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凶险的腰腹部疼痛

2017-10-31 MedSci MedSci原创

腰腹部疼痛梅斯医生病例
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腰腹部疼痛，是很常见且非常复杂的一种临床症状，因其可能涉及到的疾病相当之多，很容易出现误诊，一旦掉以轻心，误诊误治可能危及生命。今天的病例是表现出腰腹部疼痛的一种非常可怕和凶险的疾病。让我们来看看吧。病史：患者为一位66岁的老年男性，5天前在家中无明显诱因下出现左侧腹部疼痛 伴腰部疼痛，为持续性，疼痛剧烈，伴恶心，无呕吐、胸痛及发热。后被家人送往当地医院就诊，当时考虑为泌尿系结石，给予镇痛、补液、

腰腹部疼痛，是很常见且非常复杂的一种临床症状，因其可能涉及到的疾病相当之多，很容易出现误诊，一旦掉以轻心，误诊误治可能危及生命。今天的病例是表现出腰腹部疼痛的一种非常可怕和凶险的疾病。让我们来看看吧。病史：患者为一位66岁的老年男性，5天前在家中无明显诱因下出现左侧腹部疼痛 伴腰部疼痛，为持续性，疼痛剧烈，伴恶心，无呕吐、胸痛及发热。后被家人送往当地医院就诊，当时考虑为泌尿系结石，给予镇痛、补液、抗感染等对症处理，先后肌注哌替啶2 支，病情仍未见缓解。1天前症状加重，疼痛向左侧背部放射，腹部B超检查示胰腺低回声，胰腺占位不除外，诊断为泌尿系结石合并胰腺占位( 不除外远处转移)，建议行正电子发射计算机断层显像( PET-CT) 检查明确诊断。 为进一步诊治，转上级医院就诊。患者既往无高血压、心脏病、糖尿病病史，有前列腺增生病史5年， 吸烟史30年，平均每日20支， 30 年前曾行阑尾切除术。查体：患者神志清，精神可，体型匀称，痛苦面容，蜷曲体位，神志清楚。言语清晰，精神萎靡，查体合作。对答切题。平车推入病房。全腹平软，左侧腹部有压痛、无反跳痛、未触及包块，肝、胆、脾肋下触诊无异常。肝剑突

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    2018-09-20 luoxiaog

    #腹部疼痛#

    0

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    2018-02-24 zzc2211

    #腰腹部#

    0

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    2017-11-02 杨柳青青

    签到学习了--

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1941744, encodeId=141e1941e4454, content=<a href='/topic/show?id=7b458569204' target=_blank style='color:#2F92EE;'>#腹部疼痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85692, encryptionId=7b458569204, topicName=腹部疼痛)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=02f5179, createdName=luoxiaog, createdTime=Thu Sep 20 02:15:00 CST 2018, time=2018-09-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1997389, encodeId=80a2199e3891c, content=<a href='/topic/show?id=6de88549231' target=_blank style='color:#2F92EE;'>#腰腹部#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85492, encryptionId=6de88549231, topicName=腰腹部)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=649f191, createdName=zzc2211, createdTime=Sat Feb 24 20:15:00 CST 2018, time=2018-02-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=258057, encodeId=0ab325805e4c, content=签到学习了--, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eeef1960262, createdName=杨柳青青, createdTime=Thu Nov 02 12:10:24 CST 2017, time=2017-11-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257772, encodeId=245e25e77249, content=签到学习了--, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eeef1960262, createdName=杨柳青青, createdTime=Wed Nov 01 11:04:58 CST 2017, time=2017-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257719, encodeId=f03225e719f6, content=腰痛学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/07/a9772c74ffd6edc03a7f9af07b4747f6.jpg, createdBy=b3722138742, createdName=sunfeifeiyang, createdTime=Wed Nov 01 07:47:09 CST 2017, time=2017-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257601, encodeId=901225e6010f, content=学习了.谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Tue Oct 31 22:01:58 CST 2017, time=2017-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257574, encodeId=95b825e5749f, content=签到学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIT6XZicKWG7SL8ibw6flicE6QXYTlPOJNKAGu7x0vsFtriaXS0hw7ILT5aY6exa7N75YlibkuGFp61rgw/132, createdBy=98091724303, createdName=QQ490019ec, createdTime=Tue Oct 31 21:35:04 CST 2017, time=2017-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257573, encodeId=2a2925e573d5, content=签到, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIT6XZicKWG7SL8ibw6flicE6QXYTlPOJNKAGu7x0vsFtriaXS0hw7ILT5aY6exa7N75YlibkuGFp61rgw/132, createdBy=98091724303, createdName=QQ490019ec, createdTime=Tue Oct 31 21:34:47 CST 2017, time=2017-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257539, encodeId=584225e53978, content=签到学习了--, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eeef1960262, createdName=杨柳青青, createdTime=Tue Oct 31 16:49:38 CST 2017, time=2017-10-31, status=1, ipAttribution=)]
    2017-11-01 杨柳青青

