JAHA:D-二聚体浓度升高的急性A型主动脉夹层患者特征和治疗结局

2018-07-09 xing.T MedSci原创

由此可见,D-二聚体浓度受夹层程度和假腔状态影响较大。D-二聚体浓度相对较高的患者手术风险增加。

D-二聚体升高的急性A型主动脉夹层的临床特征和治疗结果尚未阐明。近日,心血管疾病领域权威杂志JAHA上针对这一问题发表了一篇研究文章。

研究人员测量了262例急性A型主动脉夹层患者发病后24小时内的D-二聚体水平。

所有患者D-二聚体浓度的中位数(四分位间距)为26.7(8.3-85.9)μg/mL。完全假腔内血栓形成(n=33)的患者D-二聚体浓度的中位数(四分位间距)为5.0(2.6-18.0)μg/mL,部分血栓形成(n=81)的患者为60.9(19.4-160.4)μg/mL,通畅假腔(n=131)患者为26.5(10.0-70.6)μg/mL,溃疡样突出(n=17)患者为8.7(3.2-26.9)μg/mL(P<0.01)。D-二聚体浓度≤8.3μg/mL处于较低的四分位数,然后研究人员探究了低D-二聚体水平的预测因子。多变量分析显示仅限于升主动脉(P<0.01;比值比为9.81)或降主动脉(P<0.01;比值比为7.68)的夹层、完全血栓形成的假腔(P<0.01;比值比为4.02)以及没有脑缺血(P=0.013;比值比为4.74)是较低D-二聚体浓度的预测因子。与D-二聚体浓度较低(≤8.3μg/mL,n=66)的患者相比,D-二聚体浓度>8.3μg/mL(n=196)的患者术前血小板计数减少,手术时间和输血量增加。该组的院内死亡率升高(1.5% vs. 11.2%; P=0.031),尽管住院幸存者的7年生存率没有差异(93.1% vs. 79.1%; P=0.21)。

由此可见,D-二聚体浓度受夹层程度和假腔状态影响较大。D-二聚体浓度相对较高的患者手术风险增加。

原始出处:

Ryo Itagaki.et al. Characteristics and Treatment Outcomes of Acute Type A Aortic Dissection With Elevated D‐Dimer Concentration.JAHA.2018. https://doi.org/10.1161/JAHA.118.009144

本文系梅斯医学(MedSci)原创编译整理,转载需授权!


