, createdTime=Wed Sep 02 15:00:00 CST 2015, time=2015-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1620974, encodeId=25b216209e417, content=<a href='/topic/show?id=93f3889917c' target=_blank style='color:#2F92EE;'>#血吸虫病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88991, encryptionId=93f3889917c, topicName=血吸虫病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4a0a20182777, createdName=bugit, createdTime=Wed Sep 02 15:00:00 CST 2015, time=2015-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36325, encodeId=9d133632568, content=很好的学习资料, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=9e0b1603164, createdName=lovejing, createdTime=Wed Sep 02 00:04:00 CST 2015, time=2015-09-02, status=1, ipAttribution=)]
    2015-09-04 lecoo

    厉害,那么长时间的随访观察

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=36898, encodeId=8a9e36898ad, content=较好的资料, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6a571628825, createdName=2863454482, createdTime=Mon Sep 14 10:46:00 CST 2015, time=2015-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36406, encodeId=741a3640618, content=有意思,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48ce1618316, createdName=stupidox, createdTime=Fri Sep 04 08:41:00 CST 2015, time=2015-09-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36372, encodeId=5dcd363e289, content=厉害,那么长时间的随访观察, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d1ab1619415, createdName=lecoo, createdTime=Fri Sep 04 00:10:00 CST 2015, time=2015-09-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36369, encodeId=5b8d3636914, content=视频在哪里?, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30461627905, createdName=Rosechen2953, createdTime=Thu Sep 03 21:51:00 CST 2015, time=2015-09-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1428857, encodeId=3534142885ec4, content=<a href='/topic/show?id=ce5a8898902' target=_blank style='color:#2F92EE;'>#血吸虫#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88989, encryptionId=ce5a8898902, topicName=血吸虫)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=38144138896, createdName=ylz8404, createdTime=Wed Sep 02 15:00:00 CST 2015, time=2015-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1620974, encodeId=25b216209e417, content=<a href='/topic/show?id=93f3889917c' target=_blank style='color:#2F92EE;'>#血吸虫病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88991, encryptionId=93f3889917c, topicName=血吸虫病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4a0a20182777, createdName=bugit, createdTime=Wed Sep 02 15:00:00 CST 2015, time=2015-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36325, encodeId=9d133632568, content=很好的学习资料, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=9e0b1603164, createdName=lovejing, createdTime=Wed Sep 02 00:04:00 CST 2015, time=2015-09-02, status=1, ipAttribution=)]
    2015-09-03 Rosechen2953

    视频在哪里?

