华西医院血管外科赵纪春教授治疗马凡氏综合症所致胸腹主动脉瘤逆行全内脏动脉重建杂交手术图片登上血管外科国际权威杂志封面

2016-10-09 MedSci MedSci原创

2016年10月伊始,血管外科国际权威杂志《Journal of Vascular Surgery 》(IF=3.454月刊)封面刊登了华西医院院血管外科赵纪春教授团队开展的国内首例马凡氏综合症所致胸腹动脉瘤逆行全内脏动脉重建杂交手术治疗图片。马凡氏综合征(marfan's syndrome)又名蜘蛛指(趾)综合征,属于一种先天性遗传性结缔组织疾病,有家族史。主要表现为骨骼、眼和心血管系统受累。心



2016年10月伊始,血管外科国际权威杂志《Journal of Vascular Surgery 》(IF=3.454月刊)封面刊登了华西医院院血管外科赵纪春教授团队开展的国内首例马凡氏综合症所致胸腹动脉瘤逆行全内脏动脉重建杂交手术治疗图片。
马凡氏综合征(marfan's syndrome)又名蜘蛛指(趾)综合征,属于一种先天性遗传性结缔组织疾病,有家族史。主要表现为骨骼、眼和心血管系统受累。心血管方面表现为大动脉中层弹力纤维发育不全,主动脉扩张,形成主动脉瘤。主动脉扩张到一定程度以后,将造成主动脉瘤大破裂死亡。通常外科手术对主动脉弓部病变治疗作为首选,然而后续再发慢性胸腹主动脉瘤或夹层病变目前国际上常规采用胸腹联合切口主动脉瘤切除人工血管置换手术,该手术导致的高死亡率和截瘫率一直是血管外科最具挑战的难题,能否采用微创腔内治疗目前仍存在争议。此类患者通常既往主动脉外科病史、脊柱或者胸廓畸形以及主动脉血管弹性差等特点,因此无论外科手术以及全腔内微创手术均十分困难。因此,马凡氏综合征导致的胸腹主动脉瘤的治疗方式一直备受业内关注。

华西医院血管外科赵纪春教授根据2008年在国内率先报道了结合外科和微创腔内技术胸腹主动脉瘤逆行全内脏动脉重建杂交手术治疗的经验,结合本例马凡氏综合征病人合并有胸廓和脊柱畸形无法实行传统开放手术以及主动脉病变情况,于2010年10月开展了国内首例马凡氏综合症所致的胸腹主动脉瘤杂交手术治疗;经过密切随访,目前该病例6年长期生存良好。近日,该病例术后随访影像图片被刊登在血管外科国际权威杂志《Journal of Vascular Surgery》,且图片作为当期封面展示(题目:Hybrid treatment of  thoracoabdominal aortic aneurysms with Marfan syndrome)。

目前,华西医院血管外科赵纪春教授团队已成功完成胸腹主动脉瘤逆行全内脏动脉重建杂交手术治疗13例(其中4例马凡氏综合症所致胸腹主动脉夹层动脉瘤),其数量和患者预后居于国内领先水平;该技术已在国际国内学术会议上多次交流,并且备受国内外同行认可。该技术的成功开展,标志着华西医院血管外科治疗该病的外科和血管腔内技术达到国际先进水平,为复杂马凡氏综合症合并胸腹主动脉瘤治疗带来新的治疗选择。


