厉害了!这22种奇葩病例你见过几个?

2016-12-09 熊坨坨 “医学界”微信号

医学领域奇奇怪怪的病例和奇奇怪怪的病总是少不了的,小点儿的变成科室的病例讨论范本,大的甚至会变成《新英格兰杂志》或者《柳叶刀》的讨论范本。界哥搜集了22个网红奇葩病例,大家一起来看看。1.护栏穿颈,竟然不痛?拉斯维加斯28岁男性Andrew Linn,车祸中被2英寸厚度的金属护栏经口穿过,从颈部穿出。贯通伤没啥奇怪,但是这哥们儿的接诊外科医生Jay Coates描述,患者来得时候非常平静而且并

医学领域奇奇怪怪的病例和奇奇怪怪的病总是少不了的,小点儿的变成科室的病例讨论范本,大的甚至会变成《新英格兰杂志》或者《柳叶刀》的讨论范本。界哥搜集了22个网红奇葩病例,大家一起来看看。

1.护栏穿颈,竟然不痛?


拉斯维加斯28岁男性Andrew Linn,车祸中被2英寸厚度的金属护栏经口穿过,从颈部穿出。

贯通伤没啥奇怪,但是这哥们儿的接诊外科医生Jay Coates描述,患者来得时候非常平静而且并不感觉疼痛。之后这根杆子被成功取出,而且没有碰伤颈动脉和颈静脉。

2.阴茎纹身还有这用处?

一名21岁伊朗男子在阴茎上纹身之后,导致其阴茎可能处于永久的勃起状态。

据这名男子称纹身后他感觉阴茎疼痛8天,之后阴茎一直处于半勃起状态,三个月之后他忍不住就医。

医生尝试使用阴茎放血让其恢复正常,但是并没有什么卵用。最后这名男子拒绝进一步治疗,在症状没有任何改善的情况下出院。

这个案例发表在2012年的 Journal of Sexual Medicine。

3.直到我膝盖中了很多针……


这张X片展示的是一位韩国65岁妇女的膝盖,密密麻麻的高亮物质是针灸用的金针。

这名妇女之前被诊断为骨关节炎,一种老年关节退行性病变。当镇痛药和抗炎药失效之后,患者采取了针灸治疗。图上的现象不是什么事故,而是针灸师故意留在她膝盖当中进行“持续刺激”的。这种“持续刺激”导致这名妇女发生剧烈的膝盖疼痛,最终不得不就医。

这个案例发表在2013年12月的《新英格兰杂志》上。

4.眼球上长毛?还能看东西嘛


这位19岁伊朗男性患者右眼患有眼轮部皮样囊肿。

患者由于眨眼时感觉不适、眼内有异物感而就诊。患者自述白色固体赘生物自出生开始就有,并且随着生长发育长大。长出毛发则是最近的事,也是毛发导致他眼部不适前来就诊。患者左眼视力水平为20/20,右眼却是20/60。

最后赘生物由手术切除,但是他的右眼视力没有改善。

这个案例也发了扭英,登在2014年1月期。

5.不想吃饭所以吞刀子?


图上显示的是一名30岁女性患者食道和胃部卡了一把刀。患者因“胸部不适”就
诊。

该女性患有饮食失调症,之所以发生吞刀事件是由于她把刀伸进喉咙想验证自己是否失去了咽反射,结果在那个时候突然发笑导致刀子滑入食道。随后医生用胃肠道镜(EGD)将刀取出。患者预后良好,能正常进食,无并发症。

这个案例发表在2012年的扭英上。

6.一半一半的水疱


66岁男性躯干部位发生水疱,水疱当中一半是透明脓液一半是偏黄色液体。医生诊断为角质层下脓疱性皮炎,一般由药物引起,但是这例病例的诱因并不清楚。患者使用类固醇类药物后康复。

这里病例发表在2012年的扭英上。

7.危险的肛塞


35岁男性因直肠出血和腹痛被送进急诊。

查体发现腹部有异物,但是无外伤。直肠指检发现异物但是无法看到。患者生命体征平稳之后进行X光片检查,情况如上图……

外科手术取出啤酒瓶之后给予抗生素和镇痛药物,患者恢复良好出院。

从肛门塞入异物然后取不出来的其实不少。这个病例发表在2010年的扭英上。

8.黑色素瘤长到牙龈上了!


