Circ-Cardiovasc Inte:ST段抬高心肌梗死患者中的冠状动脉栓塞临床特点分析!

2018-01-10 xing.T MedSci原创

由此可见,ST段抬高心肌梗死继发于CE的病因从心脏到全身性的疾病而有所不同,并且根据基础心血管风险,患者的长期生存率比预期更糟糕。

冠状动脉栓塞(CE)是公认的ST段抬高型心肌梗死的一个重要非动脉硬化性原因。近日,心血管领域权威杂志Circulation: Cardiovascular Interventions上发表了一篇研究文章,其目的是通过一个大型连续就诊的ST段抬高心肌梗死患者队列来描述CE的临床特征和长期结局,并确定CE的危险因素。

研究人员分析了1232例新发ST段抬高心肌梗死患者。CE诊断标准包括临床血管造影和影像学检查的依据。共有53例患者被确定为CE组,其中包括12例(22.6%)多部位CE患者和9例冠状动脉外其他部位栓塞。

与非CE组相比,CE组除吸烟(P=0.03)和体重指数(P<0.001)外,年龄、冠心病危险因素两组间无显著差异。CE组具有在冠脉介入治疗过程中更多的使用糖蛋白IIb/IIIa抑制剂(P<0.001)和较少使用血管成形术(P<0.001)的特点。最常见的潜在心脏病为心房颤动(n=15,28.3%),其次是扩张型心肌病(n=5)、感染性心内膜炎(n=4)、心脏内肿瘤(n=3),而在全身性疾病中,包括恶性肿瘤(n=8)和全身性自身免疫性疾病或抗磷脂综合征(n=4)。14例(26.4%)患者无法确定其发生机制。冠状动脉栓塞与较高的死亡风险相关(粗略风险比为4.87,95%可信区间为2.52-9.39,P<0.0001)。

由此可见,ST段抬高心肌梗死继发于CE的病因从心脏到全身性的疾病而有所不同,并且根据基础心血管风险,患者的长期生存率比预期更糟糕。

原始出处:

Batric Popovic,et al. Coronary Embolism Among ST-Segment–Elevation Myocardial Infarction Patients Mechanisms and Management. Circulation: Cardiovascular Interventions.2018.https://doi.org/10.1161/CIRCINTERVENTIONS.117.005587

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    2018-01-25 quxin068
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createdName=feather78, createdTime=Mon Jun 11 16:20:00 CST 2018, time=2018-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1938780, encodeId=e2cb1938e80df, content=<a href='/topic/show?id=1c292818fd' target=_blank style='color:#2F92EE;'>#ASC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2818, encryptionId=1c292818fd, topicName=ASC)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=quxin068, createdTime=Thu Jan 25 00:20:00 CST 2018, time=2018-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1973655, encodeId=7abf19e3655d9, content=<a href='/topic/show?id=208d33248a1' target=_blank style='color:#2F92EE;'>#动脉栓塞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33248, encryptionId=208d33248a1, topicName=动脉栓塞)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIpeueeYB1kem1yfEZrSYKBdZBoqac9USf0RxIgRICBIyDn4licyiaiakNnobeCDVpvwqaWgwTNeLRHA/132, createdBy=bb5e2500127, createdName=小几洁, createdTime=Sat Nov 24 04:20:00 CST 2018, time=2018-11-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=285320, encodeId=b6332853209e, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Mon Feb 05 09:14:22 CST 2018, time=2018-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=285022, encodeId=db90285022ed, content=ni谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Sun Feb 04 10:41:37 CST 2018, time=2018-02-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=284607, encodeId=c36e28460eea, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Sat Feb 03 01:11:23 CST 2018, time=2018-02-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=284399, encodeId=e4a9284399d8, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Fri Feb 02 07:49:08 CST 2018, time=2018-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=284101, encodeId=c91e2841016b, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Thu Feb 01 07:52:56 CST 2018, time=2018-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283770, encodeId=17e8283e7038, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Wed Jan 31 08:02:37 CST 2018, time=2018-01-31, status=1, ipAttribution=)]
  5. [GetPortalCommentsPageByObjectIdResponse(id=2028863, encodeId=5478202886372, content=<a href='/topic/show?id=960a3088274' target=_blank style='color:#2F92EE;'>#冠状动脉栓塞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30882, encryptionId=960a3088274, topicName=冠状动脉栓塞)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3333505, createdName=gujh, createdTime=Mon Jul 09 18:20:00 CST 2018, time=2018-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1933886, encodeId=a4dc1933886db, content=<a href='/topic/show?id=7c1c2288877' target=_blank style='color:#2F92EE;'>#临床特点#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22888, encryptionId=7c1c2288877, topicName=临床特点)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3679417, createdName=feather78, createdTime=Mon Jun 11 16:20:00 CST 2018, time=2018-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1938780, encodeId=e2cb1938e80df, content=<a href='/topic/show?id=1c292818fd' target=_blank style='color:#2F92EE;'>#ASC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2818, encryptionId=1c292818fd, topicName=ASC)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=quxin068, createdTime=Thu Jan 25 00:20:00 CST 2018, time=2018-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1973655, encodeId=7abf19e3655d9, content=<a href='/topic/show?id=208d33248a1' target=_blank style='color:#2F92EE;'>#动脉栓塞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33248, 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level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Sun Feb 04 10:41:37 CST 2018, time=2018-02-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=284607, encodeId=c36e28460eea, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Sat Feb 03 01:11:23 CST 2018, time=2018-02-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=284399, encodeId=e4a9284399d8, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Fri Feb 02 07:49:08 CST 2018, time=2018-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=284101, encodeId=c91e2841016b, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Thu Feb 01 07:52:56 CST 2018, time=2018-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283770, encodeId=17e8283e7038, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Wed Jan 31 08:02:37 CST 2018, time=2018-01-31, status=1, ipAttribution=)]
    2018-02-05 琵琶枇杷