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=36898, encodeId=8a9e36898ad, content=较好的资料, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6a571628825, createdName=2863454482, createdTime=Mon Sep 14 10:46:00 CST 2015, time=2015-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36406, encodeId=741a3640618, content=有意思,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48ce1618316, createdName=stupidox, createdTime=Fri Sep 04 08:41:00 CST 2015, time=2015-09-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36372, encodeId=5dcd363e289, content=厉害,那么长时间的随访观察, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d1ab1619415, createdName=lecoo, createdTime=Fri Sep 04 00:10:00 CST 2015, time=2015-09-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36369, encodeId=5b8d3636914, content=视频在哪里?, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30461627905, createdName=Rosechen2953, createdTime=Thu Sep 03 21:51:00 CST 2015, time=2015-09-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1428857, encodeId=3534142885ec4, content=<a href='/topic/show?id=ce5a8898902' target=_blank style='color:#2F92EE;'>#血吸虫#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88989, encryptionId=ce5a8898902, topicName=血吸虫)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=38144138896, createdName=ylz8404, createdTime=Wed Sep 02 15:00:00 CST 2015, time=2015-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1620974, encodeId=25b216209e417, content=<a href='/topic/show?id=93f3889917c' target=_blank style='color:#2F92EE;'>#血吸虫病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88991, encryptionId=93f3889917c, topicName=血吸虫病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4a0a20182777, createdName=bugit, createdTime=Wed Sep 02 15:00:00 CST 2015, time=2015-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36325, encodeId=9d133632568, content=很好的学习资料, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=9e0b1603164, createdName=lovejing, createdTime=Wed Sep 02 00:04:00 CST 2015, time=2015-09-02, status=1, ipAttribution=)]
    2015-09-02 ylz8404
  6. [GetPortalCommentsPageByObjectIdResponse(id=36898, encodeId=8a9e36898ad, content=较好的资料, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6a571628825, createdName=2863454482, createdTime=Mon Sep 14 10:46:00 CST 2015, time=2015-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36406, encodeId=741a3640618, content=有意思,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48ce1618316, createdName=stupidox, createdTime=Fri Sep 04 08:41:00 CST 2015, time=2015-09-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36372, encodeId=5dcd363e289, content=厉害,那么长时间的随访观察, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d1ab1619415, createdName=lecoo, createdTime=Fri Sep 04 00:10:00 CST 2015, time=2015-09-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36369, encodeId=5b8d3636914, content=视频在哪里?, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30461627905, createdName=Rosechen2953, createdTime=Thu Sep 03 21:51:00 CST 2015, time=2015-09-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1428857, encodeId=3534142885ec4, content=<a href='/topic/show?id=ce5a8898902' target=_blank style='color:#2F92EE;'>#血吸虫#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88989, encryptionId=ce5a8898902, topicName=血吸虫)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=38144138896, createdName=ylz8404, createdTime=Wed Sep 02 15:00:00 CST 2015, time=2015-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1620974, encodeId=25b216209e417, content=<a href='/topic/show?id=93f3889917c' target=_blank style='color:#2F92EE;'>#血吸虫病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88991, encryptionId=93f3889917c, topicName=血吸虫病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4a0a20182777, createdName=bugit, createdTime=Wed Sep 02 15:00:00 CST 2015, time=2015-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36325, encodeId=9d133632568, content=很好的学习资料, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=9e0b1603164, createdName=lovejing, createdTime=Wed Sep 02 00:04:00 CST 2015, time=2015-09-02, status=1, ipAttribution=)]
  7. [GetPortalCommentsPageByObjectIdResponse(id=36898, encodeId=8a9e36898ad, content=较好的资料, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6a571628825, createdName=2863454482, createdTime=Mon Sep 14 10:46:00 CST 2015, time=2015-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36406, encodeId=741a3640618, content=有意思,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48ce1618316, createdName=stupidox, createdTime=Fri Sep 04 08:41:00 CST 2015, time=2015-09-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36372, encodeId=5dcd363e289, content=厉害,那么长时间的随访观察, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d1ab1619415, createdName=lecoo, createdTime=Fri Sep 04 00:10:00 CST 2015, time=2015-09-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36369, encodeId=5b8d3636914, content=视频在哪里?, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30461627905, createdName=Rosechen2953, createdTime=Thu Sep 03 21:51:00 CST 2015, time=2015-09-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1428857, encodeId=3534142885ec4, content=<a href='/topic/show?id=ce5a8898902' target=_blank style='color:#2F92EE;'>#血吸虫#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88989, encryptionId=ce5a8898902, topicName=血吸虫)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=38144138896, createdName=ylz8404, createdTime=Wed Sep 02 15:00:00 CST 2015, time=2015-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1620974, encodeId=25b216209e417, content=<a href='/topic/show?id=93f3889917c' target=_blank style='color:#2F92EE;'>#血吸虫病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88991, encryptionId=93f3889917c, topicName=血吸虫病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4a0a20182777, createdName=bugit, createdTime=Wed Sep 02 15:00:00 CST 2015, time=2015-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36325, encodeId=9d133632568, content=很好的学习资料, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=9e0b1603164, createdName=lovejing, createdTime=Wed Sep 02 00:04:00 CST 2015, time=2015-09-02, status=1, ipAttribution=)]
    2015-09-02 lovejing

    很好的学习资料

    0

相关资讯

LANCET Infect Dis:SjSP13诊断血吸虫病敏感性佳

      血吸虫病是影响我国人民健康的重大热带传染病,在过去60多年里我国血吸虫病防治取得辉煌成就,其流行程度得到有效控制 ,但目前一些疫区仍呈现出血吸虫病疫情扩散蔓延或有卷土重来趋血吸虫病是影响我国人民健康的重大热带传染病,在过去60多年里我国血吸虫病防治取得辉煌成 就,其流行程度得到有效控制 ,但目前一些疫区仍呈现出血吸虫病疫