太荒唐了!整形手术私自使用丙泊酚麻醉,竟然致死了......

2021-12-25 腾讯新闻客户端 腾讯新闻客户端

丙泊酚到底是什么药,为什么只有麻醉科的医生才能使用?

韩国整形又又又出事了!

据韩国MBC电视台10月9日援引警方报告称,中国香港已故纺织大亨堡狮龙服饰创办人罗定邦的孙女儿罗贝儿,在首尔市整形医院接受隆胸和抽脂手术时陷入昏迷,紧急送医后不治身亡,属于严重医疗过失。

与以往因“幽灵手术”造成的医疗事故有所区别的是,此次事故的主要原因,是由手术中作为镇静剂使用的药物丙泊酚不良反应引起的,然而现场竟然没有麻醉科医生。

那么问题来了,丙泊酚到底是什么药,为什么只有麻醉科的医生才能使用?

丙泊酚是一种快速、短效的静脉麻醉药物,其通过增强中枢抑制性神经传递(GABA受体)和抑制中枢兴奋性神经(NMDA受体)传递等发挥麻醉作用,在临床上普遍用于各种手术的麻醉诱导和维持,以及重症患者的镇静。

由于起效迅速、效果确切、作用时间短暂、苏醒迅速,可减少阿片类镇痛药物的应用,乳白色液体质地的丙泊酚常被麻醉医生亲切的称为“牛奶”。

正是由于以上种种优点,加之丙泊酚的使用方法并不复杂,越来越多整形医生认为使用丙泊酚是安全的,甚至对于使用这类药物有何禁忌证都不甚了解,便草率地应用丙泊酚,因此导致的事故也明显增多。

国内、国外都在呼吁规范丙泊酚的使用。说明书中也明确规定丙泊酚“只能在医院或有合适设备的门诊由经过麻醉训练的医生使用或在重症监护病房使用。”

看起来“温顺”的丙泊酚使用会有哪些危险?

第一:丙泊酚会对呼吸产生强烈的抑制,甚至发生呼吸暂停。

丙泊酚临床运用过程中极易导致患者发生呼吸抑制,即使诱导剂量的丙泊酚也可引起患者呼吸频率减慢和潮气量降低,甚至可引起呼吸暂停。

著名天王迈克尔·杰克逊,由于失眠,他要求私人医生莫里为其注射了25mg的丙泊酚。莫里称,他在杰克逊注射丙泊酚入睡后陪伴了大约10min的时间,然后离开前往浴室,离开时间不超过2min,之后他返回杰克逊的房间,发现杰克逊已经停止呼吸,一代巨星就这样因呼吸抑制离开了人世。

第二:丙泊酚提供镇静的同时,也可能会导致循环系统的剧烈波动。

丙泊酚具有舒张血管、抑制心脏的作用,可导致血压降低、心率失常等不良反应。

对于年老体弱的患者,血管调节能力下降,循环波动加大,心动过缓,血压下降就会很剧烈,甚至有极端案例会有丙泊酚导致循环波动剧烈,进而发生心脏骤停的案例。

第三:丙泊酚会有过敏的可能,也可能会诱发惊厥。

丙泊酚作为麻醉诱导药物,引起过敏反应时有报道。多表现为胸前区出现大片红色斑块或丘疹,多发生在丙泊酚静脉诱导后数分钟。

极少患者可出现过敏性休克,表现为胸闷、呼吸困难、荨麻疹、血压下降,更为严重者可发生喉头水肿、支气管痉挛,严重危及患者生命。

我们在丙泊酚在无痛胃镜的应用中能够观察到,即使是正常患者,用药后也会出现轻微的兴奋表现,会出现胡言乱语或者肢体不自主抽动的现象。对于癫痫的患者,存在诱发惊厥的可能,这点在说明书注意事项中也有详细的标注。

为什么经过麻醉科培训的医生才能使用丙泊酚?