    谢谢分享谢谢分享

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=2028863, encodeId=5478202886372, content=<a href='/topic/show?id=960a3088274' target=_blank style='color:#2F92EE;'>#冠状动脉栓塞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30882, encryptionId=960a3088274, topicName=冠状动脉栓塞)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3333505, createdName=gujh, createdTime=Mon Jul 09 18:20:00 CST 2018, time=2018-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1933886, encodeId=a4dc1933886db, content=<a href='/topic/show?id=7c1c2288877' target=_blank style='color:#2F92EE;'>#临床特点#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22888, encryptionId=7c1c2288877, topicName=临床特点)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3679417, 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encryptionId=208d33248a1, topicName=动脉栓塞)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIpeueeYB1kem1yfEZrSYKBdZBoqac9USf0RxIgRICBIyDn4licyiaiakNnobeCDVpvwqaWgwTNeLRHA/132, createdBy=bb5e2500127, createdName=小几洁, createdTime=Sat Nov 24 04:20:00 CST 2018, time=2018-11-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=285320, encodeId=b6332853209e, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Mon Feb 05 09:14:22 CST 2018, time=2018-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=285022, encodeId=db90285022ed, content=ni谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Sun Feb 04 10:41:37 CST 2018, time=2018-02-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=284607, encodeId=c36e28460eea, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Sat Feb 03 01:11:23 CST 2018, time=2018-02-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=284399, encodeId=e4a9284399d8, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Fri Feb 02 07:49:08 CST 2018, time=2018-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=284101, encodeId=c91e2841016b, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Thu Feb 01 07:52:56 CST 2018, time=2018-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283770, encodeId=17e8283e7038, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Wed Jan 31 08:02:37 CST 2018, time=2018-01-31, status=1, ipAttribution=)]
    2018-02-04 琵琶枇杷

    ni谢谢分享谢谢分享

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=2028863, encodeId=5478202886372, content=<a href='/topic/show?id=960a3088274' target=_blank style='color:#2F92EE;'>#冠状动脉栓塞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30882, encryptionId=960a3088274, topicName=冠状动脉栓塞)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3333505, createdName=gujh, createdTime=Mon Jul 09 18:20:00 CST 2018, time=2018-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1933886, encodeId=a4dc1933886db, content=<a href='/topic/show?id=7c1c2288877' target=_blank style='color:#2F92EE;'>#临床特点#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22888, encryptionId=7c1c2288877, topicName=临床特点)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3679417, 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level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Sun Feb 04 10:41:37 CST 2018, time=2018-02-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=284607, encodeId=c36e28460eea, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Sat Feb 03 01:11:23 CST 2018, time=2018-02-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=284399, encodeId=e4a9284399d8, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Fri Feb 02 07:49:08 CST 2018, time=2018-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=284101, encodeId=c91e2841016b, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Thu Feb 01 07:52:56 CST 2018, time=2018-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283770, encodeId=17e8283e7038, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Wed Jan 31 08:02:37 CST 2018, time=2018-01-31, status=1, ipAttribution=)]
    2018-02-03 琵琶枇杷