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 (14)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1694906, encodeId=e856169490696, content=<a href='/topic/show?id=ce9b64692d2' target=_blank style='color:#2F92EE;'>#治疗结局#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64692, encryptionId=ce9b64692d2, topicName=治疗结局)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4d1829785524, createdName=zhangjiqing, createdTime=Thu Sep 13 12:01:00 CST 2018, time=2018-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1775713, encodeId=0f5e1e75713f6, content=<a href='/topic/show?id=10a25216015' target=_blank style='color:#2F92EE;'>#急性A型主动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52160, encryptionId=10a25216015, topicName=急性A型主动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=acb838790010, createdName=yangshch, createdTime=Fri Jun 14 17:01:00 CST 2019, time=2019-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1720608, encodeId=6e6b1e2060847, content=<a href='/topic/show?id=36d63102c5' target=_blank style='color:#2F92EE;'>#A型主动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3102, encryptionId=36d63102c5, topicName=A型主动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=265832886001, createdName=tomyang97, createdTime=Sat Jun 08 20:01:00 CST 2019, time=2019-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1950366, encodeId=5748195036602, content=<a href='/topic/show?id=bfc624041dc' target=_blank style='color:#2F92EE;'>#二聚体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24041, encryptionId=bfc624041dc, topicName=二聚体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ac59108, createdName=hxj0117, createdTime=Wed May 29 08:01:00 CST 2019, time=2019-05-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=331299, encodeId=525d3312990c, content=多学习.开阔眼界了, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=981b2401455, createdName=12355bb4m53(暂无昵称), createdTime=Fri Jul 13 11:42:46 CST 2018, time=2018-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1267868, encodeId=24b5126e86810, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1310852, encodeId=2aa213108521b, content=<a href='/topic/show?id=b15c5628e9' target=_blank style='color:#2F92EE;'>#D-二聚体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5628, encryptionId=b15c5628e9, topicName=D-二聚体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e093393, createdName=luwei00, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415341, encodeId=3f761415341c9, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519576, encodeId=b0ae15195e6bc, content=<a href='/topic/show?id=b63a3323558' target=_blank style='color:#2F92EE;'>#动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33235, encryptionId=b63a3323558, topicName=动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae5711287462, createdName=mhzhuang@stu.e, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1544536, encodeId=d9891544536cf, content=<a href='/topic/show?id=ac3d6549e75' target=_blank style='color:#2F92EE;'>#浓度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65497, encryptionId=ac3d6549e75, topicName=浓度)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=16b213663040, createdName=12498974m55暂无昵称, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=1694906, encodeId=e856169490696, content=<a href='/topic/show?id=ce9b64692d2' target=_blank style='color:#2F92EE;'>#治疗结局#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64692, encryptionId=ce9b64692d2, topicName=治疗结局)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4d1829785524, createdName=zhangjiqing, createdTime=Thu Sep 13 12:01:00 CST 2018, time=2018-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1775713, encodeId=0f5e1e75713f6, content=<a href='/topic/show?id=10a25216015' target=_blank style='color:#2F92EE;'>#急性A型主动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52160, encryptionId=10a25216015, topicName=急性A型主动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=acb838790010, createdName=yangshch, createdTime=Fri Jun 14 17:01:00 CST 2019, time=2019-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1720608, encodeId=6e6b1e2060847, content=<a href='/topic/show?id=36d63102c5' target=_blank style='color:#2F92EE;'>#A型主动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3102, encryptionId=36d63102c5, topicName=A型主动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=265832886001, createdName=tomyang97, createdTime=Sat Jun 08 20:01:00 CST 2019, time=2019-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1950366, encodeId=5748195036602, content=<a href='/topic/show?id=bfc624041dc' target=_blank style='color:#2F92EE;'>#二聚体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24041, encryptionId=bfc624041dc, topicName=二聚体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ac59108, createdName=hxj0117, createdTime=Wed May 29 08:01:00 CST 2019, time=2019-05-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=331299, encodeId=525d3312990c, content=多学习.