什么情况下会出现无痛性心梗?如何早期发现?

2021-01-31 心电图助手 心关注

近年来,心血管疾病发病率居高不下,急性心肌梗死是临床常见疾病,急性心肌梗死患者大部分具有典型而明显的症状,表现为心前区、胸骨后疼痛同时伴有胸闷等。

近年来,血管疾病发病率居高不下,急性心肌梗死是临床常见疾病,急性心肌梗死患者大部分具有典型而明显的症状,表现为心前区、胸骨后疼痛同时伴有胸闷等。

患者有胸痛、胸闷症状,能引起临床医生的重视并及时检查和治疗,但是临床上还有一种危险性更高的急性心梗。说它危险是因为患者有急性心梗,但是不表现为胸痛,缺乏典型的心绞痛症状,或仅表现为轻微的胸闷。这被称为“无痛性心肌梗死”。急性心梗本来就很危险,它还隐藏这么深。这叫医生情何以堪?

什么情况下急性心梗会不痛

1. 年龄因素

研究发现心肌梗死的有无胸痛与年龄有关,老年人痛阈增高及耐受力的增强,而体内β内啡肽增加,当受到刺激时,体内β内啡肽含量升高,以起到镇痛作用。而心肌梗死后,心排出量降低,导致脑组织缺氧,导致疼痛敏感度降低。

2. 冠脉变窄及多支冠脉病变,并伴有心肌变性

这也能减弱疼痛症状。研究表明心肌梗死前有心绞痛病史患者的侧支循环较无心绞痛病史患者的侧支循环要好,且心绞痛发病率越高,侧支循环就越好,后者促进心肌血管新生和侧支循环建立。

3. 脑循环障碍

无痛性心肌梗死患者,尤其是阵发性晕厥、严重心律失常、传导阻滞发病患者,均有严重的脑供血不足、缺血缺氧,以致意识障碍、感觉迟钝,而对疼痛反应减低。

4. 糖尿病

据相关文献报道,糖尿病患者发生心肌梗死时有40%无胸痛,糖尿病会伴有痛觉传导的异常。进而导致糖尿病患者的疼痛耐受性增高,其原因主要是心脏自主神经病变导致心肌感觉传入纤维受损。

5. 心脏并发症

心肌梗死后尤其是并发休克、严重心力衰竭、严重心律失常、脑卒中时,其疼痛被并发症的严重症状掩盖,造成无痛的假象。

6. 心肌梗死的部位

无痛性心肌梗死多为后壁、右冠状动脉梗死,而有痛者多见左冠状动脉梗死。

7. 局部范围内、持续时间长的心肌缺血所引起的心肌梗死,一般也不引起典型剧烈疼痛。

8. 术后发生的急性心肌梗死也经常表现为无痛性。

如何发现和诊断无痛性心梗?

这种疾病隐藏很深,为尽可能早地发现这类无痛性心梗,我们遇到下面这类情况时,就需要做心电图和心肌酶动态监测。

(1)凡40岁以上突发心力衰竭,或在慢性心力衰竭的基础上突然加重而不能以其他原因解释的患者。

(2)以意识障碍为表现者,如突发意识障碍、晕厥、抽搐等脑循环障碍者。

(3)以除胸部以外的异位疼痛为表现,而无明显原因者。

(4)以低血压、休克为表现而无其他原因者。

(5)近期内频繁发生胸背部闷胀、气短或心慌的症状,往往在稍事活动时症状加重。

(6)没有明显诱因突然出现恶心、呕吐,面色苍白,出冷汗、四肢发凉等。

(7)出现阵发性呼吸困难,不能平卧休息,伴咳嗽、咳痰,甚至出现粉红色泡沫样痰。

(8)近期不明原因出现血压下降,并持续无增高。

(9)突发的不明原因的晕厥。

无痛性心肌梗死患者不容易及时就诊,这便加大了心肌梗死之后心脏破裂、乳头肌断裂、心脏穿孔、心源性休克等严重心肌梗死后并发症的发生率,当出现上述症状时不应拖延,应尽早选择就近医院及时检查及治疗。