    签到学习了--

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1941744, encodeId=141e1941e4454, content=<a href='/topic/show?id=7b458569204' target=_blank style='color:#2F92EE;'>#腹部疼痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85692, encryptionId=7b458569204, topicName=腹部疼痛)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=02f5179, createdName=luoxiaog, createdTime=Thu Sep 20 02:15:00 CST 2018, time=2018-09-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1997389, encodeId=80a2199e3891c, content=<a href='/topic/show?id=6de88549231' target=_blank style='color:#2F92EE;'>#腰腹部#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85492, encryptionId=6de88549231, topicName=腰腹部)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=649f191, createdName=zzc2211, createdTime=Sat Feb 24 20:15:00 CST 2018, time=2018-02-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=258057, encodeId=0ab325805e4c, content=签到学习了--, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eeef1960262, createdName=杨柳青青, createdTime=Thu Nov 02 12:10:24 CST 2017, time=2017-11-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257772, encodeId=245e25e77249, content=签到学习了--, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eeef1960262, createdName=杨柳青青, createdTime=Wed Nov 01 11:04:58 CST 2017, time=2017-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257719, encodeId=f03225e719f6, content=腰痛学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/07/a9772c74ffd6edc03a7f9af07b4747f6.jpg, createdBy=b3722138742, createdName=sunfeifeiyang, createdTime=Wed Nov 01 07:47:09 CST 2017, time=2017-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257601, encodeId=901225e6010f, content=学习了.谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Tue Oct 31 22:01:58 CST 2017, time=2017-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257574, encodeId=95b825e5749f, content=签到学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIT6XZicKWG7SL8ibw6flicE6QXYTlPOJNKAGu7x0vsFtriaXS0hw7ILT5aY6exa7N75YlibkuGFp61rgw/132, createdBy=98091724303, createdName=QQ490019ec, createdTime=Tue Oct 31 21:35:04 CST 2017, time=2017-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257573, encodeId=2a2925e573d5, content=签到, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIT6XZicKWG7SL8ibw6flicE6QXYTlPOJNKAGu7x0vsFtriaXS0hw7ILT5aY6exa7N75YlibkuGFp61rgw/132, createdBy=98091724303, createdName=QQ490019ec, createdTime=Tue Oct 31 21:34:47 CST 2017, time=2017-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257539, encodeId=584225e53978, content=签到学习了--, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eeef1960262, createdName=杨柳青青, createdTime=Tue Oct 31 16:49:38 CST 2017, time=2017-10-31, status=1, ipAttribution=)]
    2017-11-01 sunfeifeiyang

    腰痛学习

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1941744, encodeId=141e1941e4454, content=<a href='/topic/show?id=7b458569204' target=_blank style='color:#2F92EE;'>#腹部疼痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85692, encryptionId=7b458569204, topicName=腹部疼痛)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=02f5179, createdName=luoxiaog, createdTime=Thu Sep 20 02:15:00 CST 2018, time=2018-09-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1997389, encodeId=80a2199e3891c, content=<a href='/topic/show?id=6de88549231' target=_blank style='color:#2F92EE;'>#腰腹部#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85492, encryptionId=6de88549231, topicName=腰腹部)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=649f191, createdName=zzc2211, createdTime=Sat Feb 24 20:15:00 CST 2018, time=2018-02-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=258057, encodeId=0ab325805e4c, content=签到学习了--, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eeef1960262, createdName=杨柳青青, createdTime=Thu Nov 02 12:10:24 CST 2017, time=2017-11-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257772, encodeId=245e25e77249, content=签到学习了--, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eeef1960262, createdName=杨柳青青, createdTime=Wed Nov 01 11:04:58 CST 2017, time=2017-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257719, encodeId=f03225e719f6, content=腰痛学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/07/a9772c74ffd6edc03a7f9af07b4747f6.jpg, createdBy=b3722138742, createdName=sunfeifeiyang, createdTime=Wed Nov 01 07:47:09 CST 2017, time=2017-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257601, encodeId=901225e6010f, content=学习了.谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Tue Oct 31 22:01:58 CST 2017, time=2017-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257574, encodeId=95b825e5749f, content=签到学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIT6XZicKWG7SL8ibw6flicE6QXYTlPOJNKAGu7x0vsFtriaXS0hw7ILT5aY6exa7N75YlibkuGFp61rgw/132, createdBy=98091724303, createdName=QQ490019ec, createdTime=Tue Oct 31 21:35:04 CST 2017, time=2017-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257573, encodeId=2a2925e573d5, content=签到, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIT6XZicKWG7SL8ibw6flicE6QXYTlPOJNKAGu7x0vsFtriaXS0hw7ILT5aY6exa7N75YlibkuGFp61rgw/132, createdBy=98091724303, createdName=QQ490019ec, createdTime=Tue Oct 31 21:34:47 CST 2017, time=2017-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257539, encodeId=584225e53978, content=签到学习了--, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eeef1960262, createdName=杨柳青青, createdTime=Tue Oct 31 16:49:38 CST 2017, time=2017-10-31, status=1, ipAttribution=)]
    2017-10-31 惠映实验室