开阔眼界了, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=981b2401455, createdName=12355bb4m53(暂无昵称), createdTime=Fri Jul 13 11:42:46 CST 2018, time=2018-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1267868, encodeId=24b5126e86810, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1310852, encodeId=2aa213108521b, content=<a href='/topic/show?id=b15c5628e9' target=_blank style='color:#2F92EE;'>#D-二聚体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5628, encryptionId=b15c5628e9, topicName=D-二聚体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e093393, createdName=luwei00, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415341, encodeId=3f761415341c9, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519576, encodeId=b0ae15195e6bc, content=<a href='/topic/show?id=b63a3323558' target=_blank style='color:#2F92EE;'>#动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33235, encryptionId=b63a3323558, topicName=动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae5711287462, createdName=mhzhuang@stu.e, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1544536, encodeId=d9891544536cf, content=<a href='/topic/show?id=ac3d6549e75' target=_blank style='color:#2F92EE;'>#浓度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65497, encryptionId=ac3d6549e75, topicName=浓度)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=16b213663040, createdName=12498974m55暂无昵称, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=1694906, encodeId=e856169490696, content=<a href='/topic/show?id=ce9b64692d2' target=_blank style='color:#2F92EE;'>#治疗结局#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64692, encryptionId=ce9b64692d2, topicName=治疗结局)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4d1829785524, createdName=zhangjiqing, createdTime=Thu Sep 13 12:01:00 CST 2018, time=2018-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1775713, encodeId=0f5e1e75713f6, content=<a href='/topic/show?id=10a25216015' target=_blank style='color:#2F92EE;'>#急性A型主动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52160, encryptionId=10a25216015, topicName=急性A型主动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=acb838790010, createdName=yangshch, createdTime=Fri Jun 14 17:01:00 CST 2019, time=2019-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1720608, encodeId=6e6b1e2060847, content=<a href='/topic/show?id=36d63102c5' target=_blank style='color:#2F92EE;'>#A型主动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3102, encryptionId=36d63102c5, topicName=A型主动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=265832886001, createdName=tomyang97, createdTime=Sat Jun 08 20:01:00 CST 2019, time=2019-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1950366, encodeId=5748195036602, content=<a href='/topic/show?id=bfc624041dc' target=_blank style='color:#2F92EE;'>#二聚体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24041, encryptionId=bfc624041dc, topicName=二聚体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ac59108, createdName=hxj0117, createdTime=Wed May 29 08:01:00 CST 2019, time=2019-05-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=331299, encodeId=525d3312990c, content=多学习.开阔眼界了, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=981b2401455, createdName=12355bb4m53(暂无昵称), createdTime=Fri Jul 13 11:42:46 CST 2018, time=2018-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1267868, encodeId=24b5126e86810, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1310852, encodeId=2aa213108521b, content=<a href='/topic/show?id=b15c5628e9' target=_blank style='color:#2F92EE;'>#D-二聚体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5628, encryptionId=b15c5628e9, topicName=D-二聚体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e093393, createdName=luwei00, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415341, encodeId=3f761415341c9, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519576, encodeId=b0ae15195e6bc, content=<a href='/topic/show?id=b63a3323558' target=_blank style='color:#2F92EE;'>#动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33235, encryptionId=b63a3323558, topicName=动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae5711287462, createdName=mhzhuang@stu.e, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1544536, encodeId=d9891544536cf, content=<a href='/topic/show?id=ac3d6549e75' target=_blank style='color:#2F92EE;'>#浓度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65497, encryptionId=ac3d6549e75, topicName=浓度)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=16b213663040, createdName=12498974m55暂无昵称, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=)]
  4. [GetPortalCommentsPageByObjectIdResponse(id=1694906, encodeId=e856169490696, content=<a href='/topic/show?id=ce9b64692d2' target=_blank style='color:#2F92EE;'>#治疗结局#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64692, encryptionId=ce9b64692d2, topicName=治疗结局)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4d1829785524, createdName=zhangjiqing, createdTime=Thu Sep 13 12:01:00 CST 2018, time=2018-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1775713, encodeId=0f5e1e75713f6, content=<a href='/topic/show?id=10a25216015' target=_blank style='color:#2F92EE;'>#急性A型主动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52160, encryptionId=10a25216015, topicName=急性A型主动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=acb838790010, createdName=yangshch, createdTime=Fri Jun 14 17:01:00 CST 2019, time=2019-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1720608, encodeId=6e6b1e2060847, content=<a href='/topic/show?id=36d63102c5' target=_blank style='color:#2F92EE;'>#A型主动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3102, encryptionId=36d63102c5, topicName=A型主动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=265832886001, createdName=tomyang97, createdTime=Sat Jun 08 20:01:00 CST 2019, time=2019-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1950366, encodeId=5748195036602, content=<a href='/topic/show?id=bfc624041dc' target=_blank style='color:#2F92EE;'>#二聚体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24041, encryptionId=bfc624041dc, topicName=二聚体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ac59108, createdName=hxj0117, createdTime=Wed May 29 08:01:00 CST 2019, time=2019-05-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=331299, encodeId=525d3312990c, content=多学习.