这例患者来自中国了。45岁男性,上牙龈出现深色变色,最后诊断为黑色素瘤。

这种黑色素瘤叫做黏膜黑色素瘤,是黑色素瘤里面的非主流(毕竟黑色素瘤又叫皮肤癌嘛),大约只占1%。

口腔发生变色不常见,一般也不是恶性的。不过这位患者比较倒霉,医生在进行活检之后确认这是恶性肿瘤,最后手术摘除了患者的牙龈和上颚的一部分。

这个案例发表在2014年10月的扭英上。

9.吃枪子的阑尾


澳大利亚一名8岁男孩血铅超标(高于正常高线5倍)连续两年,医生一直找不到原因。

一直到患儿发生腹痛,做了个X光检查之后,医生才发现他的阑尾里有57个铅制小球!

之后患儿和其兄弟姐妹告诉医生他们一直在吃家人打猎打来的鹅当中的铅子儿……说白了他们吃了打猎用的铅弹。

检查患儿阑尾的医生说这是他行医40年头一次见到的病例,“一生一次”。

这个案例发表在2014年8月的扭英上。

10.乱跑的螺丝


一名57岁女性患者因鼻窦发炎和面部疼痛入院。

这名妇女两年前进行过牙科手术,该手术主要是为了植入2厘米长的金属螺丝以固定住上颚的一颗义齿。

上图是她的CT结果,植入物进入了她的鼻窦腔道,靠近左眼。医生采取了外科方式将植入物取出后患者症状缓解。

11.脑内长牙


美国一名4个月的患儿因一种少见的脑肿瘤而脑内长出牙齿。

手术中发现患儿脑内的肿瘤已经长出了数颗发育完整的牙齿。术中取活检证实该肿瘤为颅咽管瘤,一种大约高尔夫球大小但是不易扩散的肿瘤。

尽管一直有专家猜测这种肿瘤细胞和发育成牙齿的细胞是同类,但是在这个案例之前并没有这种肿瘤真的生成了牙齿的案例报道。

也就是说这是世界首例。

这个案例发表在2014年的扭英上。

12.饮酱过量会死人的

喝酒喝出事的很多,喝酱油喝出事的就少见了吧。美国一19岁男子因饮用1夸脱(0.95L)酱油陷入昏迷。

该男子先是肌肉抽搐,之后引发癫痫,然后在医院昏迷了3天。被诊断为高钠血症。

1夸脱酱油约含150克钠。短时间摄入如此高量的钠,产生高钠血症,会导致组织渗透压失衡,大脑中水分被置换,大脑会收缩并且出血。

医生花了5小时抢救并且输注5.7升的糖水,才将他体内的电解质水平调节回正常状态。

小伙子运气很好,之后没有发生长期的神经性损伤。

这个案例发表在2015年6月的 Journal of Emergency Medicine上。

13.专门在吃饭的时候作妖的食道


瑞士一名87岁女性因每次吞咽感到疼痛而就诊。

X光片发现她的食道在她每次进食的时候都会扭转成螺旋形。这个症状导致她在数月内体重下降5公斤。

这种病症非常少见但是并非不能解释,美国芝加哥西北纪念医院的医生认为,这是由于肌肉痉挛引起的。进食正常的情况下,途径上的肌肉会有规律的收缩和舒张,但是这名妇女的食道在收到刺激的时候会收缩。

目前对这种症状没有解决方案。

这个案例发表在2014年5月的扭英上。

14.星型白内障,眼睛里真的有小星星?


