出事了,网红捅马蜂窝捅进了 ICU

2016-10-11 岚逸筠篁 医学界

这个世界上不乏没事干就作死的人,重庆一网络主播为了吸粉,花500元租了一台吊车来到有马蜂窝的树下“直播捅马蜂窝”。他戴上摩托车头盔,披上雨衣,站在吊车上来到30米高树头处。直播不一会儿,这位主播就陷入昏迷,被紧急送进附近医院。经检查,马蜂从裤脚进入,在他身上蜇了37处伤口,随后被转入重症监护室。所谓“无知者无畏”估计就是指这些人吧。其实在临床中经常会出现一些令我们大跌眼镜的患者。这些患者异于常人的

这个世界上不乏没事干就作死的人,重庆一网络主播为了吸粉,花500元租了一台吊车来到有马蜂窝的树下“直播捅马蜂窝”。他戴上摩托车头盔,披上雨衣,站在吊车上来到30米高树头处。直播不一会儿,这位主播就陷入昏迷,被紧急送进附近医院。经检查,马蜂从裤脚进入,在他身上蜇了37处伤口,随后被转入重症监护室。


所谓“无知者无畏”估计就是指这些人吧。其实在临床中经常会出现一些令我们大跌眼镜的患者。这些患者异于常人的行为真正诠释了“No Zuo No Die(不做死就不会死)”这句话,界哥找了一些案例,盘点那些令医务人员哭笑不得的患者。

直播喝辣椒油和香油,人没红又伤身


这位和捅马蜂窝的真的有异曲同工。

今年8月底,一位小伙为让自己在网上火起来并借此招揽顾客,从事烤兔生意的他在某直播平台录制上传了两段自己喝辣椒油和香油的视频。结果半小时后,小伙出现了咽喉肿痛和腹泻的症状,拖了两天实在没办法只能去医院就诊,最终被确诊为急性扁桃体炎合并脓肿。接诊医生称,如果再拖下去,肿大的扁桃体会堵塞气道,危及生命。


直至现在,小伙还是感觉咽喉部不适,连吃饭都有困难,每天只能喝点稀饭。他自己也非常懊悔:“人没火起来,却伤了身体,还遭了3000多元治疗费,耽误生意20多天。”他觉得自己没有网红的潜质,今后专心于自己的生意中。

早有这种想法,不就不受罪了吗?

不小心被黄鳝钻直肠?


随着人们思想观念的开放,结直肠异物在急诊科已经见怪不怪了。什么啤酒瓶、扫把柄、牙刷、手机,甚至《玩具总动员》的巴斯光年人偶都被塞进直肠“探索新世界”……
 

但是最奇葩的还是黄鳝、泥鳅、鳗鱼这类细长的鱼类。5月份,一家医院接收了一名急腹症患者,通过腹部CT发现,右结肠旁沟发现一50厘米的异物。医生们决定实施剖腹探查。

打开腹腔后,令手术室所有医务人员大吃一惊,一条长约50多公分的黄鳝盘踞在患者腹腔中!患者直肠部位破了一个洞。术中各种迹象表明,黄鳝从患者的肛门进入体内,然后用锋利的牙齿咬穿直肠到达腹腔,最后医生们实施了腹腔清理+直肠修补术。据患者说自己有下河洗澡逮泥鳅、黄鳝的习惯,可能是其下河洗澡逮黄鳝时从肛门进入体内的。

然而,患者在2003年和2012年先后发生两次直肠穿孔并接受修补手术,而且一般情况下黄鳝难以突破肛门括约肌的阻力进入直肠,所以许多人猜测可能有内幕。估计这位女网友的提问才是最可能的原因:
 

可怜的黄鳝……


不是同一个案例……

在一个错误的性别,错误的地点发生的病变


这是界哥还在医院实习时遇到的病例。当时一位已婚男子主诉自己咽喉部总有异物感。五官科医生检查发现患者的扁桃体有一些乳头状或菜花样的白色皮疹样凸起。

当时医生的表情显得非常纠结,进行射频治疗时顺便提取一些样本送去活检,并嘱咐患者几天后复诊。几天后患者如约而至,而检查结果让界哥惊呆了:表层鳞状上皮角化不全,棘细胞层见大量空泡变细胞,HPV11(+)。

没错,病理结果是扁桃体尖锐湿疣,而患者也需要接受抗病毒治疗,但他对于性生活史的回答也模棱两可。我和医生相视一下,再次感叹现代社会的太开放了。

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    2016-10-13 caoliehu
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    2016-10-11 知难而进

    继续关注!

    0

  3. 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createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 11 14:16:19 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144252, encodeId=9682144252d6, content=据患者说自己有下河洗澡逮泥鳅、黄鳝的习惯,可能是其下河洗澡逮黄鳝时从肛门进入体内的。, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 11 14:15:42 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144250, encodeId=cd8c1442502e, content=不做死,就不会死, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 11 14:14:57 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144127, encodeId=d7ad14412e19, content=能作的要命, 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/20161012/IMG57FE37B9D8B7C2781.jpg, createdBy=05f31956923, createdName=1e128d2fm65(暂无匿称), createdTime=Tue Oct 11 12:30:14 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144111, encodeId=fb5b14411161, content=学习起来, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151005/IMG5612955936CFA7964.jpg, createdBy=18621654109, createdName=Guoxj3234, createdTime=Tue Oct 11 12:15:42 CST 2016, time=2016-10-11, status=1, ipAttribution=)]
    2016-10-11 知难而进

    谢谢分享!