开阔眼界了, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=981b2401455, createdName=12355bb4m53(暂无昵称), createdTime=Fri Jul 13 11:42:46 CST 2018, time=2018-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1267868, encodeId=24b5126e86810, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1310852, encodeId=2aa213108521b, content=<a href='/topic/show?id=b15c5628e9' target=_blank style='color:#2F92EE;'>#D-二聚体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5628, encryptionId=b15c5628e9, topicName=D-二聚体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e093393, createdName=luwei00, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415341, encodeId=3f761415341c9, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519576, encodeId=b0ae15195e6bc, content=<a href='/topic/show?id=b63a3323558' target=_blank style='color:#2F92EE;'>#动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33235, encryptionId=b63a3323558, topicName=动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae5711287462, createdName=mhzhuang@stu.e, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1544536, encodeId=d9891544536cf, content=<a href='/topic/show?id=ac3d6549e75' target=_blank style='color:#2F92EE;'>#浓度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65497, encryptionId=ac3d6549e75, topicName=浓度)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=16b213663040, createdName=12498974m55暂无昵称, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=)]
    2019-05-29 hxj0117
  5. [GetPortalCommentsPageByObjectIdResponse(id=1694906, encodeId=e856169490696, content=<a href='/topic/show?id=ce9b64692d2' target=_blank style='color:#2F92EE;'>#治疗结局#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64692, encryptionId=ce9b64692d2, topicName=治疗结局)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4d1829785524, createdName=zhangjiqing, createdTime=Thu Sep 13 12:01:00 CST 2018, time=2018-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1775713, encodeId=0f5e1e75713f6, content=<a href='/topic/show?id=10a25216015' target=_blank style='color:#2F92EE;'>#急性A型主动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52160, encryptionId=10a25216015, topicName=急性A型主动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=acb838790010, createdName=yangshch, createdTime=Fri Jun 14 17:01:00 CST 2019, time=2019-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1720608, encodeId=6e6b1e2060847, content=<a href='/topic/show?id=36d63102c5' target=_blank style='color:#2F92EE;'>#A型主动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3102, encryptionId=36d63102c5, topicName=A型主动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=265832886001, createdName=tomyang97, createdTime=Sat Jun 08 20:01:00 CST 2019, time=2019-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1950366, encodeId=5748195036602, content=<a href='/topic/show?id=bfc624041dc' target=_blank style='color:#2F92EE;'>#二聚体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24041, encryptionId=bfc624041dc, topicName=二聚体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ac59108, createdName=hxj0117, createdTime=Wed May 29 08:01:00 CST 2019, time=2019-05-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=331299, encodeId=525d3312990c, content=多学习.开阔眼界了, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=981b2401455, createdName=12355bb4m53(暂无昵称), createdTime=Fri Jul 13 11:42:46 CST 2018, time=2018-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1267868, encodeId=24b5126e86810, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1310852, encodeId=2aa213108521b, content=<a href='/topic/show?id=b15c5628e9' target=_blank style='color:#2F92EE;'>#D-二聚体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5628, encryptionId=b15c5628e9, topicName=D-二聚体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e093393, createdName=luwei00, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415341, encodeId=3f761415341c9, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519576, encodeId=b0ae15195e6bc, content=<a href='/topic/show?id=b63a3323558' target=_blank style='color:#2F92EE;'>#动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33235, encryptionId=b63a3323558, topicName=动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae5711287462, createdName=mhzhuang@stu.e, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1544536, encodeId=d9891544536cf, content=<a href='/topic/show?id=ac3d6549e75' target=_blank style='color:#2F92EE;'>#浓度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65497, encryptionId=ac3d6549e75, topicName=浓度)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=16b213663040, createdName=12498974m55暂无昵称, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=)]
    2018-07-13 12355bb4m53(暂无昵称)