丙泊酚最大的危害就是呼吸抑制,主要表现在药物快速推注后或者患者状态较差,会导致短暂的呼吸停止。

如果不能及时发现对症处理的话,便会导致患者大脑受到到严重损害,而麻醉医生对于紧急气道的建立以及循环的管理、血管活性药物的使用,都有先天的优势。

很多非麻醉专业医生判断患者是否出现呼吸抑制,主要靠血氧饱和度等参数,但麻醉医生在长期的临床实践工作中,不光关注血氧指数,也会习惯性的看患者胸廓起伏等症状体征,能够及早发现、及早干预。

如果出现药物过敏,无论是过敏的处理,还是过敏抢救中紧急气道的建立,也都是麻醉医生的强项。

脱离了麻醉医生的监护和管理,丙泊酚的使用风险大大增加。所以再次呼吁,无论是医疗机构还是医生,应严格按照国家规范和药品说明书管理、使用丙泊酚,愿这类的人间惨剧不再发生。

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    2022-02-05 ms2000000654729867

    不在谁用这个药,在于你用后能不能提供生命体征的检测和支持。不就是呼吸抑制吗?但是不及时处理也会死人

    0

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    2022-01-13 1def5843m65(暂无匿称)

    在韩国的整形医院里,护士使用丙泊酚比比皆是,而且是常态

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1190267, encodeId=879b119026e0f, content=不在谁用这个药,在于你用后能不能提供生命体征的检测和支持。不就是呼吸抑制吗?但是不及时处理也会死人, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=60f46444741, createdName=ms2000000654729867, createdTime=Sat Feb 05 12:16:20 CST 2022, time=2022-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1183835, encodeId=276c11838352c, content=在韩国的整形医院里,护士使用丙泊酚比比皆是,而且是常态, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7ced1734358, createdName=1def5843m65(暂无匿称), createdTime=Thu Jan 13 11:09:22 CST 2022, time=2022-01-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1508749, encodeId=d6001508e49d3, content=<a href='/topic/show?id=8b855e837d0' target=_blank style='color:#2F92EE;'>#整形手术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57837, encryptionId=8b855e837d0, topicName=整形手术)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8f3510007969, createdName=zhangjingnwpu, createdTime=Mon Dec 27 14:03:18 CST 2021, time=2021-12-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1084538, encodeId=dd09108453870, content=25mg的丙泊酚引起呼吸抑制&持续10+分钟的可能性怕是微乎其微……而且离开两分钟就算是呼吸抑制回来刺激一下通通气也没问题的吧~这个例子不太严谨, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=1, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211014/9e5603aa70204c1a904f14b486db3a94/533a2440abe24014ac0c361038edc60a.jpg, createdBy=6f585248850, createdName=菜菜吃肉不吃菜, createdTime=Sun Dec 26 23:54:30 CST 2021, time=2021-12-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1084374, encodeId=5f9010843e4e9, content=卡波糖最初是从生活在土壤中的细菌中分离, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Sun Dec 26 11:29:47 CST 2021, time=2021-12-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1084336, encodeId=9d59108433609, content=厉害, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0f4d2468346, createdName=12430d6cm47暂无昵称, createdTime=Sun Dec 26 09:20:20 CST 2021, time=2021-12-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1084306, encodeId=fb111084306fb, content=又来了两个菜, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18df2566800, createdName=妙酒, createdTime=Sun Dec 26 07:00:57 CST 2021, time=2021-12-26, status=1, ipAttribution=)]
  4. [GetPortalCommentsPageByObjectIdResponse(id=1190267, encodeId=879b119026e0f, content=不在谁用这个药,在于你用后能不能提供生命体征的检测和支持。不就是呼吸抑制吗?但是不及时处理也会死人, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=60f46444741, createdName=ms2000000654729867, createdTime=Sat Feb 05 12:16:20 CST 2022, time=2022-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1183835, encodeId=276c11838352c, content=在韩国的整形医院里,护士使用丙泊酚比比皆是,而且是常态, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7ced1734358, createdName=1def5843m65(暂无匿称), createdTime=Thu Jan 13 11:09:22 CST 2022, time=2022-01-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1508749, encodeId=d6001508e49d3, content=<a href='/topic/show?id=8b855e837d0' target=_blank style='color:#2F92EE;'>#整形手术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57837, encryptionId=8b855e837d0, topicName=整形手术)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8f3510007969, createdName=zhangjingnwpu, createdTime=Mon Dec 27 14:03:18 CST 2021, time=2021-12-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1084538, encodeId=dd09108453870, content=25mg的丙泊酚引起呼吸抑制&持续10+分钟的可能性怕是微乎其微……而且离开两分钟就算是呼吸抑制回来刺激一下通通气也没问题的吧~这个例子不太严谨, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=1, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211014/9e5603aa70204c1a904f14b486db3a94/533a2440abe24014ac0c361038edc60a.jpg, createdBy=6f585248850, createdName=菜菜吃肉不吃菜, createdTime=Sun Dec 26 23:54:30 CST 2021, time=2021-12-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1084374, encodeId=5f9010843e4e9, content=卡波糖最初是从生活在土壤中的细菌中分离, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Sun Dec 26 11:29:47 CST 2021, time=2021-12-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1084336, encodeId=9d59108433609, content=厉害, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0f4d2468346, createdName=12430d6cm47暂无昵称, createdTime=Sun Dec 26 09:20:20 CST 2021, time=2021-12-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1084306, encodeId=fb111084306fb, content=又来了两个菜, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18df2566800, createdName=妙酒, createdTime=Sun Dec 26 07:00:57 CST 2021, time=2021-12-26, status=1, ipAttribution=)]
    2021-12-26 菜菜吃肉不吃菜