奥利地一名男子在被人拳击击中眼部之后发生白内障,且形状为星形。9个月后由于症状难以忍受,这名男子才去就医。

眼睛受击是发生白内障的原因之一,一般击打来自拳击或者球类体育运动,但是包括汽车的安全气囊在内的气囊弹出可能造成眼睛受伤而发生白内障。

一般来说,白内障是形状不规则的云雾状,可能为白色或者偏黄。

此案例因为形状特殊,上了2013年4月的《新英格兰杂志》。

15.做可乐的死忠是要命的

一名31岁女性因昏倒入院,入院检查发现低钾血症,以及心律不齐。

这位患者激素水平正常,无心脏病史无家族史。但是,她自述自15岁开始每天只喝可乐而不喝其他液体。

医生认为可乐能够造成腹泻因而导致钾离子的流失。同时可乐当中的咖啡因也可导致钾离子的重吸收受阻。

该患者在停止饮用可乐一周后血钾恢复正常,心律恢复正常。

16.牙签到底怎么跑到肝脏上的

一名45岁女性因呕吐、低血压入院,在入院前几个月她逐渐虚弱。

医生起初认为是感染引发的呕吐和低血压,随后在患者肝脏上发现一2.5cm充满粘稠物的腔道。外科医生之后取出一枚牙签,这枚牙签由患者吞下之后从消化道移动到了肝脏并且在肝脏“定居”。

这个案例发表在2012年的BMJ上。迄今为止医学期刊已经发表过至少17例牙签转移到肝脏的案例。

17.幻觉不一定和神经精神有关

医学上来说幻觉一般都是大脑的问题,但是真的有只是眼睛出问题导致的幻觉。

美国肯塔基州一名67岁女性因看到长着巨大牙齿、眼睛和耳朵的脸环绕在她周围而入院。

该名患者没有服用任何药物或化学制剂,没有精神问题。而且她很清楚自己看到的东西是不真实的,那些幻觉也没有对她讲话。

这种现象叫做邦纳综合征,一般是由于年老、眼球受伤或神经受伤导致的视力障碍。

从原理上来说,是由于大脑感觉到了输入但是没有收到输入的信息,于是自发制造了一些信息。一般来说,大脑习惯了这种感觉到输入但是没有输入信息的情况,幻觉就会自行消退。

这个案例发表在2014年2月的Age and Aging上。

18.牛痘不一定来自牛


上图是一名妹子救流浪猫后手腕生成的坏死性溃疡。

这位17岁尼德兰女孩在挽救了一只病弱的流浪猫并且这只猫在她救援的次日死亡。几天后她的手腕部开始溃烂,生成一块坏死性溃疡,手臂上也长出红斑,一直长到腋下。

抗生素毫无作用,就医13天后,一名儿科感染病专家考虑这是牛痘病毒感染。
一周之后这名女孩儿情况开始自发好转,两个月后伤口愈合,留下一块瘢痕。

牛痘是自限性疾病,只要免疫系统正常即可自愈。

这个案例发表在2014年9月的BMJ。

19.随便乱发自家钞票是病态慷慨?


巴西一名49岁男性在中风过后性情大变,经诊断中风导致他患上了“病理性慷慨”。

他的主要症状是完全不顾及经济条件,大方的发钱,给街上的小孩发糖等等。
医生检查之后认为这名男性没有精神疾病或痴呆症状,他的超乎寻常并且持久的慷慨应该是来自中风的后遗症。

CT扫面显示他大脑的几个区域出现低血流量状况,包括前额叶。这些区域也许没有直接被中风损伤,但是在神经通路上与中风损伤的区域有所关联。由于这些改变可能导致了他性格的变化。

对于这种症状目前没有很好的治疗方案。

这个案例发表在2014年8月的Neurocase上。

20.像超敏反应一样的“超级同情”


刚来一个病态慷慨,又来一个超级同情。都和脑子有关。

一名女性因癫痫被摘除杏仁核。杏仁核的功能本身是帮助识别情绪,从理论上来说,摘除了杏仁核的人应该更加难以产生同情心,和其他人产生共鸣。

但是这名女性却反馈称产生了一种新的强烈的感情上的共鸣,当她产生同情情绪的时候,甚至会发生生理性的不适。

之后医生对她进行了心理学测试,她在同情能力上完全达标。

医生认为有可能是在杏仁核被摘除之后,原先与杏仁核关联的大脑区域产生了代偿,做出了更加强烈的反应,因此她的同情心也超常发挥了。

这个案例发表在2014年8月的 Neurocase上。

21.腋毛自己还会感染?


