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救命药硝酸甘油、复方丹参滴丸和阿司匹林该怎么用?

2016-01-21 MedSci MedSci原创

再次忠告50岁以上的爸爸妈妈们一定要记住:在睡眠时如果心脏病突发,剧烈胸疼足以把人从沉睡中痛醒,立刻口含十粒复方丹参滴丸,或者硝酸甘油片2片,或者阿司匹林3片(300mg)嚼服!接着立刻联络急救中心,然后坐在椅子或沙发上静候援助,千万别躺下!心脏科医师强调,如果每个看到这条微信的人,不要光点赞,能够转发10份给其他人,肯定至少有一条命将会被救回。 刚一降温,这条消息又出来了,您要转发

再次忠告50岁以上的爸爸妈妈们一定要记住:在睡眠时如果心脏病突发,剧烈胸疼足以把人从沉睡中痛醒,立刻口含十粒复方丹参滴丸,或者硝酸甘油片2片,或者阿司匹林3片(300mg)嚼服!接着立刻联络急救中心,然后坐在椅子或沙发上静候援助,千万别躺下!心脏科医师强调,如果每个看到这条微信的人,不要光点赞,能够转发10份给其他人,肯定至少有一条命将会被救回。

刚一降温,这条消息又出来了,您要转发他那个,不如转发我这个。

睡眠时心脏病突发应该怎么做?

刷屏朋友圈的说法是这样的

立刻口含十粒复方丹参滴丸
或者硝酸甘油片2片
或者阿司匹林3片(300mg)嚼服
接着立刻联络急救中心
然后坐在椅子或沙发上静候援助,千万别躺下!

医生是这样建议的

1、拨打120,呼叫亲属。
2、静卧,放松情绪。
3、吸氧最好,血压要测。
4、若患者有明确冠心病病史,出现心绞痛,可以服用硝酸甘油片缓解症状。

首先,胸前剧痛,不一定就是心绞痛

对于半夜剧烈的胸痛,首先是需要区分是否为心绞痛。冠心病发作有很多种类型,包括心绞痛发作和急性心肌梗死。发作时主要症状都是胸痛,普通人很难区分是哪种类型,一般来说心绞痛发作服用硝酸甘油是有效果的;但心肌梗死却不是这样。另外,剧烈胸痛还有可能是一种严重的疾病,就是主动脉夹层,死亡率非常高。含服硝酸甘油无用,所以,有高血压等心血管疾病,或长期抽烟的朋友,突发胸痛一定要引起重视,尽早就医。

含服硝酸甘油片2片太多了

若有冠心病的基础,且确认为心绞痛,此时就可以按照上述建议口含硝酸甘油片1片,但没有必要按上述的朋友圈建议的那样服用2片。

硝酸甘油确实是冠心病、心绞痛患者最常使用的药物,它能快速缓解心绞痛对病人造成的不适感。因为它是通过扩张专门给心脏供血的血管——冠状动脉,从而来缓解心绞痛造成的难受不适。但是,它也能扩张身体里其他的血管,从而导致血压下降。心绞痛或心肌梗死发作时,有一部分人会出现低血压,如果在这种情况下再含服硝酸甘油,会给病情雪上加霜。

阿司匹林起效慢,胃病患者慎服

阿司匹林是非常常见的抗血栓药物。在明确心肌梗死时,医生会让病人嚼服。如果胃病或者主动脉夹层引起的胸痛患者,含了阿司匹林,反而会增加出血风险。而且,阿司匹林起效并没有那么快。消化道吸收需要半个小时以上,等到开始发挥作用,基本上在两小时之后。

服药后“千万不能躺下”不准确

专家指出,微信所说的“千万不能躺下”更不准确。如果突发心绞痛或心肌梗死,一旦发作应立刻停止任何活动,就地卧床或沙发休息,尽量保持情绪稳定,最好侧卧,避免因呕吐误吸而发生窒息。

另外,含服硝酸甘油后也应该尽量躺下,以免发生低血压而晕倒,含服硝酸甘油后短时间内起床时动作不宜过快,以免发生体位性低血压。

(扬子晚报采访自南京市中医院心血管科主任中医师顾宁主任)

硝酸甘油正确服用方法:

1、宜舌下含服,不要吞服 因为舌下毛细血管很丰富,药物迅速吸收入血,1-2分钟即发生止痛作用。而吞服吸收慢,效果差。

2、采用坐姿或半卧姿服药 硝酸甘油对脑血管的扩张作用很明显,服药后立即出现面色潮红、头痛,站立时出现“直立性低血压”而易发生昏厥。老年病人或初次服药的病人,坐着服药后有头昏头痛感觉,只要平卧休息或对症处理很快恢复正常,无大妨碍。随着服药时间的延长,这种作用逐渐减轻以至消失。

3、选择最理想的药量 开始服用硝酸甘油片时,剂量不宜过大,否则会产生副作用。一般每次含服半片或一片(0.15-0.30毫克)为好。究竟服多大药量,依病情而定,最好找出一个适合每位病人的既达到疗效,又使副作用小的剂量。如果药量增加方能见效,短期内连服3-5片,说明病情发生变化,需及时就诊。