赵纪春教授

医学博士,血管外科主任医师/教授,博士研究生导师,现任四川大学华西医院血管中心主任,血管外科主任。
曾赴美国克利夫兰大学血管外科研修一年。目前在血管外科疾病诊断、手术和微创腔内血管治疗方面尤其在破裂腹主动脉瘤外科和腔内救治,高危腹主动脉瘤外科和腔内修复,外科和腔内杂交技术治疗胸腹主动脉瘤和夹层,复杂颈动脉体瘤外科治疗,糖尿病足周围血管性病变,累及大血管的腹膜后肿瘤切除以及肝移植动脉重建方面有深入研究并处于国内外先进水平。
中国医师协会血管外科专委会副主任委员
中国医疗器械行业血管外科器械分会副主任委员
中国医师协会腔内血管学分会常委暨主动脉瘤专家委员会副主任委员
中国医疗保健国际交流促进会血管外科专委会副主任委员
中国医疗保健国际交流促进会糖尿病足分会副主任委员
中国老年医学会血管专家委员会副主任委员
中国研究型医院学会血管外科专委会副主任委员
亚太血管学术联盟副理事长
中国研究型医院学会腹膜后与盆底疾病专委会副主任委员
海峡两岸交流协会血管外科专家委员会常委
中华医学会血管外科学组委员
四川省学术和技术带头人
四川省介入医学专委会副主任委员
四川省血管外科医师委员会主任委员
四川省血管外科学组组长

《血管与腔内血管外科杂志》第一届编委会常务编委,《中国普外基础与临床杂志》, 《中华普通外科杂志》,《中华血管外科杂志》《中国血管外科杂志》,《Annal of Vascular Surgery》中文版等多家杂志编委,《中华外科杂志》,《中华医学杂志》审稿专家。
四川省医学会医疗事故技术鉴定专家库成员,四川省医学重点学科评审专家,美国血管外科(SVS)学会国际委员。
在血管外科基础和临床研究方面,获得国家、教育部、四川省科研项目和华西医院新技术基金资助和多个国际多中心临床研究项目。
获四川省科技进步成果一等奖三项,三等奖一项,二等奖一项。
近年先后在国内外发表学术论文120篇, 国际SCI收录杂志20余篇。
参加编写了人民卫生出版社《血管外科学》,人民军医出版社《现代肝脏移植学》,《活体肝移植》,北京大学医学出版社《外周动脉疾病介入治疗》,教育部医学本科“十一•五”规划教材《外科学》血管外科篇的编写。
作为副主编编写了人民卫生出版社高等医学院校临床医学系统整合课程教材《心血管系统疾病》。



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topicList=[TopicDto(id=90470, encryptionId=4d9d904e092, topicName=西医院)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d47b2500175, createdName=12498cf9m35(暂无昵称), createdTime=Tue Jul 04 01:08:00 CST 2017, time=2017-07-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=145357, encodeId=98ef14535e99, content=继续关注!, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, 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 20:16:12 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=145355, encodeId=4e341453557c, content=谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, 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 20:16:07 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1445850, encodeId=b94b144585098, content=<a href='/topic/show?id=949e3593330' target=_blank style='color:#2F92EE;'>#华西#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=35933, encryptionId=949e3593330, topicName=华西)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/nE4GrbxL2qh8HCfQ9Aic863Ks6MQVCgNnxZib6aVhV679l2JX0YVwulK1GZ3QaOicPXvFNvZHicPicQ95qx3OH9evVw/132, createdBy=cbc15186945, createdName=fengyqf, createdTime=Tue Oct 11 06:08:00 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1429005, encodeId=727e142900580, content=<a href='/topic/show?id=ee192321560' target=_blank style='color:#2F92EE;'>#主动脉瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23215, encryptionId=ee192321560, topicName=主动脉瘤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=95e34160730, createdName=fengting4, createdTime=Tue Oct 11 06:08:00 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1423450, encodeId=a01e142345029, content=<a href='/topic/show?id=0deb8961144' target=_blank style='color:#2F92EE;'>#血管外科#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89611, encryptionId=0deb8961144, topicName=血管外科)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4e5c3789547, createdName=bbjsj_1980, createdTime=Tue Oct 11 06:08:00 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415083, encodeId=461e141508334, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Tue Oct 11 06:08:00 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=142879, encodeId=b14f1428e944, content=厉害厉害的角儿喔, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cae21407877, createdName=15616ecc81m, createdTime=Mon Oct 10 00:07:26 CST 2016, time=2016-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=142838, encodeId=2f7614283834, content=厉害, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3yqGyqlRsWYXXlASPpCvDxQIOj4U5ibyTGicNR5nTPxfE7J8CJLYEoTQiax0mdQk45PFsUH94hHxH18w/0, createdBy=96eb98305, createdName=qixiaotong123, createdTime=Sun Oct 09 21:33:51 CST 2016, time=2016-10-09, status=1, ipAttribution=)]
    2016-10-11 知难而进

    继续关注!