有抑制不住的强烈体味的人可能是由于他或者她的腋毛发生了细菌感染。

一名40岁男子因持续4年的腋臭和看上去很脏的腋毛就医。其腋毛上有黄色奶油状物质。

医生诊断其为黄菌毛症,一种由微小棒状杆菌感染引起的疾病。

之后这名男性刮掉腋毛,并且使用三氯化铝和红霉素,几周之后腋臭消失。

这个案例发表在2014年10月30日的扭英上。

22.脑子里也会长结石啊?



巴西一年轻男子因头痛和视觉问题持续10年而入院。

入院后检查发现他大脑中长了结石样的钙沉积物。据推测这是由于他患有他自己都不知道的胃肠道疾病——乳糜泄而导致。虽然说医生并不能完全解释为什么乳糜泄会导致脑结石,但是猜测可能是乳糜泄使小肠的铁离子吸收功能下降产生的影响。

这个案例发表在2014年的扭英上。

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  1. [GetPortalCommentsPageByObjectIdResponse(id=164500, encodeId=17de1645001d, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Wed Dec 21 00:20:16 CST 2016, time=2016-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=163452, encodeId=64011634526c, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Sat Dec 17 10:02:35 CST 2016, time=2016-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162502, encodeId=1c5f16250230, content=受用了, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3b0e1991155, createdName=D~AN, createdTime=Tue Dec 13 16:31:58 CST 2016, time=2016-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162376, encodeId=0fff1623e6af, content=各种奇奇怪怪的事情, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161224/IMG585DA5E26B9F44696.jpg, createdBy=565a98798, createdName=susice, createdTime=Tue Dec 13 08:31:52 CST 2016, time=2016-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162294, encodeId=197516229435, content=第一次看见,闻所未闻, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e2091606848, createdName=zaakleo, createdTime=Mon Dec 12 23:54:32 CST 2016, time=2016-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=161993, encodeId=bd7816199317, content=incredible, 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/mONcle9pic3yfBB8SDJgFqVA5vRE72PVibRCDyeQecxvN4P4kkVbdbqdT1tPhwLmic60AwLJj2xsq9TyhicvrZFCWw/0, createdBy=5c011984602, createdName=lovest117, createdTime=Sun Dec 11 17:44:53 CST 2016, time=2016-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=161927, encodeId=ce1d16192ed5, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Sun Dec 11 10:38:44 CST 2016, time=2016-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1456780, encodeId=07f41456e80ef, content=<a href='/topic/show?id=c4664446474' target=_blank style='color:#2F92EE;'>#奇葩#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=44464, encryptionId=c4664446474, topicName=奇葩)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=75e05802674, createdName=3631175, createdTime=Sun Dec 11 05:11:00 CST 2016, time=2016-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=161793, encodeId=206b161e93a1, content=学习了,大开眼界, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160130/IMG56ACD6DE528D86917.jpg, createdBy=35e31685030, createdName=流水的星空, createdTime=Sat Dec 10 23:24:08 CST 2016, time=2016-12-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=161751, encodeId=ec87161e51b3, content=学习了!谢谢!, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f4de1683531, createdName=花仙子, createdTime=Sat Dec 10 17:58:28 CST 2016, time=2016-12-10, status=1, ipAttribution=)]
    2016-12-21 李东泽

    很好,不错,以后会多学习

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=164500, encodeId=17de1645001d, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Wed Dec 21 00:20:16 CST 2016, time=2016-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=163452, encodeId=64011634526c, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Sat Dec 17 10:02:35 CST 2016, time=2016-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162502, encodeId=1c5f16250230, content=受用了, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3b0e1991155, createdName=D~AN, createdTime=Tue Dec 13 16:31:58 CST 2016, time=2016-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162376, encodeId=0fff1623e6af, content=各种奇奇怪怪的事情, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161224/IMG585DA5E26B9F44696.jpg, createdBy=565a98798, createdName=susice, createdTime=Tue Dec 13 08:31:52 CST 2016, time=2016-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162294, encodeId=197516229435, content=第一次看见,闻所未闻, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e2091606848, createdName=zaakleo, createdTime=Mon Dec 12 23:54:32 CST 2016, time=2016-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=161993, encodeId=bd7816199317, content=incredible, 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/mONcle9pic3yfBB8SDJgFqVA5vRE72PVibRCDyeQecxvN4P4kkVbdbqdT1tPhwLmic60AwLJj2xsq9TyhicvrZFCWw/0, createdBy=5c011984602, createdName=lovest117, createdTime=Sun Dec 11 17:44:53 CST 2016, time=2016-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=161927, encodeId=ce1d16192ed5, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Sun Dec 11 10:38:44 CST 2016, time=2016-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1456780, encodeId=07f41456e80ef, content=<a href='/topic/show?id=c4664446474' target=_blank style='color:#2F92EE;'>#奇葩#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=44464, encryptionId=c4664446474, topicName=奇葩)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=75e05802674, createdName=3631175, createdTime=Sun Dec 11 05:11:00 CST 2016, time=2016-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=161793, encodeId=206b161e93a1, content=学习了,大开眼界, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160130/IMG56ACD6DE528D86917.jpg, createdBy=35e31685030, createdName=流水的星空, createdTime=Sat Dec 10 23:24:08 CST 2016, time=2016-12-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=161751, encodeId=ec87161e51b3, content=学习了!谢谢!, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f4de1683531, createdName=花仙子, createdTime=Sat Dec 10 17:58:28 CST 2016, time=2016-12-10, status=1, ipAttribution=)]
    2016-12-17 李东泽