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 (9)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1331313, encodeId=ac22133131332, content=<a href='/topic/show?id=35e7593559a' target=_blank style='color:#2F92EE;'>#早期发现#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59355, encryptionId=35e7593559a, topicName=早期发现)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9cb02500048, createdName=ms6832696159214430, createdTime=Tue Feb 02 13:07:44 CST 2021, time=2021-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1548597, encodeId=b43a154859e0a, content=<a href='/topic/show?id=4a2e59081f5' target=_blank style='color:#2F92EE;'>#无痛性心梗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59081, encryptionId=4a2e59081f5, topicName=无痛性心梗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c28014090993, createdName=12498fa0m15暂无昵称, createdTime=Tue Feb 02 13:07:44 CST 2021, time=2021-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921815, encodeId=ff53921815fd, content=感谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210127/50a003c4097845e182c08afd64d8a509/bd766dfebe9c40e0bca2dae964601bdc.jpg, createdBy=22de5454917, createdName=carrotlyl, createdTime=Mon Feb 01 06:44:05 CST 2021, time=2021-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921804, encodeId=796c9218048a, content=无痛性心梗, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b1b55442837, createdName=ms3000001962617292, createdTime=Mon Feb 01 02:01:53 CST 2021, time=2021-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921793, encodeId=bea3921e939f, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=114, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210131/1c9128f51bdf4eaa8903600edb71c01c/7a25ec8b53e04306a620e5c8f4f9ea00.jpg, createdBy=08515457626, createdName=sanshuiyouji, createdTime=Sun Jan 31 23:42:09 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921792, encodeId=4d12921e9255, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210131/1c9128f51bdf4eaa8903600edb71c01c/7a25ec8b53e04306a620e5c8f4f9ea00.jpg, createdBy=08515457626, createdName=sanshuiyouji, createdTime=Sun Jan 31 23:41:53 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921777, encodeId=9e23921e775d, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74fe4827786, createdName=1778194671, createdTime=Sun Jan 31 22:46:35 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921776, encodeId=a567921e7671, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74fe4827786, createdName=1778194671, createdTime=Sun Jan 31 22:46:06 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921768, encodeId=8072921e685c, content=心血管疾病发病率居高不下,急性心肌梗死是临床常见疾病。, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4gCIdSaEkahCNuUWZv4iaKmqvUKHyKnBiarBM9RStQKBeV5Lh6GYYFiamdV5KlSfbLvmAgZTLtq81XA/0, createdBy=13511650672, createdName=言西早, createdTime=Sun Jan 31 22:16:22 CST 2021, time=2021-01-31, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=1331313, encodeId=ac22133131332, content=<a href='/topic/show?id=35e7593559a' target=_blank style='color:#2F92EE;'>#早期发现#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59355, encryptionId=35e7593559a, topicName=早期发现)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9cb02500048, createdName=ms6832696159214430, createdTime=Tue Feb 02 13:07:44 CST 2021, time=2021-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1548597, encodeId=b43a154859e0a, content=<a href='/topic/show?id=4a2e59081f5' target=_blank style='color:#2F92EE;'>#无痛性心梗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59081, encryptionId=4a2e59081f5, topicName=无痛性心梗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c28014090993, createdName=12498fa0m15暂无昵称, createdTime=Tue Feb 02 13:07:44 CST 2021, time=2021-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921815, encodeId=ff53921815fd, content=感谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210127/50a003c4097845e182c08afd64d8a509/bd766dfebe9c40e0bca2dae964601bdc.jpg, createdBy=22de5454917, createdName=carrotlyl, createdTime=Mon Feb 01 06:44:05 CST 2021, time=2021-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921804, encodeId=796c9218048a, content=无痛性心梗, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b1b55442837, createdName=ms3000001962617292, createdTime=Mon Feb 01 02:01:53 CST 