麻醉医生在亲身经历一次全麻和手术后记下了这些...

2016-06-16 刘保江 新青年麻醉论坛

我是一名麻醉医生,不知不觉已经在这个行业工作了35年,每天都在和各种麻醉方式、麻醉药品接触,为无数的患者解释过麻醉的风险、麻醉感觉,回访过无数术后患者,但从未亲身体验过麻醉的真实感受。

我是一名麻醉医生,不知不觉已经在这个行业工作了35年,每天都在和各种麻醉方式、麻醉药品接触,为无数的患者解释过麻醉的风险、麻醉感觉,回访过无数术后患者,但从未亲身体验过麻醉的真实感受。

阳春三月,大地回春,人们刚刚享受完传统的春节假日,开始了新一年的工作和生活。我却因为罹患巨大肝囊肿于2016年3月20日进行了一次麻醉手术,真正亲身体验了一次麻醉和手术的经过。人生在世,生老病死是自然规律,生病是正常的,但进手术室经历一次麻醉手术的几率是极少的,作为麻醉医生多年来只给患者麻醉,但对麻醉后真正的感受只是来自于书本上所讲和前辈所述。

这次作为患者,从进入手术室麻醉到手术后恢复出院,有许多感受和感悟,我都记下来了,因为平时坚持写日记,所以我想告诉大家,没有其他什么用意,就是想通过自己所见和经历,讲述麻醉和术后的真实感受,让医生更进一步了解患者。虽然只是个例,但毕竟是一次经历,从麻醉医生角度讲述,希望对大家有所启迪,同时对麻醉医生和手术医生技术与工作的改进和提高,以及医患人文关怀等会有一些帮助,仅供各位共享。

罹患肝囊肿的经过

从2004年体检发现患有肝囊肿,至今已有十二年。开始很小1-1.2cm,后来每年体检发现逐渐增大。特别是从2012年开始,长得很快,2015年6月份体检B超提示囊肿已发展到17*12cm,当时胃部有不适症状,肝功能的几种酶有轻微的增高,总认为是其它原因引起的,没有太在意。到2016年2月份胃部症状明显加重,腹部明显隆起,双下肢有些浮肿。B超检查发现有24*12cm,这才引起重视。开始没有考虑手术,先在介入科行穿刺引流,第一天引流出4000多毫升,后来因液体粘稠引流不畅,用注射器抽出2000多毫升,最后注入硬化剂希望减少分泌,但发现每天仍有200-300ml液体流出,没办法就选择拔出引流管出院,2周后复查,囊肿又明显增大,而且出现胃部不适和腹部隆起,考虑到介入治疗效果不佳,才下决心住普外科手术治疗。

麻醉手术经过

我于2016年3月16日办理入院手续,17日做了术前检查和手术准备,3月20日周日上午拟行腹腔镜手术。说实话多年来都下不了决心手术,主要是担心麻醉,懂得越多越害怕,担心麻醉中发生困难插管,药物过敏,过敏性休克,术中出血及术后认知功能障碍怎么办等等。呵呵,想的太多,这次真没办法,只有手术才能解决问题,担心也没用。

19日晚上我做了肠道准备,次日7:30分第一次以患者身份走进手术室,躺在手术床上,看到我的许多同事都来帮我,做各种术前准备,输液,这么多人关心,我真的躺在床上,不是很紧张,监测生命体征平稳,术前咪唑安定2mg,我没什么反应,后来觉得面罩在我的面前放了一下,我就失去了知觉。后来麻醉手术的一切我都不清楚。直到恍惚中,我听到有人叫我睁眼睛,我努力试着睁开眼睛,心里很清楚,但不能说话,知道手术做完了,过了一会拔了气管导管,能讲话了,整个过程没什么不适的感觉,记得做了一个梦,什么内容记不清了,感觉是个好梦,而且很舒服,后来把我送到病房我都很清楚,无任何不适。

术后几天的经过

10:30我回到了病房,监测生命体征都很平稳,吸氧,安装了镇痛泵,当时伤口并不痛,无任何不适而且很兴奋。中午也睡不着,当天输了好多液体和抗生素,引流管内的引流液也不多,到下午6点多我还喝了一碗稀饭,吃了几块饼干。