    很好,不错,以后会多学习

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=164500, encodeId=17de1645001d, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Wed Dec 21 00:20:16 CST 2016, time=2016-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=163452, encodeId=64011634526c, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Sat Dec 17 10:02:35 CST 2016, time=2016-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162502, encodeId=1c5f16250230, content=受用了, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3b0e1991155, createdName=D~AN, createdTime=Tue Dec 13 16:31:58 CST 2016, time=2016-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162376, encodeId=0fff1623e6af, content=各种奇奇怪怪的事情, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161224/IMG585DA5E26B9F44696.jpg, createdBy=565a98798, createdName=susice, createdTime=Tue Dec 13 08:31:52 CST 2016, time=2016-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162294, encodeId=197516229435, content=第一次看见,闻所未闻, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e2091606848, createdName=zaakleo, createdTime=Mon Dec 12 23:54:32 CST 2016, time=2016-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=161993, encodeId=bd7816199317, content=incredible, 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/mONcle9pic3yfBB8SDJgFqVA5vRE72PVibRCDyeQecxvN4P4kkVbdbqdT1tPhwLmic60AwLJj2xsq9TyhicvrZFCWw/0, createdBy=5c011984602, createdName=lovest117, createdTime=Sun Dec 11 17:44:53 CST 2016, time=2016-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=161927, encodeId=ce1d16192ed5, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Sun Dec 11 10:38:44 CST 2016, time=2016-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1456780, encodeId=07f41456e80ef, content=<a href='/topic/show?id=c4664446474' target=_blank style='color:#2F92EE;'>#奇葩#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=44464, encryptionId=c4664446474, topicName=奇葩)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=75e05802674, createdName=3631175, createdTime=Sun Dec 11 05:11:00 CST 2016, time=2016-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=161793, encodeId=206b161e93a1, content=学习了,大开眼界, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160130/IMG56ACD6DE528D86917.jpg, createdBy=35e31685030, createdName=流水的星空, createdTime=Sat Dec 10 23:24:08 CST 2016, time=2016-12-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=161751, encodeId=ec87161e51b3, content=学习了!谢谢!, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f4de1683531, createdName=花仙子, createdTime=Sat Dec 10 17:58:28 CST 2016, time=2016-12-10, status=1, ipAttribution=)]
    2016-12-13 D~AN

