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常用通气功能参数的解读

2015-07-17 朱蕾 张静 中华结核和呼吸杂志

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作者：朱蕾 张静1．用力肺活量(forced vital capacity，FVC)：深吸气至TLC，做最大力量、最快速度的呼气所呼出的最大气体容积。2．第1秒用力呼气容积(forced expiratory volume in one second，FEV1)：从TLC用力呼气1S所呼出的最大气体容积。是判断通气功能障碍类型和程度的最常用参数。3．6S用力呼气容积(forced expirato

作者：朱蕾 张静

1．用力肺活量(forced vital capacity，FVC)：深吸气至TLC，做最大力量、最快速度的呼气所呼出的最大气体容积。

2．第1秒用力呼气容积(forced expiratory volume in one second，FEV1)：从TLC用力呼气1S所呼出的最大气体容积。是判断通气功能障碍类型和程度的最常用参数。

3．6S用力呼气容积(forced expiratory volume in six second，FEV。)：从TLC用力呼气6S所呼出的最大气体容积。健康成人FEV1／FVC约为98％一100％，故FEV6是判断FVC完成质量的参数，若呼气达不到6S，常提示呼气不完全。

4．一秒率(forced expiratory volume in one second／forced vital capacity，FEVl／FVC，FEVl％)：FEVl与FVC的比值。也常用FEVl／FEV6或FEVl／VC表示，即FEVl与FEV6或VC的比值。是最常用的定性气流阻塞的参数。

在轻度气流阻塞疾病，患者可充分呼出气体，FVC可基本正常或仅轻度下降，但呼气流量减慢，FEV1下降，FEV1／FVC也相应下降；随着阻塞加重，FEV1和FEVl／FVC皆进一步下降；若为重度阻塞，患者常难以完成充分呼气，FVC也明显下降，FEV1／FVC反而可能有所升高，因此FEV1／FVC可反映气流阻塞的存在，但不能准确反映阻塞的程度。再者，重度气流阻塞患者完成FVC的时间明显延长，可达15S以上，若允许患者充分呼气，将导致胸腔内压和跨肺压的持续增大，容易引起脑缺血、缺氧，出现头昏、视物模糊、晕厥等症状，故推荐用FEV1／FEV6判断气流阻塞，尽管FEV1／FEV6>FEV1／FVC，但不影响阻塞性通气功能障碍的诊断；轻度气流阻塞患者完成FVC则可能需要7～10S，FEV1／FVC低于正常值，但FEV1／FEV6可能正常，采用后者将导致漏诊，宜选择FEV1／FVC。在中、重度限制性通气功能障碍患者或小儿，完成FVC的时间明显短于6S；强行呼气至6S也容易出现脑缺氧，宜选择FEV1／FVC。由于FEV1和VC在不同测定中完成，影响因素多，不推荐应用FEV1／VC。

5．用力吸气肺活量(forced inspiratory vital capacity，FIVC，FVCi)：深呼气至RV，做最大力量、最快速度吸气所吸入的最大气体容积。健康人FVCi=FVC；在阻塞性肺疾病，FVCi常大于FVC。

6．最大自主通气量(maximal ventilatory volume，MVV)：简称最大通气量，指受检者1 min完成的最大通气量，但实际仅测定15 S或12 S，要求做最大力量、最快速度呼吸，然后换算为MVV，即前者的通气量×4，后者×5。理论上，MVV能准确反映受检者的最大通气能力，但检查要求高，误差大；而MVV与FEV1有极佳的正线性相关关系，故常被FEV1代替。

7．每分钟静息通气量(minute ventilation volume at rest，VE)：简称每分通气量。指静息状态下每分钟所呼出的气体容积。MVV与VE差值反映通气储备。

8．气速指数(air flow velocity index，air velocity index，AI)：实测MMV占预计值百分比与VC占预计值百分比的比值。正常AI≈l。在轻度阻塞性肺疾病患者，缓慢呼气能充分呼出肺内气体，用力呼气则受限，VC正常，MVV下降；一旦VC下降，MVV下降更显著，故AI<1。在轻度限制性肺疾病患者，VC下降，但通过代偿性呼吸增快，MVV正常；若MVV下降，VC下降将更显著，故AI>l。

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    2016-09-10 1e0d5b16m97(暂无匿称)

    不错的知识点学到了很多

    0

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    2016-09-10 1e0d5b16m97(暂无匿称)

