报告称:中国极早产儿、极低出生体重早产儿存活率明显提高

2020-08-15 中国新闻网 中国新闻网

中国新生儿协作网、国家儿童医学中心新生儿专科联盟发布2019年度报告。儿科医院供图

中国新生儿协作网、国家儿童医学中心新生儿专科联盟发布2019年度报告。儿科医院供图

中新网上海8月12日电 (记者 陈静)在全球范围内,早产是5岁以下儿童及婴儿死亡的重要原因。记者12日获悉,随着中国新生儿医学的进展,极早产儿、极低出生体重早产儿存活率明显提高:胎龄小于32周早产儿的总存活率为88%,出生体重低于1500克早产儿的总存活率为86%。

早产儿由于机体器官系统发育未成熟,可发生呼吸窘迫综合征、支气管肺发育不良及早产儿视网膜病等多种严重疾病。儿科医院供图

中国新生儿协作网、国家儿童医学中心新生儿专科联盟发布2019年度报告,公布“中国新生儿协作网极早产儿/极低出生体重儿队列”,披露了中国早产儿救治现状。国家儿童医学中心、复旦大学附属儿科医院方面当日表示,该队列研究结果为开展后续质量改进及临床研究提供了真实准确的基线数据。

据了解,该队列研究由中国新生儿协作网牵头建立,将25个省、直辖市的57家三级医院的10823例早产儿纳入2019年统计数据,如此规模的极早产儿/极低出生体重儿队列研究此前未有报道。

经过积极治疗,出生体重为1000g—1500g的早产儿存活率已接近发达国家水平。儿科医院供图

早产儿是指胎龄小于32周或出生体重低于1500克的新生儿。早产儿由于机体器官系统发育未成熟,可发生呼吸窘迫综合征、支气管肺发育不良、脓毒症、脑损伤、坏死性小肠结肠炎及早产儿视网膜病等多种严重疾病。根据队列研究,在胎龄小于32周的早产儿中,30-31周的占49%,小于28周的占17%;在出生体重低于1500克的早产儿中,低于1000克的占19%。纳入队列研究的患儿中,79%好转或治愈出院。

据悉,中国新生儿协作网(Chinese Neonatal Network,CHNN)是致力于新生儿医学相关研究的协作性研究网络,旨在建立和运行中国新生儿重症监护病房目标人群标准化数据库,为中国和国际研究者开展新生儿/围产医学领域高质量、合作性临床研究提供平台和机会。

协作网由复旦大学附属儿科医院陈超教授、加拿大多伦多大学ShooK.Lee教授担任主席,复旦大学附属儿科医院周文浩教授、浙江大学附属儿童医院杜立中教授担任共同主席。据了解,中国新生儿协作网临床数据库于2019年1月1日起正式运行,同时已开展“中国新生儿重症监护室质量改进”等多项高水平多中心临床研究项目。

陈超教授告诉记者,作为国家儿童医学中心,近年来,复旦大学附属儿科医院通过开展国际间的合作,在国内25个三级医院的新生儿重症监护室开展质量改进研究,以降低早产儿严重疾病发生率。结果显示:经过积极治疗,出生体重为1000g—1500g的早产儿存活率已接近发达国家水平。

陈超教授表示,中国新生儿协作网将立足国家儿童医学中心平台,通过精准、紧密、高效的专科联盟模式,持续开展临床流行病学、疾病预后高质量、高可信度的创新研究,进一步提高早产儿存活率、降低严重疾病发生率,为促进中国及世界新生儿/围产医疗水平的提高和新生儿预后的改善作出中国贡献。(完)

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    2020-08-26 14818eb4m67暂无昵称

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  3. 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    2020-08-18 1581f8c42cm