    多学习.开阔眼界了

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1694906, encodeId=e856169490696, content=<a href='/topic/show?id=ce9b64692d2' target=_blank style='color:#2F92EE;'>#治疗结局#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64692, encryptionId=ce9b64692d2, topicName=治疗结局)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4d1829785524, createdName=zhangjiqing, createdTime=Thu Sep 13 12:01:00 CST 2018, time=2018-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1775713, encodeId=0f5e1e75713f6, content=<a href='/topic/show?id=10a25216015' target=_blank style='color:#2F92EE;'>#急性A型主动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52160, encryptionId=10a25216015, topicName=急性A型主动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=acb838790010, createdName=yangshch, createdTime=Fri Jun 14 17:01:00 CST 2019, time=2019-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1720608, encodeId=6e6b1e2060847, content=<a href='/topic/show?id=36d63102c5' target=_blank style='color:#2F92EE;'>#A型主动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3102, encryptionId=36d63102c5, topicName=A型主动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=265832886001, createdName=tomyang97, createdTime=Sat Jun 08 20:01:00 CST 2019, time=2019-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1950366, encodeId=5748195036602, content=<a href='/topic/show?id=bfc624041dc' target=_blank style='color:#2F92EE;'>#二聚体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24041, encryptionId=bfc624041dc, topicName=二聚体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ac59108, createdName=hxj0117, createdTime=Wed May 29 08:01:00 CST 2019, time=2019-05-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=331299, encodeId=525d3312990c, content=多学习.开阔眼界了, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=981b2401455, createdName=12355bb4m53(暂无昵称), createdTime=Fri Jul 13 11:42:46 CST 2018, time=2018-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1267868, encodeId=24b5126e86810, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1310852, encodeId=2aa213108521b, content=<a href='/topic/show?id=b15c5628e9' target=_blank style='color:#2F92EE;'>#D-二聚体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5628, encryptionId=b15c5628e9, topicName=D-二聚体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e093393, createdName=luwei00, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415341, encodeId=3f761415341c9, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519576, encodeId=b0ae15195e6bc, content=<a href='/topic/show?id=b63a3323558' target=_blank style='color:#2F92EE;'>#动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33235, encryptionId=b63a3323558, topicName=动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae5711287462, createdName=mhzhuang@stu.e, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1544536, encodeId=d9891544536cf, content=<a href='/topic/show?id=ac3d6549e75' target=_blank style='color:#2F92EE;'>#浓度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65497, encryptionId=ac3d6549e75, topicName=浓度)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=16b213663040, createdName=12498974m55暂无昵称, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=)]
    2018-07-11 zhaohui6731
  7. [GetPortalCommentsPageByObjectIdResponse(id=1694906, encodeId=e856169490696, content=<a href='/topic/show?id=ce9b64692d2' target=_blank style='color:#2F92EE;'>#治疗结局#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64692, encryptionId=ce9b64692d2, topicName=治疗结局)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4d1829785524, createdName=zhangjiqing, createdTime=Thu Sep 13 12:01:00 CST 2018, time=2018-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1775713, encodeId=0f5e1e75713f6, content=<a href='/topic/show?id=10a25216015' target=_blank style='color:#2F92EE;'>#急性A型主动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52160, encryptionId=10a25216015, topicName=急性A型主动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=acb838790010, createdName=yangshch, createdTime=Fri Jun 14 17:01:00 CST 2019, time=2019-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1720608, encodeId=6e6b1e2060847, content=<a href='/topic/show?id=36d63102c5' target=_blank style='color:#2F92EE;'>#A型主动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3102, encryptionId=36d63102c5, topicName=A型主动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=265832886001, createdName=tomyang97, createdTime=Sat Jun 08 20:01:00 CST 2019, time=2019-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1950366, encodeId=5748195036602, content=<a href='/topic/show?id=bfc624041dc' target=_blank style='color:#2F92EE;'>#二聚体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24041, encryptionId=bfc624041dc, topicName=二聚体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ac59108, createdName=hxj0117, createdTime=Wed May 29 08:01:00 CST 2019, time=2019-05-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=331299, encodeId=525d3312990c, content=多学习.