从手术室回来精神一直很好,没有头晕和恶心,晚上19:30还非常有精神看CBA决赛,22:30入睡。晚上,伤口有点痛。

第二天早上6点多,腹部疼痛难忍,静脉注射了帕瑞昔布40mg,颠覆了从前我对腹腔镜术后疼痛程度的认识。用药后一会就感觉疼痛减轻,6:30下地活动后吃了早餐,感觉很好。8点多查完房医生让下地活动,我第二次下地,刚站起来,感觉右上腹刀割样剧烈疼痛,无法忍受,走了几步疼痛更加重,放射到右肋肩部,后来我躺在床上,过几分钟后好转,到下午下地活动痛感消失,术后第二天晚上睡得很好,伤口没有再痛,精神饮食都好。

第三天下午16时左右又下地活动时出现右下腹剧烈疼痛,和昨天右上腹疼痛一样,持续7-8分钟,随即消失,后来又转到左下腹,总感觉腹部有气顶着,游走性疼痛,外科医生说可能是CO2气腹引起的。我以前访视患者也没有太注意这种现象。23号周三下午做了B超,引流袋共有50ml液体,拔除引流管,停止输液,顿时感觉整个人解放了,行动方便了。24日周四上午出院回家,刚回去总感觉腹部有点不适,特别是咳嗽时,伤口还疼,后来逐渐好转,28号去医院拆了线,伤口愈合好,身体基本恢复正常,30号正常上班,共休息10天时间。

1

麻醉是很舒适的!作为麻醉医生每天为患者做麻醉,但麻醉后患者真实的感受是不得而知的,只有亲身体验一次才能理解患者的感受,明白是怎么回事。这也证实美国麻醉医师亲自体验全麻,亲自做臂丛神经阻滞,明白他们为什么这样做,他们是对事业的追求,对科学的探索,对患者的负责。我这次手术从麻醉到苏醒比较舒适,比我想象的要好的多,从诱导开始我就进入了梦境,术中无知晓,醒来无痛苦,无头晕恶心,咽部不适等症状,一直处于良好状态,这也是我的同事们从麻醉角度上的特殊照顾吧,因此从中得到了几点感悟:

1、麻醉前使用镇痛剂:减少焦虑,特别是应用咪唑安定,发挥其药理特点,产生顺应性遗忘,对术中、术后以及平稳恢复非常有益。

2、插管前气管内表面麻醉是必要的:使患者拔管前都无任何反应,术后咽部无任何不适,因此气管内表面麻醉应作为常规。

3、围术期合理用药:目前在临床上,围术期患者用药种类繁多,包括液体,不必要的药品或液体输注,会给患者带来许多副作用和浪费,因此要针对患者情况实施个体化用药,选择对患者影响小,并发症少,术后恢复快的药品,同时减少经济负担。

4、做好社会宣传:告知需要接受手术麻醉的患者,在接受医生必要的风险告知前提下,不要对麻醉产生恐惧,除特殊情况外,一般是较舒适安全的。

2

术后镇痛一定要完善!手术患者真正的痛苦不是在手术麻醉中,而是术后回病房的几天内,而主要问题就是疼痛。我这次亲身体会到如果镇痛不完善是很痛苦的,疼痛的发生主要来源于两方面,第一就是伤口痛,伤口剧烈痛就在2天内,但轻微痛会持续到1周左右。第二就是CO2气腹引起的游走性刀割样放射性疼痛,这种痛比伤口痛难忍,间断持续3-7天。以前术后访视患者没有注意到这种疼痛,这次亲身体会才知道,而且经了解很多患者都有此疼痛发生,因此术后完善镇痛是非常必要的,特别是腹腔镜手术,外科大夫不主张安置镇痛泵是不对的,因此我提出两点看法:

1、腹腔镜手术术后常规应安置镇痛泵,镇痛要完善,而镇痛时间适当延长达3天左右,让患者远离痛苦,促进身体康复。

2、避免CO2气腹引起的疼痛,外科大夫在手术结束时应尽量把二氧化碳排出体外,以减少气腹造成的术后疼痛。总之这种并发症应该引起重视,从发生率和预防的措施,可以在临床上加以研究和观察,作为课题去探讨。

3

身体健康是第一位的!告诫各位医生朋友们,工作再忙也要首先保重身体。人不可能不生病,但只有患病后才知道身体健康的重要性,特别是医生因为工作繁忙,身体有一些小问题不太注意。这次我深有体会,囊肿长了十几年,总认为是良性的,不会有什么影响,加上每天事情较多,没有多操心,其实每年都体检,没考虑到严重性,所以一直拖到现在,所以我诚恳的告诉大家:

1、任何时候如有身体不适一定要早诊断、早发现、早治疗,不管良性还是恶性都及早处理,不然都会引起不良后果。

2、保重身体是最重要,特别是作为医务工作者,劳动强度大,身体是革命的本钱,只要有好的身体才能有好的工作和生活,否则一切都是空谈,所以希望大家一定要注意身体,健康是第一位的。

讲完我的亲身经历和感悟,不知能给大家带来什么,希望各位去思考,借此机会我十分感谢在院治疗期间,所有关心我的医务人员和同事及亲朋好友们,有你们的关怀和支持,使我去除病痛,重获健康,愿我们今后健康生活,快乐生活!

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 (8)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=152206, encodeId=da1315220683, content=以后腹腔镜手术都谈泵!, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/5296C4177A2A1DDE06A14346F92C8FE8/100, createdBy=35301972527, createdName=哲Mechanic, createdTime=Sun Oct 30 13:17:49 CST 2016, time=2016-10-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=126791, encodeId=d72a126e910d, content=文章不错,值得拜读, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Wed Sep 14 14:58:00 CST 2016, time=2016-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=126780, encodeId=7e0f126e806f, content=文章不错,值得拜读, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Wed Sep 14 14:56:00 CST 2016, time=2016-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1683496, encodeId=45f5168349623, content=<a href='/topic/show?id=e1c710305098' target=_blank style='color:#2F92EE;'>#麻醉医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103050, encryptionId=e1c710305098, topicName=麻醉医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c24827977639, createdName=周虎, createdTime=Thu Feb 02 21:49:00 CST 2017, time=2017-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90566, encodeId=5f3b90566d2, content=这个刚看完, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Mon Jun 20 00:12:00 CST 2016, time=2016-06-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1476541, encodeId=0ee214e6541f6, content=<a href='/topic/show?id=6ff229e7126' target=_blank style='color:#2F92EE;'>#全麻#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=29771, encryptionId=6ff229e7126, topicName=全麻)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=柳叶一刀, createdTime=Sat Jun 18 04:49:00 CST 2016, time=2016-06-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90085, encodeId=ec179008559, content=这个不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=126, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7cde98330, createdName=milkshark, createdTime=Thu Jun 16 20:26:00 CST 2016, time=2016-06-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90086, encodeId=87be90086a2, content=是这样的, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7cde98330, createdName=milkshark, createdTime=Thu Jun 16 20:26:00 CST 2016, time=2016-06-16, status=1, ipAttribution=)]
    2016-10-30 哲Mechanic

    以后腹腔镜手术都谈泵!