2021, time=2021-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921793, encodeId=bea3921e939f, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=114, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210131/1c9128f51bdf4eaa8903600edb71c01c/7a25ec8b53e04306a620e5c8f4f9ea00.jpg, createdBy=08515457626, createdName=sanshuiyouji, createdTime=Sun Jan 31 23:42:09 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921792, encodeId=4d12921e9255, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210131/1c9128f51bdf4eaa8903600edb71c01c/7a25ec8b53e04306a620e5c8f4f9ea00.jpg, createdBy=08515457626, createdName=sanshuiyouji, createdTime=Sun Jan 31 23:41:53 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921777, encodeId=9e23921e775d, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74fe4827786, createdName=1778194671, createdTime=Sun Jan 31 22:46:35 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921776, encodeId=a567921e7671, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74fe4827786, createdName=1778194671, createdTime=Sun Jan 31 22:46:06 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921768, encodeId=8072921e685c, content=心血管疾病发病率居高不下,急性心肌梗死是临床常见疾病。, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4gCIdSaEkahCNuUWZv4iaKmqvUKHyKnBiarBM9RStQKBeV5Lh6GYYFiamdV5KlSfbLvmAgZTLtq81XA/0, createdBy=13511650672, createdName=言西早, createdTime=Sun Jan 31 22:16:22 CST 2021, time=2021-01-31, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=1331313, encodeId=ac22133131332, content=<a href='/topic/show?id=35e7593559a' target=_blank style='color:#2F92EE;'>#早期发现#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59355, encryptionId=35e7593559a, topicName=早期发现)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9cb02500048, createdName=ms6832696159214430, createdTime=Tue Feb 02 13:07:44 CST 2021, time=2021-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1548597, encodeId=b43a154859e0a, content=<a href='/topic/show?id=4a2e59081f5' target=_blank style='color:#2F92EE;'>#无痛性心梗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59081, encryptionId=4a2e59081f5, topicName=无痛性心梗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c28014090993, createdName=12498fa0m15暂无昵称, createdTime=Tue Feb 02 13:07:44 CST 2021, time=2021-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921815, encodeId=ff53921815fd, content=感谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210127/50a003c4097845e182c08afd64d8a509/bd766dfebe9c40e0bca2dae964601bdc.jpg, createdBy=22de5454917, createdName=carrotlyl, createdTime=Mon Feb 01 06:44:05 CST 2021, time=2021-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921804, encodeId=796c9218048a, content=无痛性心梗, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b1b55442837, createdName=ms3000001962617292, createdTime=Mon Feb 01 02:01:53 CST 2021, time=2021-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921793, encodeId=bea3921e939f, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=114, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210131/1c9128f51bdf4eaa8903600edb71c01c/7a25ec8b53e04306a620e5c8f4f9ea00.jpg, createdBy=08515457626, createdName=sanshuiyouji, createdTime=Sun Jan 31 23:42:09 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921792, encodeId=4d12921e9255, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210131/1c9128f51bdf4eaa8903600edb71c01c/7a25ec8b53e04306a620e5c8f4f9ea00.jpg, createdBy=08515457626, createdName=sanshuiyouji, createdTime=Sun Jan 31 23:41:53 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921777, encodeId=9e23921e775d, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74fe4827786, createdName=1778194671, createdTime=Sun Jan 31 22:46:35 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921776, encodeId=a567921e7671, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74fe4827786, createdName=1778194671, createdTime=Sun Jan 31 22:46:06 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921768, encodeId=8072921e685c, content=心血管疾病发病率居高不下,急性心肌梗死是临床常见疾病。, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4gCIdSaEkahCNuUWZv4iaKmqvUKHyKnBiarBM9RStQKBeV5Lh6GYYFiamdV5KlSfbLvmAgZTLtq81XA/0, createdBy=13511650672, createdName=言西早, createdTime=Sun Jan 31 22:16:22 CST 2021, time=2021-01-31, status=1, ipAttribution=)]
    2021-02-01 carrotlyl