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1862975, encodeId=21e118629e553, content=<a href='/topic/show?id=b5ca453451f' target=_blank style='color:#2F92EE;'>#存活率#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45345, encryptionId=b5ca453451f, topicName=存活率)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5b3f89, createdName=daviiliu, createdTime=Fri Dec 04 21:01:22 CST 2020, time=2020-12-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=813300, encodeId=5e07813300a4, content=👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=64245268311, createdName=14818eb4m67暂无昵称, createdTime=Wed Aug 26 08:25:01 CST 2020, time=2020-08-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809942, encodeId=7ec78099426d, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200814/81d08245657a4a7f9a1ef713c0ec5878/ec4b201a22194a319b1aeb171bc6bb3d.jpg, createdBy=41e02111625, createdName=1581f8c42cm, createdTime=Tue Aug 18 06:04:03 CST 2020, time=2020-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809932, encodeId=3ce4809932ed, content=很赞,有收获, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200818/0d7afbf7f68e4ce6802c8a3de6936ca8/236a200991fa45ae8da27362b7250b28.jpg, createdBy=5b6d3202096, createdName=12c1fc26m47暂无昵称, createdTime=Tue Aug 18 00:46:27 CST 2020, time=2020-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809564, encodeId=df2180956452, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200814/81d08245657a4a7f9a1ef713c0ec5878/ec4b201a22194a319b1aeb171bc6bb3d.jpg, createdBy=41e02111625, createdName=1581f8c42cm, createdTime=Mon Aug 17 06:33:14 CST 2020, time=2020-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1440765, encodeId=4c951440e6551, content=<a href='/topic/show?id=f99e3142e4d' target=_blank style='color:#2F92EE;'>#出生体重#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31427, encryptionId=f99e3142e4d, topicName=出生体重)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=柳叶一刀, createdTime=Sun Aug 16 22:01:22 CST 2020, time=2020-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1457049, encodeId=94a6145e04944, content=<a href='/topic/show?id=09bd61685aa' target=_blank style='color:#2F92EE;'>#极早产儿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=61685, encryptionId=09bd61685aa, topicName=极早产儿)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=521c5837609, createdName=wmr113, createdTime=Sun Aug 16 22:01:22 CST 2020, time=2020-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1571487, encodeId=efe015e1487f9, content=<a href='/topic/show?id=d13c26153fd' target=_blank style='color:#2F92EE;'>#低出生体重#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=26153, encryptionId=d13c26153fd, topicName=低出生体重)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5e7915741670, createdName=linne325, createdTime=Sun Aug 16 22:01:22 CST 2020, time=2020-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809315, encodeId=e3f6809315e5, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4b972455532, createdName=1240394fm61暂无昵称, createdTime=Sun Aug 16 09:32:38 CST 2020, time=2020-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809287, encodeId=d7dd80928e19, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200814/81d08245657a4a7f9a1ef713c0ec5878/ec4b201a22194a319b1aeb171bc6bb3d.jpg, createdBy=41e02111625, createdName=1581f8c42cm, createdTime=Sun Aug 16 00:07:06 CST 2020, time=2020-08-16, status=1, ipAttribution=)]
    2020-08-18 12c1fc26m47暂无昵称

    很赞,有收获

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1862975, encodeId=21e118629e553, content=<a href='/topic/show?id=b5ca453451f' target=_blank style='color:#2F92EE;'>#存活率#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45345, encryptionId=b5ca453451f, topicName=存活率)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5b3f89, createdName=daviiliu, createdTime=Fri Dec 04 21:01:22 CST 2020, time=2020-12-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=813300, encodeId=5e07813300a4, content=👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=64245268311, createdName=14818eb4m67暂无昵称, createdTime=Wed Aug 26 08:25:01 CST 2020, time=2020-08-26, status=1, ipAttribution=), 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time=2020-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809564, encodeId=df2180956452, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200814/81d08245657a4a7f9a1ef713c0ec5878/ec4b201a22194a319b1aeb171bc6bb3d.jpg, createdBy=41e02111625, createdName=1581f8c42cm, createdTime=Mon Aug 17 06:33:14 CST 2020, time=2020-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1440765, encodeId=4c951440e6551, content=<a href='/topic/show?id=f99e3142e4d' target=_blank style='color:#2F92EE;'>#出生体重#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31427, encryptionId=f99e3142e4d, topicName=出生体重)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=柳叶一刀, createdTime=Sun Aug 16 22:01:22 CST 2020, time=2020-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1457049, encodeId=94a6145e04944, content=<a href='/topic/show?id=09bd61685aa' target=_blank style='color:#2F92EE;'>#极早产儿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=61685, encryptionId=09bd61685aa, topicName=极早产儿)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=521c5837609, createdName=wmr113, createdTime=Sun Aug 16 22:01:22 CST 2020, time=2020-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1571487, encodeId=efe015e1487f9, content=<a href='/topic/show?id=d13c26153fd' target=_blank style='color:#2F92EE;'>#低出生体重#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=26153, encryptionId=d13c26153fd, topicName=低出生体重)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5e7915741670, createdName=linne325, createdTime=Sun Aug 16 22:01:22 CST 2020, time=2020-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809315, encodeId=e3f6809315e5, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4b972455532, createdName=1240394fm61暂无昵称, createdTime=Sun Aug 16 09:32:38 CST 2020, time=2020-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809287, encodeId=d7dd80928e19, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200814/81d08245657a4a7f9a1ef713c0ec5878/ec4b201a22194a319b1aeb171bc6bb3d.jpg, createdBy=41e02111625, createdName=1581f8c42cm, createdTime=Sun Aug 16 00:07:06 CST 2020, time=2020-08-16, status=1, ipAttribution=)]
    2020-08-17 1581f8c42cm