    谢谢分享谢谢分享

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=2028863, encodeId=5478202886372, content=<a href='/topic/show?id=960a3088274' target=_blank style='color:#2F92EE;'>#冠状动脉栓塞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30882, encryptionId=960a3088274, topicName=冠状动脉栓塞)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3333505, createdName=gujh, createdTime=Mon Jul 09 18:20:00 CST 2018, time=2018-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1933886, encodeId=a4dc1933886db, content=<a href='/topic/show?id=7c1c2288877' target=_blank style='color:#2F92EE;'>#临床特点#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22888, encryptionId=7c1c2288877, topicName=临床特点)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3679417, createdName=feather78, createdTime=Mon Jun 11 16:20:00 CST 2018, time=2018-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1938780, encodeId=e2cb1938e80df, content=<a href='/topic/show?id=1c292818fd' target=_blank style='color:#2F92EE;'>#ASC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2818, encryptionId=1c292818fd, topicName=ASC)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=quxin068, createdTime=Thu Jan 25 00:20:00 CST 2018, time=2018-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1973655, encodeId=7abf19e3655d9, content=<a href='/topic/show?id=208d33248a1' target=_blank style='color:#2F92EE;'>#动脉栓塞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33248, 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level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Sun Feb 04 10:41:37 CST 2018, time=2018-02-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=284607, encodeId=c36e28460eea, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Sat Feb 03 01:11:23 CST 2018, time=2018-02-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=284399, encodeId=e4a9284399d8, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Fri Feb 02 07:49:08 CST 2018, time=2018-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=284101, encodeId=c91e2841016b, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Thu Feb 01 07:52:56 CST 2018, time=2018-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283770, encodeId=17e8283e7038, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Wed Jan 31 08:02:37 CST 2018, time=2018-01-31, status=1, ipAttribution=)]
    2018-02-02 琵琶枇杷

    谢谢分享谢谢分享

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=2028863, encodeId=5478202886372, content=<a href='/topic/show?id=960a3088274' target=_blank style='color:#2F92EE;'>#冠状动脉栓塞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30882, encryptionId=960a3088274, topicName=冠状动脉栓塞)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3333505, createdName=gujh, createdTime=Mon Jul 09 18:20:00 CST 2018, time=2018-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1933886, encodeId=a4dc1933886db, content=<a href='/topic/show?id=7c1c2288877' target=_blank style='color:#2F92EE;'>#临床特点#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22888, encryptionId=7c1c2288877, topicName=临床特点)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3679417, createdName=feather78, createdTime=Mon Jun 11 16:20:00 CST 2018, time=2018-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1938780, encodeId=e2cb1938e80df, content=<a href='/topic/show?id=1c292818fd' target=_blank style='color:#2F92EE;'>#ASC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2818, encryptionId=1c292818fd, topicName=ASC)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=quxin068, createdTime=Thu Jan 25 00:20:00 CST 2018, time=2018-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1973655, encodeId=7abf19e3655d9, content=<a href='/topic/show?id=208d33248a1' target=_blank style='color:#2F92EE;'>#动脉栓塞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33248, encryptionId=208d33248a1, topicName=动脉栓塞)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIpeueeYB1kem1yfEZrSYKBdZBoqac9USf0RxIgRICBIyDn4licyiaiakNnobeCDVpvwqaWgwTNeLRHA/132, createdBy=bb5e2500127, createdName=小几洁, createdTime=Sat Nov 24 04:20:00 CST 2018, time=2018-11-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=285320, encodeId=b6332853209e, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Mon Feb 05 09:14:22 CST 2018, time=2018-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=285022, encodeId=db90285022ed, content=ni谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Sun Feb 04 10:41:37 CST 2018, time=2018-02-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=284607, encodeId=c36e28460eea, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Sat Feb 03 01:11:23 CST 2018, time=2018-02-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=284399, encodeId=e4a9284399d8, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Fri Feb 02 07:49:08 CST 2018, time=2018-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=284101, encodeId=c91e2841016b, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Thu Feb 01 07:52:56 CST 2018, time=2018-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283770, encodeId=17e8283e7038, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Wed Jan 31 08:02:37 CST 2018, time=2018-01-31, status=1, ipAttribution=)]
    2018-02-01 琵琶枇杷

    谢谢分享谢谢分享

    0

  10. [GetPortalCommentsPageByObjectIdResponse(id=2028863, encodeId=5478202886372, content=<a href='/topic/show?id=960a3088274' target=_blank style='color:#2F92EE;'>#冠状动脉栓塞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30882, encryptionId=960a3088274, topicName=冠状动脉栓塞)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3333505, createdName=gujh, createdTime=Mon Jul 09 18:20:00 CST 2018, time=2018-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1933886, encodeId=a4dc1933886db, content=<a href='/topic/show?id=7c1c2288877' target=_blank style='color:#2F92EE;'>#临床特点#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22888, encryptionId=7c1c2288877, topicName=临床特点)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3679417, 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level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Sun Feb 04 10:41:37 CST 2018, time=2018-02-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=284607, encodeId=c36e28460eea, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Sat Feb 03 01:11:23 CST 2018, time=2018-02-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=284399, encodeId=e4a9284399d8, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Fri Feb 02 07:49:08 CST 2018, time=2018-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=284101, encodeId=c91e2841016b, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Thu Feb 01 07:52:56 CST 2018, time=2018-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283770, encodeId=17e8283e7038, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170126/IMG588939F5DDB338350.jpg, createdBy=b3812014266, createdName=琵琶枇杷, createdTime=Wed Jan 31 08:02:37 CST 2018, time=2018-01-31, status=1, ipAttribution=)]
    2018-01-31 琵琶枇杷

    谢谢分享谢谢分享

    0

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