    感谢

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1331313, encodeId=ac22133131332, content=<a href='/topic/show?id=35e7593559a' target=_blank style='color:#2F92EE;'>#早期发现#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59355, encryptionId=35e7593559a, topicName=早期发现)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9cb02500048, createdName=ms6832696159214430, createdTime=Tue Feb 02 13:07:44 CST 2021, time=2021-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1548597, encodeId=b43a154859e0a, content=<a href='/topic/show?id=4a2e59081f5' target=_blank style='color:#2F92EE;'>#无痛性心梗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59081, encryptionId=4a2e59081f5, topicName=无痛性心梗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c28014090993, createdName=12498fa0m15暂无昵称, createdTime=Tue Feb 02 13:07:44 CST 2021, time=2021-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921815, encodeId=ff53921815fd, content=感谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210127/50a003c4097845e182c08afd64d8a509/bd766dfebe9c40e0bca2dae964601bdc.jpg, createdBy=22de5454917, createdName=carrotlyl, createdTime=Mon Feb 01 06:44:05 CST 2021, time=2021-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921804, encodeId=796c9218048a, content=无痛性心梗, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b1b55442837, createdName=ms3000001962617292, createdTime=Mon Feb 01 02:01:53 CST 2021, time=2021-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921793, encodeId=bea3921e939f, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=114, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210131/1c9128f51bdf4eaa8903600edb71c01c/7a25ec8b53e04306a620e5c8f4f9ea00.jpg, createdBy=08515457626, createdName=sanshuiyouji, createdTime=Sun Jan 31 23:42:09 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921792, encodeId=4d12921e9255, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210131/1c9128f51bdf4eaa8903600edb71c01c/7a25ec8b53e04306a620e5c8f4f9ea00.jpg, createdBy=08515457626, createdName=sanshuiyouji, createdTime=Sun Jan 31 23:41:53 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921777, encodeId=9e23921e775d, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74fe4827786, createdName=1778194671, createdTime=Sun Jan 31 22:46:35 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921776, encodeId=a567921e7671, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74fe4827786, createdName=1778194671, createdTime=Sun Jan 31 22:46:06 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921768, encodeId=8072921e685c, content=心血管疾病发病率居高不下,急性心肌梗死是临床常见疾病。, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4gCIdSaEkahCNuUWZv4iaKmqvUKHyKnBiarBM9RStQKBeV5Lh6GYYFiamdV5KlSfbLvmAgZTLtq81XA/0, createdBy=13511650672, createdName=言西早, createdTime=Sun Jan 31 22:16:22 CST 2021, time=2021-01-31, status=1, ipAttribution=)]
    2021-02-01 ms3000001962617292

    无痛性心梗

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1331313, encodeId=ac22133131332, content=<a href='/topic/show?id=35e7593559a' target=_blank style='color:#2F92EE;'>#早期发现#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59355, encryptionId=35e7593559a, topicName=早期发现)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9cb02500048, createdName=ms6832696159214430, createdTime=Tue Feb 02 13:07:44 CST 2021, time=2021-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1548597, encodeId=b43a154859e0a, content=<a href='/topic/show?id=4a2e59081f5' target=_blank style='color:#2F92EE;'>#无痛性心梗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59081, encryptionId=4a2e59081f5, topicName=无痛性心梗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c28014090993, createdName=12498fa0m15暂无昵称, createdTime=Tue Feb 02 13:07:44 CST 2021, time=2021-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921815, encodeId=ff53921815fd, content=感谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210127/50a003c4097845e182c08afd64d8a509/bd766dfebe9c40e0bca2dae964601bdc.jpg, createdBy=22de5454917, createdName=carrotlyl, createdTime=Mon Feb 01 06:44:05 CST 2021, time=2021-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921804, encodeId=796c9218048a, content=无痛性心梗, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b1b55442837, createdName=ms3000001962617292, createdTime=Mon Feb 01 02:01:53 CST 2021, time=2021-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921793, encodeId=bea3921e939f, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=114, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210131/1c9128f51bdf4eaa8903600edb71c01c/7a25ec8b53e04306a620e5c8f4f9ea00.jpg, createdBy=08515457626, createdName=sanshuiyouji, createdTime=Sun Jan 31 23:42:09 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921792, encodeId=4d12921e9255, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210131/1c9128f51bdf4eaa8903600edb71c01c/7a25ec8b53e04306a620e5c8f4f9ea00.jpg, createdBy=08515457626, createdName=sanshuiyouji, createdTime=Sun Jan 31 23:41:53 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921777, encodeId=9e23921e775d, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74fe4827786, createdName=1778194671, createdTime=Sun Jan 31 22:46:35 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921776, encodeId=a567921e7671, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74fe4827786, createdName=1778194671, createdTime=Sun Jan 31 22:46:06 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921768, encodeId=8072921e685c, content=心血管疾病发病率居高不下,急性心肌梗死是临床常见疾病。, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4gCIdSaEkahCNuUWZv4iaKmqvUKHyKnBiarBM9RStQKBeV5Lh6GYYFiamdV5KlSfbLvmAgZTLtq81XA/0, createdBy=13511650672, createdName=言西早, createdTime=Sun Jan 31 22:16:22 CST 2021, time=2021-01-31, status=1, ipAttribution=)]
    2021-01-31 sanshuiyouji