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=152206, encodeId=da1315220683, content=以后腹腔镜手术都谈泵!, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/5296C4177A2A1DDE06A14346F92C8FE8/100, createdBy=35301972527, createdName=哲Mechanic, createdTime=Sun Oct 30 13:17:49 CST 2016, time=2016-10-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=126791, encodeId=d72a126e910d, content=文章不错,值得拜读, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Wed Sep 14 14:58:00 CST 2016, time=2016-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=126780, encodeId=7e0f126e806f, content=文章不错,值得拜读, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Wed Sep 14 14:56:00 CST 2016, time=2016-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1683496, encodeId=45f5168349623, content=<a href='/topic/show?id=e1c710305098' target=_blank style='color:#2F92EE;'>#麻醉医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103050, encryptionId=e1c710305098, topicName=麻醉医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c24827977639, createdName=周虎, createdTime=Thu Feb 02 21:49:00 CST 2017, time=2017-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90566, encodeId=5f3b90566d2, content=这个刚看完, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Mon Jun 20 00:12:00 CST 2016, time=2016-06-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1476541, encodeId=0ee214e6541f6, content=<a href='/topic/show?id=6ff229e7126' target=_blank style='color:#2F92EE;'>#全麻#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=29771, encryptionId=6ff229e7126, topicName=全麻)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=柳叶一刀, createdTime=Sat Jun 18 04:49:00 CST 2016, time=2016-06-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90085, encodeId=ec179008559, content=这个不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=126, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7cde98330, createdName=milkshark, createdTime=Thu Jun 16 20:26:00 CST 2016, time=2016-06-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90086, encodeId=87be90086a2, content=是这样的, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7cde98330, createdName=milkshark, createdTime=Thu Jun 16 20:26:00 CST 2016, time=2016-06-16, status=1, ipAttribution=)]
    2016-09-14 1e10c84am36(暂无匿称)

    文章不错,值得拜读

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=152206, encodeId=da1315220683, content=以后腹腔镜手术都谈泵!, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/5296C4177A2A1DDE06A14346F92C8FE8/100, createdBy=35301972527, createdName=哲Mechanic, createdTime=Sun Oct 30 13:17:49 CST 2016, time=2016-10-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=126791, encodeId=d72a126e910d, content=文章不错,值得拜读, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Wed Sep 14 14:58:00 CST 2016, time=2016-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=126780, encodeId=7e0f126e806f, content=文章不错,值得拜读, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Wed Sep 14 14:56:00 CST 2016, time=2016-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1683496, encodeId=45f5168349623, content=<a href='/topic/show?id=e1c710305098' target=_blank style='color:#2F92EE;'>#麻醉医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103050, encryptionId=e1c710305098, topicName=麻醉医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c24827977639, createdName=周虎, createdTime=Thu Feb 02 21:49:00 CST 2017, time=2017-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90566, encodeId=5f3b90566d2, content=这个刚看完, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Mon Jun 20 00:12:00 CST 2016, time=2016-06-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1476541, encodeId=0ee214e6541f6, content=<a href='/topic/show?id=6ff229e7126' target=_blank style='color:#2F92EE;'>#全麻#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=29771, encryptionId=6ff229e7126, topicName=全麻)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=柳叶一刀, createdTime=Sat Jun 18 04:49:00 CST 2016, time=2016-06-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90085, encodeId=ec179008559, content=这个不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=126, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7cde98330, createdName=milkshark, createdTime=Thu Jun 16 20:26:00 CST 2016, time=2016-06-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90086, encodeId=87be90086a2, content=是这样的, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7cde98330, createdName=milkshark, createdTime=Thu Jun 16 20:26:00 CST 2016, time=2016-06-16, status=1, ipAttribution=)]
    2016-09-14 1e10c84am36(暂无匿称)