    25mg的丙泊酚引起呼吸抑制&持续10+分钟的可能性怕是微乎其微……而且离开两分钟就算是呼吸抑制回来刺激一下通通气也没问题的吧~这个例子不太严谨

    1

    展开1条回复
  5. [GetPortalCommentsPageByObjectIdResponse(id=1190267, encodeId=879b119026e0f, content=不在谁用这个药,在于你用后能不能提供生命体征的检测和支持。不就是呼吸抑制吗?但是不及时处理也会死人, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=60f46444741, createdName=ms2000000654729867, createdTime=Sat Feb 05 12:16:20 CST 2022, time=2022-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1183835, encodeId=276c11838352c, content=在韩国的整形医院里,护士使用丙泊酚比比皆是,而且是常态, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7ced1734358, createdName=1def5843m65(暂无匿称), createdTime=Thu Jan 13 11:09:22 CST 2022, time=2022-01-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1508749, encodeId=d6001508e49d3, content=<a href='/topic/show?id=8b855e837d0' target=_blank style='color:#2F92EE;'>#整形手术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57837, encryptionId=8b855e837d0, topicName=整形手术)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8f3510007969, createdName=zhangjingnwpu, createdTime=Mon Dec 27 14:03:18 CST 2021, time=2021-12-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1084538, encodeId=dd09108453870, content=25mg的丙泊酚引起呼吸抑制&持续10+分钟的可能性怕是微乎其微……而且离开两分钟就算是呼吸抑制回来刺激一下通通气也没问题的吧~这个例子不太严谨, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=1, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211014/9e5603aa70204c1a904f14b486db3a94/533a2440abe24014ac0c361038edc60a.jpg, createdBy=6f585248850, createdName=菜菜吃肉不吃菜, createdTime=Sun Dec 26 23:54:30 CST 2021, time=2021-12-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1084374, encodeId=5f9010843e4e9, content=卡波糖最初是从生活在土壤中的细菌中分离, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Sun Dec 26 11:29:47 CST 2021, time=2021-12-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1084336, encodeId=9d59108433609, content=厉害, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0f4d2468346, createdName=12430d6cm47暂无昵称, createdTime=Sun Dec 26 09:20:20 CST 2021, time=2021-12-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1084306, encodeId=fb111084306fb, content=又来了两个菜, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18df2566800, createdName=妙酒, createdTime=Sun Dec 26 07:00:57 CST 2021, time=2021-12-26, status=1, ipAttribution=)]
    2021-12-26 查查佳佳