    学习了

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1331313, encodeId=ac22133131332, content=<a href='/topic/show?id=35e7593559a' target=_blank style='color:#2F92EE;'>#早期发现#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59355, encryptionId=35e7593559a, topicName=早期发现)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9cb02500048, createdName=ms6832696159214430, createdTime=Tue Feb 02 13:07:44 CST 2021, time=2021-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1548597, encodeId=b43a154859e0a, content=<a href='/topic/show?id=4a2e59081f5' target=_blank style='color:#2F92EE;'>#无痛性心梗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59081, encryptionId=4a2e59081f5, topicName=无痛性心梗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c28014090993, createdName=12498fa0m15暂无昵称, createdTime=Tue Feb 02 13:07:44 CST 2021, time=2021-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921815, encodeId=ff53921815fd, content=感谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210127/50a003c4097845e182c08afd64d8a509/bd766dfebe9c40e0bca2dae964601bdc.jpg, createdBy=22de5454917, createdName=carrotlyl, createdTime=Mon Feb 01 06:44:05 CST 2021, time=2021-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921804, encodeId=796c9218048a, content=无痛性心梗, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b1b55442837, createdName=ms3000001962617292, createdTime=Mon Feb 01 02:01:53 CST 2021, time=2021-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921793, encodeId=bea3921e939f, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=114, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210131/1c9128f51bdf4eaa8903600edb71c01c/7a25ec8b53e04306a620e5c8f4f9ea00.jpg, createdBy=08515457626, createdName=sanshuiyouji, createdTime=Sun Jan 31 23:42:09 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921792, encodeId=4d12921e9255, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210131/1c9128f51bdf4eaa8903600edb71c01c/7a25ec8b53e04306a620e5c8f4f9ea00.jpg, createdBy=08515457626, createdName=sanshuiyouji, createdTime=Sun Jan 31 23:41:53 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921777, encodeId=9e23921e775d, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74fe4827786, createdName=1778194671, createdTime=Sun Jan 31 22:46:35 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921776, encodeId=a567921e7671, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74fe4827786, createdName=1778194671, createdTime=Sun Jan 31 22:46:06 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921768, encodeId=8072921e685c, content=心血管疾病发病率居高不下,急性心肌梗死是临床常见疾病。, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4gCIdSaEkahCNuUWZv4iaKmqvUKHyKnBiarBM9RStQKBeV5Lh6GYYFiamdV5KlSfbLvmAgZTLtq81XA/0, createdBy=13511650672, createdName=言西早, createdTime=Sun Jan 31 22:16:22 CST 2021, time=2021-01-31, status=1, ipAttribution=)]
    2021-01-31 sanshuiyouji