    受用了

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=164500, encodeId=17de1645001d, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Wed Dec 21 00:20:16 CST 2016, time=2016-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=163452, encodeId=64011634526c, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Sat Dec 17 10:02:35 CST 2016, time=2016-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162502, encodeId=1c5f16250230, content=受用了, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3b0e1991155, createdName=D~AN, createdTime=Tue Dec 13 16:31:58 CST 2016, time=2016-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162376, encodeId=0fff1623e6af, content=各种奇奇怪怪的事情, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161224/IMG585DA5E26B9F44696.jpg, createdBy=565a98798, createdName=susice, createdTime=Tue Dec 13 08:31:52 CST 2016, time=2016-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162294, encodeId=197516229435, content=第一次看见,闻所未闻, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e2091606848, createdName=zaakleo, createdTime=Mon Dec 12 23:54:32 CST 2016, time=2016-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=161993, encodeId=bd7816199317, content=incredible, 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/mONcle9pic3yfBB8SDJgFqVA5vRE72PVibRCDyeQecxvN4P4kkVbdbqdT1tPhwLmic60AwLJj2xsq9TyhicvrZFCWw/0, createdBy=5c011984602, createdName=lovest117, createdTime=Sun Dec 11 17:44:53 CST 2016, time=2016-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=161927, encodeId=ce1d16192ed5, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Sun Dec 11 10:38:44 CST 2016, time=2016-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1456780, encodeId=07f41456e80ef, content=<a href='/topic/show?id=c4664446474' target=_blank style='color:#2F92EE;'>#奇葩#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=44464, encryptionId=c4664446474, topicName=奇葩)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=75e05802674, createdName=3631175, createdTime=Sun Dec 11 05:11:00 CST 2016, time=2016-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=161793, encodeId=206b161e93a1, content=学习了,大开眼界, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160130/IMG56ACD6DE528D86917.jpg, createdBy=35e31685030, createdName=流水的星空, createdTime=Sat Dec 10 23:24:08 CST 2016, time=2016-12-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=161751, encodeId=ec87161e51b3, content=学习了!谢谢!, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f4de1683531, createdName=花仙子, createdTime=Sat Dec 10 17:58:28 CST 2016, time=2016-12-10, status=1, ipAttribution=)]
    2016-12-13 susice

    各种奇奇怪怪的事情

    0

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    2016-12-12 zaakleo

    第一次看见,闻所未闻

    0

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    2016-12-11 lovest117

    incredible

    0

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    2016-12-11 李东泽

    很好,不错,以后会多学习

    0

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    2016-12-11 3631175
  9. [GetPortalCommentsPageByObjectIdResponse(id=164500, encodeId=17de1645001d, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Wed Dec 21 00:20:16 CST 2016, time=2016-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=163452, encodeId=64011634526c, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Sat Dec 17 10:02:35 CST 2016, time=2016-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162502, encodeId=1c5f16250230, content=受用了, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3b0e1991155, createdName=D~AN, createdTime=Tue Dec 13 16:31:58 CST 2016, time=2016-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162376, encodeId=0fff1623e6af, content=各种奇奇怪怪的事情, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161224/IMG585DA5E26B9F44696.jpg, createdBy=565a98798, createdName=susice, createdTime=Tue Dec 13 08:31:52 CST 2016, time=2016-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162294, encodeId=197516229435, content=第一次看见,闻所未闻, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e2091606848, createdName=zaakleo, createdTime=Mon Dec 12 23:54:32 CST 2016, time=2016-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=161993, encodeId=bd7816199317, content=incredible, 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/mONcle9pic3yfBB8SDJgFqVA5vRE72PVibRCDyeQecxvN4P4kkVbdbqdT1tPhwLmic60AwLJj2xsq9TyhicvrZFCWw/0, createdBy=5c011984602, createdName=lovest117, createdTime=Sun Dec 11 17:44:53 CST 2016, time=2016-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=161927, encodeId=ce1d16192ed5, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Sun Dec 11 10:38:44 CST 2016, time=2016-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1456780, encodeId=07f41456e80ef, content=<a href='/topic/show?id=c4664446474' target=_blank style='color:#2F92EE;'>#奇葩#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=44464, encryptionId=c4664446474, topicName=奇葩)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=75e05802674, createdName=3631175, createdTime=Sun Dec 11 05:11:00 CST 2016, time=2016-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=161793, encodeId=206b161e93a1, content=学习了,大开眼界, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160130/IMG56ACD6DE528D86917.jpg, createdBy=35e31685030, createdName=流水的星空, createdTime=Sat Dec 10 23:24:08 CST 2016, time=2016-12-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=161751, encodeId=ec87161e51b3, content=学习了!谢谢!, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f4de1683531, createdName=花仙子, createdTime=Sat Dec 10 17:58:28 CST 2016, time=2016-12-10, status=1, ipAttribution=)]
    2016-12-10 流水的星空

    学习了,大开眼界

    0

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    2016-12-10 花仙子

    学习了!谢谢!

    0

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