    不错的知识点学到了很多

    0

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CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121613, encodeId=cd93121613a0, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121614, encodeId=af24121614f5, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=)]
    2016-09-10 1e0d5b16m97(暂无匿称)

    不错的知识点学到了很多

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=121625, encodeId=ebc912162501, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121620, encodeId=facc121620a6, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121621, encodeId=1e72121621b1, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121622, encodeId=c15512162262, content=不错的知识点学到了很多, 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/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121624, encodeId=416f121624ed, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121623, encodeId=4a7312162367, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121616, encodeId=06f712161658, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121615, encodeId=d990121615af, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121613, encodeId=cd93121613a0, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121614, encodeId=af24121614f5, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=)]
    2016-09-10 1e0d5b16m97(暂无匿称)

    不错的知识点学到了很多

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=121625, encodeId=ebc912162501, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121620, encodeId=facc121620a6, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121621, encodeId=1e72121621b1, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121622, encodeId=c15512162262, content=不错的知识点学到了很多, 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/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121624, encodeId=416f121624ed, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121623, encodeId=4a7312162367, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121616, encodeId=06f712161658, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121615, encodeId=d990121615af, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121613, encodeId=cd93121613a0, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121614, encodeId=af24121614f5, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=)]
    2016-09-10 1e0d5b16m97(暂无匿称)

    不错的知识点学到了很多

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=121625, encodeId=ebc912162501, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121620, encodeId=facc121620a6, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121621, encodeId=1e72121621b1, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121622, encodeId=c15512162262, content=不错的知识点学到了很多, 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/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121624, encodeId=416f121624ed, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121623, encodeId=4a7312162367, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121616, encodeId=06f712161658, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121615, encodeId=d990121615af, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121613, encodeId=cd93121613a0, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121614, encodeId=af24121614f5, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=)]
    2016-09-10 1e0d5b16m97(暂无匿称)

    不错的知识点学到了很多

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=121625, encodeId=ebc912162501, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121620, encodeId=facc121620a6, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121621, encodeId=1e72121621b1, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121622, encodeId=c15512162262, content=不错的知识点学到了很多, 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/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121624, encodeId=416f121624ed, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121623, encodeId=4a7312162367, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121616, encodeId=06f712161658, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121615, encodeId=d990121615af, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121613, encodeId=cd93121613a0, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121614, encodeId=af24121614f5, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=)]
    2016-09-10 1e0d5b16m97(暂无匿称)

    不错的知识点学到了很多

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=121625, encodeId=ebc912162501, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121620, encodeId=facc121620a6, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121621, encodeId=1e72121621b1, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121622, encodeId=c15512162262, content=不错的知识点学到了很多, 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/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121624, encodeId=416f121624ed, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121623, encodeId=4a7312162367, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121616, encodeId=06f712161658, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121615, encodeId=d990121615af, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121613, encodeId=cd93121613a0, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121614, encodeId=af24121614f5, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=)]
    2016-09-10 1e0d5b16m97(暂无匿称)

    不错的知识点学到了很多

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=121625, encodeId=ebc912162501, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121620, encodeId=facc121620a6, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121621, encodeId=1e72121621b1, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121622, encodeId=c15512162262, content=不错的知识点学到了很多, 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/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121624, encodeId=416f121624ed, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121623, encodeId=4a7312162367, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121616, encodeId=06f712161658, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121615, encodeId=d990121615af, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121613, encodeId=cd93121613a0, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121614, encodeId=af24121614f5, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=)]
    2016-09-10 1e0d5b16m97(暂无匿称)

    不错的知识点学到了很多

    0

  10. [GetPortalCommentsPageByObjectIdResponse(id=121625, encodeId=ebc912162501, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121620, encodeId=facc121620a6, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121621, encodeId=1e72121621b1, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121622, encodeId=c15512162262, content=不错的知识点学到了很多, 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/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121624, encodeId=416f121624ed, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121623, encodeId=4a7312162367, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:17:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121616, encodeId=06f712161658, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121615, encodeId=d990121615af, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121613, encodeId=cd93121613a0, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=121614, encodeId=af24121614f5, content=不错的知识点学到了很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160820/IMG57B7D87F2AA596063.jpg, createdBy=c3e01933512, createdName=1e0d5b16m97(暂无匿称), createdTime=Sat Sep 10 22:16:00 CST 2016, time=2016-09-10, status=1, ipAttribution=)]
    2016-09-10 1e0d5b16m97(暂无匿称)

    不错的知识点学到了很多

    0

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