    学习了

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1331313, encodeId=ac22133131332, content=<a href='/topic/show?id=35e7593559a' target=_blank style='color:#2F92EE;'>#早期发现#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59355, encryptionId=35e7593559a, topicName=早期发现)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9cb02500048, createdName=ms6832696159214430, createdTime=Tue Feb 02 13:07:44 CST 2021, time=2021-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1548597, encodeId=b43a154859e0a, content=<a href='/topic/show?id=4a2e59081f5' target=_blank style='color:#2F92EE;'>#无痛性心梗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59081, encryptionId=4a2e59081f5, topicName=无痛性心梗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c28014090993, createdName=12498fa0m15暂无昵称, createdTime=Tue Feb 02 13:07:44 CST 2021, time=2021-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921815, encodeId=ff53921815fd, content=感谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210127/50a003c4097845e182c08afd64d8a509/bd766dfebe9c40e0bca2dae964601bdc.jpg, createdBy=22de5454917, createdName=carrotlyl, createdTime=Mon Feb 01 06:44:05 CST 2021, time=2021-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921804, encodeId=796c9218048a, content=无痛性心梗, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b1b55442837, createdName=ms3000001962617292, createdTime=Mon Feb 01 02:01:53 CST 2021, time=2021-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921793, encodeId=bea3921e939f, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=114, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210131/1c9128f51bdf4eaa8903600edb71c01c/7a25ec8b53e04306a620e5c8f4f9ea00.jpg, createdBy=08515457626, createdName=sanshuiyouji, createdTime=Sun Jan 31 23:42:09 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921792, encodeId=4d12921e9255, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210131/1c9128f51bdf4eaa8903600edb71c01c/7a25ec8b53e04306a620e5c8f4f9ea00.jpg, createdBy=08515457626, createdName=sanshuiyouji, createdTime=Sun Jan 31 23:41:53 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921777, encodeId=9e23921e775d, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74fe4827786, createdName=1778194671, createdTime=Sun Jan 31 22:46:35 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921776, encodeId=a567921e7671, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74fe4827786, createdName=1778194671, createdTime=Sun Jan 31 22:46:06 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921768, encodeId=8072921e685c, content=心血管疾病发病率居高不下,急性心肌梗死是临床常见疾病。, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4gCIdSaEkahCNuUWZv4iaKmqvUKHyKnBiarBM9RStQKBeV5Lh6GYYFiamdV5KlSfbLvmAgZTLtq81XA/0, createdBy=13511650672, createdName=言西早, createdTime=Sun Jan 31 22:16:22 CST 2021, time=2021-01-31, status=1, ipAttribution=)]
    2021-01-31 1778194671

    很好

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1331313, encodeId=ac22133131332, content=<a href='/topic/show?id=35e7593559a' target=_blank style='color:#2F92EE;'>#早期发现#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59355, encryptionId=35e7593559a, topicName=早期发现)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9cb02500048, createdName=ms6832696159214430, createdTime=Tue Feb 02 13:07:44 CST 2021, time=2021-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1548597, encodeId=b43a154859e0a, content=<a href='/topic/show?id=4a2e59081f5' target=_blank style='color:#2F92EE;'>#无痛性心梗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59081, encryptionId=4a2e59081f5, topicName=无痛性心梗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c28014090993, createdName=12498fa0m15暂无昵称, createdTime=Tue Feb 02 13:07:44 CST 2021, time=2021-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921815, encodeId=ff53921815fd, content=感谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210127/50a003c4097845e182c08afd64d8a509/bd766dfebe9c40e0bca2dae964601bdc.jpg, createdBy=22de5454917, createdName=carrotlyl, createdTime=Mon Feb 01 06:44:05 CST 2021, time=2021-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921804, encodeId=796c9218048a, content=无痛性心梗, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b1b55442837, createdName=ms3000001962617292, createdTime=Mon Feb 01 02:01:53 CST 2021, time=2021-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921793, encodeId=bea3921e939f, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=114, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210131/1c9128f51bdf4eaa8903600edb71c01c/7a25ec8b53e04306a620e5c8f4f9ea00.jpg, createdBy=08515457626, createdName=sanshuiyouji, createdTime=Sun Jan 31 23:42:09 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921792, encodeId=4d12921e9255, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210131/1c9128f51bdf4eaa8903600edb71c01c/7a25ec8b53e04306a620e5c8f4f9ea00.jpg, createdBy=08515457626, createdName=sanshuiyouji, createdTime=Sun Jan 31 23:41:53 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921777, encodeId=9e23921e775d, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74fe4827786, createdName=1778194671, createdTime=Sun Jan 31 22:46:35 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921776, encodeId=a567921e7671, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74fe4827786, createdName=1778194671, createdTime=Sun Jan 31 22:46:06 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921768, encodeId=8072921e685c, content=心血管疾病发病率居高不下,急性心肌梗死是临床常见疾病。, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4gCIdSaEkahCNuUWZv4iaKmqvUKHyKnBiarBM9RStQKBeV5Lh6GYYFiamdV5KlSfbLvmAgZTLtq81XA/0, createdBy=13511650672, createdName=言西早, createdTime=Sun Jan 31 22:16:22 CST 2021, time=2021-01-31, status=1, ipAttribution=)]
    2021-01-31 1778194671