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1821246, encodeId=e7df182124642, content=<a href='/topic/show?id=0a11101432bf' target=_blank style='color:#2F92EE;'>#马凡氏综合症#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101432, encryptionId=0a11101432bf, topicName=马凡氏综合症)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/FGFAawy0kQNXbuvUuLtUVrx5aKhOIkwqJwyxu0QlpLFIDSb1Ht19ptXvYBjuAoNBubibnNF3iazdpico7gJlbBVQg/132, createdBy=edaf2500125, createdName=ms3892185887221420, createdTime=Mon Aug 07 17:08:00 CST 2017, time=2017-08-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1974094, encodeId=790e19e40949a, content=<a href='/topic/show?id=4d9d904e092' target=_blank style='color:#2F92EE;'>#西医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90470, encryptionId=4d9d904e092, topicName=西医院)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d47b2500175, createdName=12498cf9m35(暂无昵称), createdTime=Tue Jul 04 01:08:00 CST 2017, time=2017-07-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=145357, encodeId=98ef14535e99, content=继续关注!, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, 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 20:16:12 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=145355, encodeId=4e341453557c, content=谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, 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 20:16:07 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1445850, encodeId=b94b144585098, content=<a href='/topic/show?id=949e3593330' target=_blank style='color:#2F92EE;'>#华西#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=35933, encryptionId=949e3593330, topicName=华西)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/nE4GrbxL2qh8HCfQ9Aic863Ks6MQVCgNnxZib6aVhV679l2JX0YVwulK1GZ3QaOicPXvFNvZHicPicQ95qx3OH9evVw/132, createdBy=cbc15186945, createdName=fengyqf, createdTime=Tue Oct 11 06:08:00 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1429005, encodeId=727e142900580, content=<a href='/topic/show?id=ee192321560' target=_blank style='color:#2F92EE;'>#主动脉瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23215, encryptionId=ee192321560, topicName=主动脉瘤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=95e34160730, createdName=fengting4, createdTime=Tue Oct 11 06:08:00 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1423450, encodeId=a01e142345029, content=<a href='/topic/show?id=0deb8961144' target=_blank style='color:#2F92EE;'>#血管外科#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89611, encryptionId=0deb8961144, topicName=血管外科)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4e5c3789547, createdName=bbjsj_1980, createdTime=Tue Oct 11 06:08:00 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415083, encodeId=461e141508334, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Tue Oct 11 06:08:00 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=142879, encodeId=b14f1428e944, content=厉害厉害的角儿喔, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cae21407877, createdName=15616ecc81m, createdTime=Mon Oct 10 00:07:26 CST 2016, time=2016-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=142838, encodeId=2f7614283834, content=厉害, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3yqGyqlRsWYXXlASPpCvDxQIOj4U5ibyTGicNR5nTPxfE7J8CJLYEoTQiax0mdQk45PFsUH94hHxH18w/0, createdBy=96eb98305, createdName=qixiaotong123, createdTime=Sun Oct 09 21:33:51 CST 2016, time=2016-10-09, status=1, ipAttribution=)]
    2016-10-11 知难而进

    谢谢分享!