    卡波糖最初是从生活在土壤中的细菌中分离

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1190267, encodeId=879b119026e0f, content=不在谁用这个药,在于你用后能不能提供生命体征的检测和支持。不就是呼吸抑制吗?但是不及时处理也会死人, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=60f46444741, createdName=ms2000000654729867, createdTime=Sat Feb 05 12:16:20 CST 2022, time=2022-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1183835, encodeId=276c11838352c, content=在韩国的整形医院里,护士使用丙泊酚比比皆是,而且是常态, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7ced1734358, createdName=1def5843m65(暂无匿称), createdTime=Thu Jan 13 11:09:22 CST 2022, time=2022-01-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1508749, encodeId=d6001508e49d3, content=<a href='/topic/show?id=8b855e837d0' target=_blank style='color:#2F92EE;'>#整形手术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57837, encryptionId=8b855e837d0, topicName=整形手术)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8f3510007969, createdName=zhangjingnwpu, createdTime=Mon Dec 27 14:03:18 CST 2021, time=2021-12-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1084538, encodeId=dd09108453870, content=25mg的丙泊酚引起呼吸抑制&持续10+分钟的可能性怕是微乎其微……而且离开两分钟就算是呼吸抑制回来刺激一下通通气也没问题的吧~这个例子不太严谨, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=1, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211014/9e5603aa70204c1a904f14b486db3a94/533a2440abe24014ac0c361038edc60a.jpg, createdBy=6f585248850, createdName=菜菜吃肉不吃菜, createdTime=Sun Dec 26 23:54:30 CST 2021, time=2021-12-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1084374, encodeId=5f9010843e4e9, content=卡波糖最初是从生活在土壤中的细菌中分离, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Sun Dec 26 11:29:47 CST 2021, time=2021-12-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1084336, encodeId=9d59108433609, content=厉害, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0f4d2468346, createdName=12430d6cm47暂无昵称, createdTime=Sun Dec 26 09:20:20 CST 2021, time=2021-12-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1084306, encodeId=fb111084306fb, content=又来了两个菜, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18df2566800, createdName=妙酒, createdTime=Sun Dec 26 07:00:57 CST 2021, time=2021-12-26, status=1, ipAttribution=)]
    2021-12-26 12430d6cm47暂无昵称

    厉害

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1190267, encodeId=879b119026e0f, content=不在谁用这个药,在于你用后能不能提供生命体征的检测和支持。不就是呼吸抑制吗?但是不及时处理也会死人, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=60f46444741, createdName=ms2000000654729867, createdTime=Sat Feb 05 12:16:20 CST 2022, time=2022-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1183835, encodeId=276c11838352c, content=在韩国的整形医院里,护士使用丙泊酚比比皆是,而且是常态, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7ced1734358, createdName=1def5843m65(暂无匿称), createdTime=Thu Jan 13 11:09:22 CST 2022, time=2022-01-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1508749, encodeId=d6001508e49d3, content=<a href='/topic/show?id=8b855e837d0' target=_blank style='color:#2F92EE;'>#整形手术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57837, encryptionId=8b855e837d0, topicName=整形手术)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8f3510007969, createdName=zhangjingnwpu, createdTime=Mon Dec 27 14:03:18 CST 2021, time=2021-12-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1084538, encodeId=dd09108453870, content=25mg的丙泊酚引起呼吸抑制&持续10+分钟的可能性怕是微乎其微……而且离开两分钟就算是呼吸抑制回来刺激一下通通气也没问题的吧~这个例子不太严谨, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=1, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211014/9e5603aa70204c1a904f14b486db3a94/533a2440abe24014ac0c361038edc60a.jpg, createdBy=6f585248850, createdName=菜菜吃肉不吃菜, createdTime=Sun Dec 26 23:54:30 CST 2021, time=2021-12-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1084374, encodeId=5f9010843e4e9, content=卡波糖最初是从生活在土壤中的细菌中分离, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Sun Dec 26 11:29:47 CST 2021, time=2021-12-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1084336, encodeId=9d59108433609, content=厉害, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0f4d2468346, createdName=12430d6cm47暂无昵称, createdTime=Sun Dec 26 09:20:20 CST 2021, time=2021-12-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1084306, encodeId=fb111084306fb, content=又来了两个菜, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18df2566800, createdName=妙酒, createdTime=Sun Dec 26 07:00:57 CST 2021, time=2021-12-26, status=1, ipAttribution=)]
    2021-12-26 妙酒

    又来了两个菜

    0

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