开阔眼界了, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=981b2401455, createdName=12355bb4m53(暂无昵称), createdTime=Fri Jul 13 11:42:46 CST 2018, time=2018-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1267868, encodeId=24b5126e86810, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1310852, encodeId=2aa213108521b, content=<a href='/topic/show?id=b15c5628e9' target=_blank style='color:#2F92EE;'>#D-二聚体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5628, encryptionId=b15c5628e9, topicName=D-二聚体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e093393, createdName=luwei00, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415341, encodeId=3f761415341c9, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519576, encodeId=b0ae15195e6bc, content=<a href='/topic/show?id=b63a3323558' target=_blank style='color:#2F92EE;'>#动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33235, encryptionId=b63a3323558, topicName=动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae5711287462, createdName=mhzhuang@stu.e, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1544536, encodeId=d9891544536cf, content=<a href='/topic/show?id=ac3d6549e75' target=_blank style='color:#2F92EE;'>#浓度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65497, encryptionId=ac3d6549e75, topicName=浓度)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=16b213663040, createdName=12498974m55暂无昵称, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=)]
  8. [GetPortalCommentsPageByObjectIdResponse(id=1694906, encodeId=e856169490696, content=<a href='/topic/show?id=ce9b64692d2' target=_blank style='color:#2F92EE;'>#治疗结局#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64692, encryptionId=ce9b64692d2, topicName=治疗结局)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4d1829785524, createdName=zhangjiqing, createdTime=Thu Sep 13 12:01:00 CST 2018, time=2018-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1775713, encodeId=0f5e1e75713f6, content=<a href='/topic/show?id=10a25216015' target=_blank style='color:#2F92EE;'>#急性A型主动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52160, encryptionId=10a25216015, topicName=急性A型主动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=acb838790010, createdName=yangshch, createdTime=Fri Jun 14 17:01:00 CST 2019, time=2019-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1720608, encodeId=6e6b1e2060847, content=<a href='/topic/show?id=36d63102c5' target=_blank style='color:#2F92EE;'>#A型主动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3102, encryptionId=36d63102c5, topicName=A型主动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=265832886001, createdName=tomyang97, createdTime=Sat Jun 08 20:01:00 CST 2019, time=2019-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1950366, encodeId=5748195036602, content=<a href='/topic/show?id=bfc624041dc' target=_blank style='color:#2F92EE;'>#二聚体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24041, encryptionId=bfc624041dc, topicName=二聚体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ac59108, createdName=hxj0117, createdTime=Wed May 29 08:01:00 CST 2019, time=2019-05-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=331299, encodeId=525d3312990c, content=多学习.开阔眼界了, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=981b2401455, createdName=12355bb4m53(暂无昵称), createdTime=Fri Jul 13 11:42:46 CST 2018, time=2018-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1267868, encodeId=24b5126e86810, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1310852, encodeId=2aa213108521b, content=<a href='/topic/show?id=b15c5628e9' target=_blank style='color:#2F92EE;'>#D-二聚体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5628, encryptionId=b15c5628e9, topicName=D-二聚体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e093393, createdName=luwei00, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415341, encodeId=3f761415341c9, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519576, encodeId=b0ae15195e6bc, content=<a href='/topic/show?id=b63a3323558' target=_blank style='color:#2F92EE;'>#动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33235, encryptionId=b63a3323558, topicName=动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae5711287462, createdName=mhzhuang@stu.e, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1544536, encodeId=d9891544536cf, content=<a href='/topic/show?id=ac3d6549e75' target=_blank style='color:#2F92EE;'>#浓度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65497, encryptionId=ac3d6549e75, topicName=浓度)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=16b213663040, createdName=12498974m55暂无昵称, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=)]
  9. [GetPortalCommentsPageByObjectIdResponse(id=1694906, encodeId=e856169490696, content=<a href='/topic/show?id=ce9b64692d2' target=_blank style='color:#2F92EE;'>#治疗结局#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64692, encryptionId=ce9b64692d2, topicName=治疗结局)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4d1829785524, createdName=zhangjiqing, createdTime=Thu Sep 13 12:01:00 CST 2018, time=2018-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1775713, encodeId=0f5e1e75713f6, content=<a href='/topic/show?id=10a25216015' target=_blank style='color:#2F92EE;'>#急性A型主动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52160, encryptionId=10a25216015, topicName=急性A型主动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=acb838790010, createdName=yangshch, createdTime=Fri Jun 14 17:01:00 CST 2019, time=2019-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1720608, encodeId=6e6b1e2060847, content=<a href='/topic/show?id=36d63102c5' target=_blank style='color:#2F92EE;'>#A型主动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3102, encryptionId=36d63102c5, topicName=A型主动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=265832886001, createdName=tomyang97, createdTime=Sat Jun 08 20:01:00 CST 2019, time=2019-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1950366, encodeId=5748195036602, content=<a href='/topic/show?id=bfc624041dc' target=_blank style='color:#2F92EE;'>#二聚体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24041, encryptionId=bfc624041dc, topicName=二聚体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ac59108, createdName=hxj0117, createdTime=Wed May 29 08:01:00 CST 2019, time=2019-05-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=331299, encodeId=525d3312990c, content=多学习.