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1821246, encodeId=e7df182124642, content=<a href='/topic/show?id=0a11101432bf' target=_blank style='color:#2F92EE;'>#马凡氏综合症#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101432, encryptionId=0a11101432bf, topicName=马凡氏综合症)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/FGFAawy0kQNXbuvUuLtUVrx5aKhOIkwqJwyxu0QlpLFIDSb1Ht19ptXvYBjuAoNBubibnNF3iazdpico7gJlbBVQg/132, createdBy=edaf2500125, createdName=ms3892185887221420, createdTime=Mon Aug 07 17:08:00 CST 2017, time=2017-08-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1974094, encodeId=790e19e40949a, content=<a href='/topic/show?id=4d9d904e092' target=_blank style='color:#2F92EE;'>#西医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90470, encryptionId=4d9d904e092, topicName=西医院)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d47b2500175, createdName=12498cf9m35(暂无昵称), createdTime=Tue Jul 04 01:08:00 CST 2017, time=2017-07-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=145357, encodeId=98ef14535e99, content=继续关注!, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, 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 20:16:12 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=145355, encodeId=4e341453557c, content=谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, 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 20:16:07 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1445850, encodeId=b94b144585098, content=<a href='/topic/show?id=949e3593330' target=_blank style='color:#2F92EE;'>#华西#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=35933, encryptionId=949e3593330, topicName=华西)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/nE4GrbxL2qh8HCfQ9Aic863Ks6MQVCgNnxZib6aVhV679l2JX0YVwulK1GZ3QaOicPXvFNvZHicPicQ95qx3OH9evVw/132, createdBy=cbc15186945, createdName=fengyqf, createdTime=Tue Oct 11 06:08:00 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1429005, encodeId=727e142900580, content=<a href='/topic/show?id=ee192321560' target=_blank style='color:#2F92EE;'>#主动脉瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23215, encryptionId=ee192321560, topicName=主动脉瘤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=95e34160730, createdName=fengting4, createdTime=Tue Oct 11 06:08:00 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1423450, encodeId=a01e142345029, content=<a href='/topic/show?id=0deb8961144' target=_blank style='color:#2F92EE;'>#血管外科#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89611, encryptionId=0deb8961144, topicName=血管外科)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4e5c3789547, createdName=bbjsj_1980, createdTime=Tue Oct 11 06:08:00 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415083, encodeId=461e141508334, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Tue Oct 11 06:08:00 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=142879, encodeId=b14f1428e944, content=厉害厉害的角儿喔, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cae21407877, createdName=15616ecc81m, createdTime=Mon Oct 10 00:07:26 CST 2016, time=2016-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=142838, encodeId=2f7614283834, content=厉害, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3yqGyqlRsWYXXlASPpCvDxQIOj4U5ibyTGicNR5nTPxfE7J8CJLYEoTQiax0mdQk45PFsUH94hHxH18w/0, createdBy=96eb98305, createdName=qixiaotong123, createdTime=Sun Oct 09 21:33:51 CST 2016, time=2016-10-09, status=1, ipAttribution=)]
    2016-10-11 fengyqf
  6. [GetPortalCommentsPageByObjectIdResponse(id=1821246, encodeId=e7df182124642, content=<a href='/topic/show?id=0a11101432bf' target=_blank style='color:#2F92EE;'>#马凡氏综合症#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101432, encryptionId=0a11101432bf, topicName=马凡氏综合症)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/FGFAawy0kQNXbuvUuLtUVrx5aKhOIkwqJwyxu0QlpLFIDSb1Ht19ptXvYBjuAoNBubibnNF3iazdpico7gJlbBVQg/132, createdBy=edaf2500125, createdName=ms3892185887221420, createdTime=Mon Aug 07 17:08:00 CST 2017, time=2017-08-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1974094, encodeId=790e19e40949a, content=<a href='/topic/show?id=4d9d904e092' target=_blank style='color:#2F92EE;'>#西医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, 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  8. 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    2016-10-10 15616ecc81m

    厉害厉害的角儿喔

    0

  10. 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content=<a href='/topic/show?id=ee192321560' target=_blank style='color:#2F92EE;'>#主动脉瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23215, encryptionId=ee192321560, topicName=主动脉瘤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=95e34160730, createdName=fengting4, createdTime=Tue Oct 11 06:08:00 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1423450, encodeId=a01e142345029, content=<a href='/topic/show?id=0deb8961144' target=_blank style='color:#2F92EE;'>#血管外科#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89611, encryptionId=0deb8961144, topicName=血管外科)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4e5c3789547, createdName=bbjsj_1980, createdTime=Tue Oct 11 06:08:00 CST 2016, 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    2016-10-09 qixiaotong123

    厉害

    0

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