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1862975, encodeId=21e118629e553, content=<a href='/topic/show?id=b5ca453451f' target=_blank style='color:#2F92EE;'>#存活率#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45345, encryptionId=b5ca453451f, topicName=存活率)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5b3f89, createdName=daviiliu, createdTime=Fri Dec 04 21:01:22 CST 2020, time=2020-12-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=813300, encodeId=5e07813300a4, content=👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=64245268311, createdName=14818eb4m67暂无昵称, createdTime=Wed Aug 26 08:25:01 CST 2020, time=2020-08-26, status=1, ipAttribution=), 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time=2020-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809564, encodeId=df2180956452, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200814/81d08245657a4a7f9a1ef713c0ec5878/ec4b201a22194a319b1aeb171bc6bb3d.jpg, createdBy=41e02111625, createdName=1581f8c42cm, createdTime=Mon Aug 17 06:33:14 CST 2020, time=2020-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1440765, encodeId=4c951440e6551, content=<a href='/topic/show?id=f99e3142e4d' target=_blank style='color:#2F92EE;'>#出生体重#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31427, encryptionId=f99e3142e4d, topicName=出生体重)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=柳叶一刀, createdTime=Sun Aug 16 22:01:22 CST 2020, time=2020-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1457049, encodeId=94a6145e04944, content=<a href='/topic/show?id=09bd61685aa' target=_blank style='color:#2F92EE;'>#极早产儿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=61685, encryptionId=09bd61685aa, topicName=极早产儿)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=521c5837609, createdName=wmr113, createdTime=Sun Aug 16 22:01:22 CST 2020, time=2020-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1571487, encodeId=efe015e1487f9, content=<a href='/topic/show?id=d13c26153fd' target=_blank style='color:#2F92EE;'>#低出生体重#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=26153, encryptionId=d13c26153fd, topicName=低出生体重)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5e7915741670, createdName=linne325, createdTime=Sun Aug 16 22:01:22 CST 2020, time=2020-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809315, encodeId=e3f6809315e5, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4b972455532, createdName=1240394fm61暂无昵称, createdTime=Sun Aug 16 09:32:38 CST 2020, time=2020-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809287, encodeId=d7dd80928e19, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200814/81d08245657a4a7f9a1ef713c0ec5878/ec4b201a22194a319b1aeb171bc6bb3d.jpg, createdBy=41e02111625, createdName=1581f8c42cm, createdTime=Sun Aug 16 00:07:06 CST 2020, time=2020-08-16, status=1, ipAttribution=)]
  7. [GetPortalCommentsPageByObjectIdResponse(id=1862975, encodeId=21e118629e553, content=<a href='/topic/show?id=b5ca453451f' target=_blank style='color:#2F92EE;'>#存活率#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45345, encryptionId=b5ca453451f, topicName=存活率)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5b3f89, createdName=daviiliu, createdTime=Fri Dec 04 21:01:22 CST 2020, time=2020-12-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=813300, encodeId=5e07813300a4, content=👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=64245268311, createdName=14818eb4m67暂无昵称, createdTime=Wed Aug 26 08:25:01 CST 2020, time=2020-08-26, status=1, ipAttribution=), 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time=2020-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809564, encodeId=df2180956452, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200814/81d08245657a4a7f9a1ef713c0ec5878/ec4b201a22194a319b1aeb171bc6bb3d.jpg, createdBy=41e02111625, createdName=1581f8c42cm, createdTime=Mon Aug 17 06:33:14 CST 2020, time=2020-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1440765, encodeId=4c951440e6551, content=<a href='/topic/show?id=f99e3142e4d' target=_blank style='color:#2F92EE;'>#出生体重#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31427, encryptionId=f99e3142e4d, topicName=出生体重)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=柳叶一刀, createdTime=Sun Aug 16 22:01:22 CST 2020, time=2020-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1457049, encodeId=94a6145e04944, content=<a href='/topic/show?id=09bd61685aa' target=_blank style='color:#2F92EE;'>#极早产儿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=61685, encryptionId=09bd61685aa, topicName=极早产儿)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=521c5837609, createdName=wmr113, createdTime=Sun Aug 16 22:01:22 CST 2020, time=2020-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1571487, encodeId=efe015e1487f9, content=<a href='/topic/show?id=d13c26153fd' target=_blank style='color:#2F92EE;'>#低出生体重#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=26153, encryptionId=d13c26153fd, topicName=低出生体重)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5e7915741670, createdName=linne325, createdTime=Sun Aug 16 22:01:22 CST 2020, time=2020-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809315, encodeId=e3f6809315e5, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4b972455532, createdName=1240394fm61暂无昵称, createdTime=Sun Aug 16 09:32:38 CST 2020, time=2020-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809287, encodeId=d7dd80928e19, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200814/81d08245657a4a7f9a1ef713c0ec5878/ec4b201a22194a319b1aeb171bc6bb3d.jpg, createdBy=41e02111625, createdName=1581f8c42cm, createdTime=Sun Aug 16 00:07:06 CST 2020, time=2020-08-16, status=1, ipAttribution=)]
  8. 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  9. 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    2020-08-16 1240394fm61暂无昵称

    学习

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  10. 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    2020-08-16 1581f8c42cm

    0

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