    0

  4. 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time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=145129, encodeId=671b1451297d, content=谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160811/IMG57AC91915ACA64463.jpg, createdBy=9c351934462, createdName=知难而进, createdTime=Tue Oct 11 19:51:32 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144258, encodeId=f07f14425855, content=看后无语,, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 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likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 11 14:14:57 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144127, encodeId=d7ad14412e19, content=能作的要命, 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/20161012/IMG57FE37B9D8B7C2781.jpg, createdBy=05f31956923, createdName=1e128d2fm65(暂无匿称), createdTime=Tue Oct 11 12:30:14 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144111, encodeId=fb5b14411161, content=学习起来, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151005/IMG5612955936CFA7964.jpg, createdBy=18621654109, createdName=Guoxj3234, createdTime=Tue Oct 11 12:15:42 CST 2016, time=2016-10-11, status=1, ipAttribution=)]
    2016-10-11 医路开来

    看后无语,

    0

  5. 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objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151005/IMG5612955936CFA7964.jpg, createdBy=18621654109, createdName=Guoxj3234, createdTime=Tue Oct 11 12:15:42 CST 2016, time=2016-10-11, status=1, ipAttribution=)]
    2016-10-11 医路开来

    奇葩年年有,今年特别多。

    0

  6. 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likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 11 14:14:57 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144127, encodeId=d7ad14412e19, content=能作的要命, 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/20161012/IMG57FE37B9D8B7C2781.jpg, createdBy=05f31956923, createdName=1e128d2fm65(暂无匿称), createdTime=Tue Oct 11 12:30:14 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144111, encodeId=fb5b14411161, content=学习起来, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151005/IMG5612955936CFA7964.jpg, createdBy=18621654109, createdName=Guoxj3234, createdTime=Tue Oct 11 12:15:42 CST 2016, time=2016-10-11, status=1, ipAttribution=)]
    2016-10-11 医路开来

    ,再次感叹现代社会的太开放了。

    0

  7. 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time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=145129, encodeId=671b1451297d, content=谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160811/IMG57AC91915ACA64463.jpg, createdBy=9c351934462, createdName=知难而进, createdTime=Tue Oct 11 19:51:32 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144258, encodeId=f07f14425855, content=看后无语,, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 11 14:17:18 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144257, encodeId=5c1114425e77, content=奇葩年年有,今年特别多。, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 11 14:17:05 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144253, encodeId=f75d144253e6, content=,再次感叹现代社会的太开放了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, 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likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 11 14:14:57 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144127, encodeId=d7ad14412e19, content=能作的要命, 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/20161012/IMG57FE37B9D8B7C2781.jpg, createdBy=05f31956923, createdName=1e128d2fm65(暂无匿称), createdTime=Tue Oct 11 12:30:14 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144111, encodeId=fb5b14411161, content=学习起来, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151005/IMG5612955936CFA7964.jpg, createdBy=18621654109, createdName=Guoxj3234, createdTime=Tue Oct 11 12:15:42 CST 2016, time=2016-10-11, status=1, ipAttribution=)]
    2016-10-11 医路开来

    据患者说自己有下河洗澡逮泥鳅、黄鳝的习惯,可能是其下河洗澡逮黄鳝时从肛门进入体内的。

    0

  8. 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11 14:17:18 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144257, encodeId=5c1114425e77, content=奇葩年年有,今年特别多。, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 11 14:17:05 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144253, encodeId=f75d144253e6, content=,再次感叹现代社会的太开放了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, 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likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 11 14:14:57 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144127, encodeId=d7ad14412e19, content=能作的要命, 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/20161012/IMG57FE37B9D8B7C2781.jpg, createdBy=05f31956923, createdName=1e128d2fm65(暂无匿称), createdTime=Tue Oct 11 12:30:14 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144111, encodeId=fb5b14411161, content=学习起来, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151005/IMG5612955936CFA7964.jpg, createdBy=18621654109, createdName=Guoxj3234, createdTime=Tue Oct 11 12:15:42 CST 2016, time=2016-10-11, status=1, ipAttribution=)]
    2016-10-11 医路开来

    不做死,就不会死

    0

  9. 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time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=145129, encodeId=671b1451297d, content=谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160811/IMG57AC91915ACA64463.jpg, createdBy=9c351934462, createdName=知难而进, createdTime=Tue Oct 11 19:51:32 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144258, encodeId=f07f14425855, content=看后无语,, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 11 14:17:18 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144257, encodeId=5c1114425e77, content=奇葩年年有,今年特别多。, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 11 14:17:05 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144253, encodeId=f75d144253e6, content=,再次感叹现代社会的太开放了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, 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likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 11 14:14:57 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144127, encodeId=d7ad14412e19, content=能作的要命, 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/20161012/IMG57FE37B9D8B7C2781.jpg, createdBy=05f31956923, createdName=1e128d2fm65(暂无匿称), createdTime=Tue Oct 11 12:30:14 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144111, encodeId=fb5b14411161, content=学习起来, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151005/IMG5612955936CFA7964.jpg, createdBy=18621654109, createdName=Guoxj3234, createdTime=Tue Oct 11 12:15:42 CST 2016, time=2016-10-11, status=1, ipAttribution=)]
    2016-10-11 1e128d2fm65(暂无匿称)

    能作的要命

    0

  10. 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