开阔眼界了, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=981b2401455, createdName=12355bb4m53(暂无昵称), createdTime=Fri Jul 13 11:42:46 CST 2018, time=2018-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1267868, encodeId=24b5126e86810, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1310852, encodeId=2aa213108521b, content=<a href='/topic/show?id=b15c5628e9' target=_blank style='color:#2F92EE;'>#D-二聚体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5628, encryptionId=b15c5628e9, topicName=D-二聚体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e093393, createdName=luwei00, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415341, encodeId=3f761415341c9, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519576, encodeId=b0ae15195e6bc, content=<a href='/topic/show?id=b63a3323558' target=_blank style='color:#2F92EE;'>#动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33235, encryptionId=b63a3323558, topicName=动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae5711287462, createdName=mhzhuang@stu.e, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1544536, encodeId=d9891544536cf, content=<a href='/topic/show?id=ac3d6549e75' target=_blank style='color:#2F92EE;'>#浓度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65497, encryptionId=ac3d6549e75, topicName=浓度)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=16b213663040, createdName=12498974m55暂无昵称, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=)]
  10. [GetPortalCommentsPageByObjectIdResponse(id=1694906, encodeId=e856169490696, content=<a href='/topic/show?id=ce9b64692d2' target=_blank style='color:#2F92EE;'>#治疗结局#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64692, encryptionId=ce9b64692d2, topicName=治疗结局)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4d1829785524, createdName=zhangjiqing, createdTime=Thu Sep 13 12:01:00 CST 2018, time=2018-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1775713, encodeId=0f5e1e75713f6, content=<a href='/topic/show?id=10a25216015' target=_blank style='color:#2F92EE;'>#急性A型主动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52160, encryptionId=10a25216015, topicName=急性A型主动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=acb838790010, createdName=yangshch, createdTime=Fri Jun 14 17:01:00 CST 2019, time=2019-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1720608, encodeId=6e6b1e2060847, content=<a href='/topic/show?id=36d63102c5' target=_blank style='color:#2F92EE;'>#A型主动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3102, encryptionId=36d63102c5, topicName=A型主动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=265832886001, createdName=tomyang97, createdTime=Sat Jun 08 20:01:00 CST 2019, time=2019-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1950366, encodeId=5748195036602, content=<a href='/topic/show?id=bfc624041dc' target=_blank style='color:#2F92EE;'>#二聚体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24041, encryptionId=bfc624041dc, topicName=二聚体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ac59108, createdName=hxj0117, createdTime=Wed May 29 08:01:00 CST 2019, time=2019-05-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=331299, encodeId=525d3312990c, content=多学习.开阔眼界了, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=981b2401455, createdName=12355bb4m53(暂无昵称), createdTime=Fri Jul 13 11:42:46 CST 2018, time=2018-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1267868, encodeId=24b5126e86810, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1310852, encodeId=2aa213108521b, content=<a href='/topic/show?id=b15c5628e9' target=_blank style='color:#2F92EE;'>#D-二聚体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5628, encryptionId=b15c5628e9, topicName=D-二聚体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e093393, createdName=luwei00, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415341, encodeId=3f761415341c9, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519576, encodeId=b0ae15195e6bc, content=<a href='/topic/show?id=b63a3323558' target=_blank style='color:#2F92EE;'>#动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33235, encryptionId=b63a3323558, topicName=动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae5711287462, createdName=mhzhuang@stu.e, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1544536, encodeId=d9891544536cf, content=<a href='/topic/show?id=ac3d6549e75' target=_blank style='color:#2F92EE;'>#浓度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65497, encryptionId=ac3d6549e75, topicName=浓度)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=16b213663040, createdName=12498974m55暂无昵称, createdTime=Wed Jul 11 10:01:00 CST 2018, time=2018-07-11, status=1, ipAttribution=)]