    很好

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1331313, encodeId=ac22133131332, content=<a href='/topic/show?id=35e7593559a' target=_blank style='color:#2F92EE;'>#早期发现#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59355, encryptionId=35e7593559a, topicName=早期发现)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9cb02500048, createdName=ms6832696159214430, createdTime=Tue Feb 02 13:07:44 CST 2021, time=2021-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1548597, encodeId=b43a154859e0a, content=<a href='/topic/show?id=4a2e59081f5' target=_blank style='color:#2F92EE;'>#无痛性心梗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59081, encryptionId=4a2e59081f5, topicName=无痛性心梗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c28014090993, createdName=12498fa0m15暂无昵称, createdTime=Tue Feb 02 13:07:44 CST 2021, time=2021-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921815, encodeId=ff53921815fd, content=感谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210127/50a003c4097845e182c08afd64d8a509/bd766dfebe9c40e0bca2dae964601bdc.jpg, createdBy=22de5454917, createdName=carrotlyl, createdTime=Mon Feb 01 06:44:05 CST 2021, time=2021-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921804, encodeId=796c9218048a, content=无痛性心梗, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b1b55442837, createdName=ms3000001962617292, createdTime=Mon Feb 01 02:01:53 CST 2021, time=2021-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921793, encodeId=bea3921e939f, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=114, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210131/1c9128f51bdf4eaa8903600edb71c01c/7a25ec8b53e04306a620e5c8f4f9ea00.jpg, createdBy=08515457626, createdName=sanshuiyouji, createdTime=Sun Jan 31 23:42:09 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921792, encodeId=4d12921e9255, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210131/1c9128f51bdf4eaa8903600edb71c01c/7a25ec8b53e04306a620e5c8f4f9ea00.jpg, createdBy=08515457626, createdName=sanshuiyouji, createdTime=Sun Jan 31 23:41:53 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921777, encodeId=9e23921e775d, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74fe4827786, createdName=1778194671, createdTime=Sun Jan 31 22:46:35 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921776, encodeId=a567921e7671, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74fe4827786, createdName=1778194671, createdTime=Sun Jan 31 22:46:06 CST 2021, time=2021-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=921768, encodeId=8072921e685c, content=心血管疾病发病率居高不下,急性心肌梗死是临床常见疾病。, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4gCIdSaEkahCNuUWZv4iaKmqvUKHyKnBiarBM9RStQKBeV5Lh6GYYFiamdV5KlSfbLvmAgZTLtq81XA/0, createdBy=13511650672, createdName=言西早, createdTime=Sun Jan 31 22:16:22 CST 2021, time=2021-01-31, status=1, ipAttribution=)]
    2021-01-31 言西早

    心血管疾病发病率居高不下,急性心肌梗死是临床常见疾病。

    0

相关资讯

4张图认识乳腺癌早期症状

导语:乳腺癌并不可怕,早期发现是治疗的关键!乳腺癌:轻轻的我来了,潜伏到你的乳房,等待哪天爆发出万丈光芒!哇哈哈哈哈哈宋晖医生:你有权保持沉默,但你所留下的一切痕迹都将成为呈堂证供!上周,宋晖主治医师为我们介绍了乳腺癌家族中的等级制度。其实,乳腺癌并不可怕,早期发现是治疗的关键!今天,宋晖医生继续为我们带来乳腺癌的科普:认识乳腺癌的早期症状,让它无所遁形!酒窝征33岁的小琪结婚已经五年了,夫妻

研究发现细胞癌变早期征兆

 美韩等国科学家1日发表研究报告称,某个基因的突变可能是正常细胞转变成癌细胞的最早征兆。这一发现将有助于早期发现和及时治疗癌症。研究报告发表在最新一期《癌症发现》( Cancer Discovery; 1(2); OF1–OF7)期刊上。   癌细胞由正常细胞“异化”而来,在此过程中发生一系列基因突变。有些突变远在正常细胞癌化之前就已发生,这些最早突变的基因,可能成为癌症早期诊断的“风向标”。

2019 CPS立场声明:儿童自闭症谱系障碍早期发现

2019年11月,加拿大儿科学会(CPS)发布了关于儿童自闭症谱系障碍早期发现的立场声明,自闭症谱系障碍(ASD)是一种伴随终身的神经发育障碍,严重影响儿童及其家庭的生活质量。本文为社区儿科医生和其他初级保健者针对ASD的早期识别提供了清晰、全面、证据充分的建议。