    学习了.谢谢

    0

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    2017-10-31 QQ490019ec

    签到学习了

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1941744, encodeId=141e1941e4454, content=<a href='/topic/show?id=7b458569204' target=_blank style='color:#2F92EE;'>#腹部疼痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85692, encryptionId=7b458569204, topicName=腹部疼痛)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=02f5179, createdName=luoxiaog, createdTime=Thu Sep 20 02:15:00 CST 2018, time=2018-09-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1997389, encodeId=80a2199e3891c, content=<a href='/topic/show?id=6de88549231' target=_blank style='color:#2F92EE;'>#腰腹部#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85492, encryptionId=6de88549231, topicName=腰腹部)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=649f191, createdName=zzc2211, createdTime=Sat Feb 24 20:15:00 CST 2018, time=2018-02-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=258057, encodeId=0ab325805e4c, content=签到学习了--, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eeef1960262, createdName=杨柳青青, createdTime=Thu Nov 02 12:10:24 CST 2017, time=2017-11-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257772, encodeId=245e25e77249, content=签到学习了--, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eeef1960262, createdName=杨柳青青, createdTime=Wed Nov 01 11:04:58 CST 2017, time=2017-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257719, encodeId=f03225e719f6, content=腰痛学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/07/a9772c74ffd6edc03a7f9af07b4747f6.jpg, createdBy=b3722138742, createdName=sunfeifeiyang, createdTime=Wed Nov 01 07:47:09 CST 2017, time=2017-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257601, encodeId=901225e6010f, content=学习了.谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Tue Oct 31 22:01:58 CST 2017, time=2017-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257574, encodeId=95b825e5749f, content=签到学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIT6XZicKWG7SL8ibw6flicE6QXYTlPOJNKAGu7x0vsFtriaXS0hw7ILT5aY6exa7N75YlibkuGFp61rgw/132, createdBy=98091724303, createdName=QQ490019ec, createdTime=Tue Oct 31 21:35:04 CST 2017, time=2017-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257573, encodeId=2a2925e573d5, content=签到, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIT6XZicKWG7SL8ibw6flicE6QXYTlPOJNKAGu7x0vsFtriaXS0hw7ILT5aY6exa7N75YlibkuGFp61rgw/132, createdBy=98091724303, createdName=QQ490019ec, createdTime=Tue Oct 31 21:34:47 CST 2017, time=2017-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257539, encodeId=584225e53978, content=签到学习了--, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eeef1960262, createdName=杨柳青青, createdTime=Tue Oct 31 16:49:38 CST 2017, time=2017-10-31, status=1, ipAttribution=)]
    2017-10-31 QQ490019ec

    签到

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1941744, encodeId=141e1941e4454, content=<a href='/topic/show?id=7b458569204' target=_blank style='color:#2F92EE;'>#腹部疼痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85692, encryptionId=7b458569204, topicName=腹部疼痛)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=02f5179, createdName=luoxiaog, createdTime=Thu Sep 20 02:15:00 CST 2018, time=2018-09-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1997389, encodeId=80a2199e3891c, content=<a href='/topic/show?id=6de88549231' target=_blank style='color:#2F92EE;'>#腰腹部#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85492, encryptionId=6de88549231, topicName=腰腹部)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=649f191, createdName=zzc2211, createdTime=Sat Feb 24 20:15:00 CST 2018, time=2018-02-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=258057, encodeId=0ab325805e4c, content=签到学习了--, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eeef1960262, createdName=杨柳青青, createdTime=Thu Nov 02 12:10:24 CST 2017, time=2017-11-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257772, encodeId=245e25e77249, content=签到学习了--, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eeef1960262, createdName=杨柳青青, createdTime=Wed Nov 01 11:04:58 CST 2017, time=2017-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257719, encodeId=f03225e719f6, content=腰痛学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/07/a9772c74ffd6edc03a7f9af07b4747f6.jpg, createdBy=b3722138742, createdName=sunfeifeiyang, createdTime=Wed Nov 01 07:47:09 CST 2017, time=2017-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257601, encodeId=901225e6010f, content=学习了.谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Tue Oct 31 22:01:58 CST 2017, time=2017-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257574, encodeId=95b825e5749f, content=签到学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIT6XZicKWG7SL8ibw6flicE6QXYTlPOJNKAGu7x0vsFtriaXS0hw7ILT5aY6exa7N75YlibkuGFp61rgw/132, createdBy=98091724303, createdName=QQ490019ec, createdTime=Tue Oct 31 21:35:04 CST 2017, time=2017-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257573, encodeId=2a2925e573d5, content=签到, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIT6XZicKWG7SL8ibw6flicE6QXYTlPOJNKAGu7x0vsFtriaXS0hw7ILT5aY6exa7N75YlibkuGFp61rgw/132, createdBy=98091724303, createdName=QQ490019ec, createdTime=Tue Oct 31 21:34:47 CST 2017, time=2017-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=257539, encodeId=584225e53978, content=签到学习了--, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eeef1960262, createdName=杨柳青青, createdTime=Tue Oct 31 16:49:38 CST 2017, time=2017-10-31, status=1, ipAttribution=)]
    2017-10-31 杨柳青青

    签到学习了--

    0