相关资讯

J Thromb Haemost:年龄调整后的D-二聚体临界值对静脉血栓栓塞诊断更有效!

由此可见,年龄调整后临界值仍然可以保持较高的灵敏度,特异性适当改善。假阳性结果明显减少,这反映了避免了不必要的影像学检查。这表明年龄调整后临界值对于老年患者静脉血栓栓塞的治疗在临床和经济上都有好处。

D-二聚体与八大疾病的“亲密关系”

(D-D)的检查出现在很多疾病中,D-二聚体增高提示了与体内各种原因引起的血栓性疾病相D-二聚体关。同时也说明了纤溶活性的增强;临床上常见于弥慢性血管内凝血(DIC)、深静脉血栓(DVT)、肺栓塞(PE)、急性心肌梗塞、脑梗塞、恶性肿瘤、卵巢癌、肺癌、败血症、肝病、妊高征孕妇、先兆子痫、烧伤、外科手术、创伤和脓毒血症等均可使D-二聚体升高,但是D-二聚体检测的升高并不能说明血栓形成的原因及位置,必

Stroke:血浆D-二聚体水平升高与急性心力衰竭患者短期缺血性脑卒中风险相关!

由此可见,入院后血浆D-二聚体水平升高与入院后急性缺血性卒中发病率增加显著相关,提示D-二聚体对AHF患者短期缺血性卒中事件具有预测作用。

D-二聚体升高能诊断哪些疾病?

D-二聚体是纤维蛋白单体经活化因子XIII交联后,再经纤溶酶水解所产生的一种特异性降解产物,是一个特异性的纤溶过程标记物。D-二聚体的正常范围是:定性(阴性);定量(<200μg/L)。D-二聚体异常升高有哪些临床意义呢?今天我们一起来探讨一下。一、D-二聚体和深静脉血栓中的应用D-二聚体在深静脉血栓(Deep venousthrombosis DVT)中总的诊断价值和在PE中的诊断价值类似:

Int J Cardiol:D-二聚体阴性对急性主动脉夹层早期评估的影响!

由此可见,该研究发现高血小板计数和低扩张分数是导致D-二聚体阴性结果的独立因素。即使夹层长度很短,对于一些D-二聚体阴性的病人,急诊手术也是必要的。医生应该认识到血浆D-二聚体阴性结果的患者不能排除致命性AAD的情况。

Blood:APA和D-二聚体或许可作为无诱因VTE患者复发栓塞的独立的预测因子

目前尚不确定抗磷脂抗体(APA)是否会增加首次无诱因的静脉血栓栓塞(VTE)后再次复发的风险。现有研究人员对一前瞻性队列研究的307位首次发生无诱因VTE的患者进行两次(间隔6个月)抗磷脂抗体、抗β2糖蛋白I抗体和狼疮抗凝物检测。研究人员尝试在290位D-二聚体检测阴性而终止抗凝治疗的患者中评估APA是否与复发性血栓形成相关。与无APA的患者相比,一次或多次检测APA阳性的患者占25.9%,其VT