    文章不错,值得拜读

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=152206, encodeId=da1315220683, content=以后腹腔镜手术都谈泵!, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/5296C4177A2A1DDE06A14346F92C8FE8/100, createdBy=35301972527, createdName=哲Mechanic, createdTime=Sun Oct 30 13:17:49 CST 2016, time=2016-10-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=126791, encodeId=d72a126e910d, content=文章不错,值得拜读, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Wed Sep 14 14:58:00 CST 2016, time=2016-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=126780, encodeId=7e0f126e806f, content=文章不错,值得拜读, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Wed Sep 14 14:56:00 CST 2016, time=2016-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1683496, encodeId=45f5168349623, content=<a href='/topic/show?id=e1c710305098' target=_blank style='color:#2F92EE;'>#麻醉医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103050, encryptionId=e1c710305098, topicName=麻醉医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c24827977639, createdName=周虎, createdTime=Thu Feb 02 21:49:00 CST 2017, time=2017-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90566, encodeId=5f3b90566d2, content=这个刚看完, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Mon Jun 20 00:12:00 CST 2016, time=2016-06-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1476541, encodeId=0ee214e6541f6, content=<a href='/topic/show?id=6ff229e7126' target=_blank style='color:#2F92EE;'>#全麻#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=29771, encryptionId=6ff229e7126, topicName=全麻)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=柳叶一刀, createdTime=Sat Jun 18 04:49:00 CST 2016, time=2016-06-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90085, encodeId=ec179008559, content=这个不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=126, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7cde98330, createdName=milkshark, createdTime=Thu Jun 16 20:26:00 CST 2016, time=2016-06-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90086, encodeId=87be90086a2, content=是这样的, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7cde98330, createdName=milkshark, createdTime=Thu Jun 16 20:26:00 CST 2016, time=2016-06-16, status=1, ipAttribution=)]
  5. [GetPortalCommentsPageByObjectIdResponse(id=152206, encodeId=da1315220683, content=以后腹腔镜手术都谈泵!, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/5296C4177A2A1DDE06A14346F92C8FE8/100, createdBy=35301972527, createdName=哲Mechanic, createdTime=Sun Oct 30 13:17:49 CST 2016, time=2016-10-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=126791, encodeId=d72a126e910d, content=文章不错,值得拜读, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Wed Sep 14 14:58:00 CST 2016, time=2016-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=126780, encodeId=7e0f126e806f, content=文章不错,值得拜读, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Wed Sep 14 14:56:00 CST 2016, time=2016-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1683496, encodeId=45f5168349623, content=<a href='/topic/show?id=e1c710305098' target=_blank style='color:#2F92EE;'>#麻醉医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103050, encryptionId=e1c710305098, topicName=麻醉医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c24827977639, createdName=周虎, createdTime=Thu Feb 02 21:49:00 CST 2017, time=2017-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90566, encodeId=5f3b90566d2, content=这个刚看完, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Mon Jun 20 00:12:00 CST 2016, time=2016-06-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1476541, encodeId=0ee214e6541f6, content=<a href='/topic/show?id=6ff229e7126' target=_blank style='color:#2F92EE;'>#全麻#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=29771, encryptionId=6ff229e7126, topicName=全麻)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=柳叶一刀, createdTime=Sat Jun 18 04:49:00 CST 2016, time=2016-06-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90085, encodeId=ec179008559, content=这个不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=126, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7cde98330, createdName=milkshark, createdTime=Thu Jun 16 20:26:00 CST 2016, time=2016-06-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90086, encodeId=87be90086a2, content=是这样的, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7cde98330, createdName=milkshark, createdTime=Thu Jun 16 20:26:00 CST 2016, time=2016-06-16, status=1, ipAttribution=)]
    2016-06-20 inter158

    这个刚看完

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=152206, encodeId=da1315220683, content=以后腹腔镜手术都谈泵!, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/5296C4177A2A1DDE06A14346F92C8FE8/100, createdBy=35301972527, createdName=哲Mechanic, createdTime=Sun Oct 30 13:17:49 CST 2016, time=2016-10-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=126791, encodeId=d72a126e910d, content=文章不错,值得拜读, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Wed Sep 14 14:58:00 CST 2016, time=2016-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=126780, encodeId=7e0f126e806f, content=文章不错,值得拜读, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Wed Sep 14 14:56:00 CST 2016, time=2016-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1683496, encodeId=45f5168349623, content=<a href='/topic/show?id=e1c710305098' target=_blank style='color:#2F92EE;'>#麻醉医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103050, encryptionId=e1c710305098, topicName=麻醉医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c24827977639, createdName=周虎, createdTime=Thu Feb 02 21:49:00 CST 2017, time=2017-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90566, encodeId=5f3b90566d2, content=这个刚看完, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Mon Jun 20 00:12:00 CST 2016, time=2016-06-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1476541, encodeId=0ee214e6541f6, content=<a href='/topic/show?id=6ff229e7126' target=_blank style='color:#2F92EE;'>#全麻#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=29771, encryptionId=6ff229e7126, topicName=全麻)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=柳叶一刀, createdTime=Sat Jun 18 04:49:00 CST 2016, time=2016-06-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90085, encodeId=ec179008559, content=这个不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=126, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7cde98330, createdName=milkshark, createdTime=Thu Jun 16 20:26:00 CST 2016, time=2016-06-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90086, encodeId=87be90086a2, content=是这样的, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7cde98330, createdName=milkshark, createdTime=Thu Jun 16 20:26:00 CST 2016, time=2016-06-16, status=1, ipAttribution=)]
  7. [GetPortalCommentsPageByObjectIdResponse(id=152206, encodeId=da1315220683, content=以后腹腔镜手术都谈泵!, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/5296C4177A2A1DDE06A14346F92C8FE8/100, createdBy=35301972527, createdName=哲Mechanic, createdTime=Sun Oct 30 13:17:49 CST 2016, time=2016-10-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=126791, encodeId=d72a126e910d, content=文章不错,值得拜读, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Wed Sep 14 14:58:00 CST 2016, time=2016-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=126780, encodeId=7e0f126e806f, content=文章不错,值得拜读, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Wed Sep 14 14:56:00 CST 2016, time=2016-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1683496, encodeId=45f5168349623, content=<a href='/topic/show?id=e1c710305098' target=_blank style='color:#2F92EE;'>#麻醉医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103050, encryptionId=e1c710305098, topicName=麻醉医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c24827977639, createdName=周虎, createdTime=Thu Feb 02 21:49:00 CST 2017, time=2017-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90566, encodeId=5f3b90566d2, content=这个刚看完, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Mon Jun 20 00:12:00 CST 2016, time=2016-06-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1476541, encodeId=0ee214e6541f6, content=<a href='/topic/show?id=6ff229e7126' target=_blank style='color:#2F92EE;'>#全麻#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=29771, encryptionId=6ff229e7126, topicName=全麻)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=柳叶一刀, createdTime=Sat Jun 18 04:49:00 CST 2016, time=2016-06-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90085, encodeId=ec179008559, content=这个不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=126, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7cde98330, createdName=milkshark, createdTime=Thu Jun 16 20:26:00 CST 2016, time=2016-06-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90086, encodeId=87be90086a2, content=是这样的, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7cde98330, createdName=milkshark, createdTime=Thu Jun 16 20:26:00 CST 2016, time=2016-06-16, status=1, ipAttribution=)]
    2016-06-16 milkshark

    这个不错

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=152206, encodeId=da1315220683, content=以后腹腔镜手术都谈泵!, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/5296C4177A2A1DDE06A14346F92C8FE8/100, createdBy=35301972527, createdName=哲Mechanic, createdTime=Sun Oct 30 13:17:49 CST 2016, time=2016-10-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=126791, encodeId=d72a126e910d, content=文章不错,值得拜读, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Wed Sep 14 14:58:00 CST 2016, time=2016-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=126780, encodeId=7e0f126e806f, content=文章不错,值得拜读, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Wed Sep 14 14:56:00 CST 2016, time=2016-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1683496, encodeId=45f5168349623, content=<a href='/topic/show?id=e1c710305098' target=_blank style='color:#2F92EE;'>#麻醉医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103050, encryptionId=e1c710305098, topicName=麻醉医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c24827977639, createdName=周虎, createdTime=Thu Feb 02 21:49:00 CST 2017, time=2017-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90566, encodeId=5f3b90566d2, content=这个刚看完, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Mon Jun 20 00:12:00 CST 2016, time=2016-06-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1476541, encodeId=0ee214e6541f6, content=<a href='/topic/show?id=6ff229e7126' target=_blank style='color:#2F92EE;'>#全麻#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=29771, encryptionId=6ff229e7126, topicName=全麻)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=柳叶一刀, createdTime=Sat Jun 18 04:49:00 CST 2016, time=2016-06-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90085, encodeId=ec179008559, content=这个不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=126, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7cde98330, createdName=milkshark, createdTime=Thu Jun 16 20:26:00 CST 2016, time=2016-06-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90086, encodeId=87be90086a2, content=是这样的, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7cde98330, createdName=milkshark, createdTime=Thu Jun 16 20:26:00 CST 2016, time=2016-06-16, status=1, ipAttribution=)]
    2016-06-16 milkshark

    是这样的

    0

相关资讯

麻醉医生的自白: 产科麻醉,多的是你不知道的凶险!

“不就生个孩子嘛,你看张三家,李四家哪个不是那么生的,哪像你们说的那么危险恐怖。” 产科麻醉医生们最常听到的,就是这样的质疑——“生孩子难吗?看人家生的那么轻松,肯定不难。那既然这样,要你们麻醉医生做什么呢?” 其实医生真不是吓唬大家,如果所有产妇生产的都一样,那医生的确也就简单轻松多了。可问题是,也许麻醉医生们遇到的大部分孕妇生产情况都不一样呢? 产科麻醉的风险

Gastroenterology:结肠镜检查患者应尽量避免使用麻醉

目的:研究者旨在量化结肠镜检查有无麻醉的差异。方法:研究者进行了一项前瞻性队列研究和分析2008到2011健康研究数据库中的数据。研究者识别3168228名40-64岁进行结肠镜检查的男性和女性。校正年龄,性别,息肉位置,Charlson合并症指数,区域后,检测结肠镜检查30天内的并发症:包括结肠(如穿孔、出血、腹痛),麻醉相关(如肺炎、感染、并发症、麻醉),心肺功能的预后(即,低血压,心肌梗死,

AANA:麻醉前可不可以来一颗PDE5抑制剂?

近期美国麻醉护士学会(AANA)称,男性在术前一天不要使用治疗勃起功能障碍的药物!常见的包括伟哥和西力士。知道为什么术前不能吃,不做手术就能吃吗?因为一氧化氮!这些药物里含有能够舒张血管和松弛肌肉的一氧化氮,也是为什么血液可以充到小头里的原因。不过,这些药物在人体内的清除时间超过24小时。所以如果手术前吃了这些药,麻醉风险就会大大升高,麻醉时或使用其他药物时,可能出现血压的急剧下降。所以,男性在术

Gastroenterology:麻醉会增加结肠镜检查后并发症风险

近期有研究者对伴或伴麻醉的结肠镜检查进行了一项研究,发表在Gastroenterology的结果称,伴麻醉的结肠镜检查,其后30天内的并发症风险增加13%(与不伴麻醉的结肠镜检查相比)。尤其是穿孔、出血、腹痛、继发于麻醉的相关并发症和卒中风险增加。研究者呼吁,随着无痛结肠镜检查的广泛应用,临床医师和患者应该对其潜在的风险予以重视。该研究共纳入了3,168,228名40-64岁进行结肠镜检查的人群。

笑死了!原来麻醉后会"性情大变"

手术需要麻醉,全身麻醉是医院常用的一种,是指用呼吸吸入或静脉输液的方式让病人完全失去知觉从而利于手术的进行。很多人在打麻药后,都会做一个甜美的梦。比如10床小朋友在做疝修补术时,麻醉梦中吃了一个大大的甜甜的桃子,醒来的时候还乐呵不止;12床阑尾炎患者说割阑尾的时候,见到了初恋,有没有进一步行动,他没说,我们也就不好意思问了。还有更尴尬的,有一次门诊麻醉室的一个手术被投诉了。患者麻醉醒来后,觉得自己

全新APS术后疼痛管理指南建议

新的循证医学临床实践指南是基于一个跨学科的专家小组的调查结果。APS委托美国麻醉医师协会撰写指南文档,该文件随后也得到了美国区域麻醉和疼痛管理学会的批准。研究表明,大多数手术患者疼痛缓解不足,将会增加术后长期疼痛,情绪障碍和身体损伤等风险,该指南的主要作者罗杰教授说道。指南中提到,缓解手术疼痛有很多方式,可以使用不同的药物,例如,阿片类药物和非阿片类药物,非甾体类抗炎药(NSAIDs)、加巴喷丁/