4、硝酸甘油剂型选择 硝酸甘油类药可分为速效、中长效和长效的剂型。当心绞痛发作时,急救一般选用速效类如硝酸甘油片。如果心绞痛反复发作,可在发作时同时服用中长效制剂,以预防再次发作。中长效类药常用的有消心痛、长效硝酸甘油,一般药效能持续4-8小时。

5、硝酸甘油片与其他药合用 心绞痛伴心率快的,可同服心得安;心绞痛伴血压高的,可同服心痛定。硝酸甘油还可以与异搏定、硫氮唑酮合用增强疗效,互相克制副作用。

6、硝酸甘油片可以预防性使用 对于能预知一次肯定的用力或活动产生心绞痛的病人,可在用力前先含用硝酸甘油。比如在餐后,大便时易出现心绞痛,就可在进餐时和大便前先口含硝酸甘油来制止发作。

7、使用注意事项 为了保持硝酸甘油片的疗效,应将此药放入密闭的避光的有色瓶内,并注意药物的有效期限,及时更换接近失效期的药片。有心绞痛史的病人或老年人,药物应随身携带,放在拿取方便的急救盒内。

另外,硝酸甘油能使脑压和眼压升高,青光眼、脑出血患者更要慎用。硝酸甘油片说明书标注有效期一年,但如果已开封或使用次数较多时,应3—6个月更换一次,以免药物失效,同时,应快速取药,用药后拧紧瓶盖。

发病了,再火急火燎的想办法,不如提前做好预防,冬季好发病预防请见:



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  3. [GetPortalCommentsPageByObjectIdResponse(id=1995382, encodeId=105a199538294, content=<a href='/topic/show?id=2e0642641f7' target=_blank style='color:#2F92EE;'>#复方丹参#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42641, encryptionId=2e0642641f7, topicName=复方丹参)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=373a131, createdName=jxrzshh, createdTime=Tue Sep 13 17:48:00 CST 2016, time=2016-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2071073, encodeId=a4a720e107328, content=<a href='/topic/show?id=f96e42642ea' target=_blank style='color:#2F92EE;'>#复方丹参滴丸#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42642, encryptionId=f96e42642ea, topicName=复方丹参滴丸)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=63a4277, createdName=cy0324, createdTime=Tue Apr 26 00:48:00 CST 2016, time=2016-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1969488, encodeId=9c8719694888f, content=<a href='/topic/show?id=7f255e55509' target=_blank style='color:#2F92EE;'>#救命药#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57555, encryptionId=7f255e55509, topicName=救命药)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0a27288, createdName=smallant2002, createdTime=Sat Mar 26 14:48:00 CST 2016, time=2016-03-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72951, encodeId=201ee2951b6, content=经常温习, beContent=null, objectType=article, channel=null, level=null, likeNumber=144, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:05:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72945, encodeId=30a2e294591, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72944, encodeId=55e8e294400, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72946, encodeId=24d1e29463d, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72947, encodeId=03b5e294723, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72948, encodeId=6e94e294841, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=157, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72949, encodeId=f5ebe294938, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=)]
  4. [GetPortalCommentsPageByObjectIdResponse(id=1995382, encodeId=105a199538294, content=<a href='/topic/show?id=2e0642641f7' target=_blank style='color:#2F92EE;'>#复方丹参#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42641, encryptionId=2e0642641f7, topicName=复方丹参)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=373a131, createdName=jxrzshh, createdTime=Tue Sep 13 17:48:00 CST 2016, time=2016-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2071073, encodeId=a4a720e107328, content=<a href='/topic/show?id=f96e42642ea' target=_blank style='color:#2F92EE;'>#复方丹参滴丸#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42642, encryptionId=f96e42642ea, topicName=复方丹参滴丸)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=63a4277, createdName=cy0324, createdTime=Tue Apr 26 00:48:00 CST 2016, time=2016-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1969488, encodeId=9c8719694888f, content=<a href='/topic/show?id=7f255e55509' target=_blank style='color:#2F92EE;'>#救命药#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57555, encryptionId=7f255e55509, topicName=救命药)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0a27288, createdName=smallant2002, createdTime=Sat Mar 26 14:48:00 CST 2016, time=2016-03-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72951, encodeId=201ee2951b6, content=经常温习, beContent=null, objectType=article, channel=null, level=null, likeNumber=144, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:05:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72945, encodeId=30a2e294591, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72944, encodeId=55e8e294400, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72946, encodeId=24d1e29463d, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72947, encodeId=03b5e294723, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72948, encodeId=6e94e294841, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=157, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72949, encodeId=f5ebe294938, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=)]
    2016-03-23 忠诚向上

    经常温习

    0

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    2016-03-23 忠诚向上

    好好看下,!

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1995382, encodeId=105a199538294, content=<a href='/topic/show?id=2e0642641f7' target=_blank style='color:#2F92EE;'>#复方丹参#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42641, encryptionId=2e0642641f7, topicName=复方丹参)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=373a131, createdName=jxrzshh, createdTime=Tue Sep 13 17:48:00 CST 2016, time=2016-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2071073, encodeId=a4a720e107328, content=<a href='/topic/show?id=f96e42642ea' target=_blank style='color:#2F92EE;'>#复方丹参滴丸#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42642, encryptionId=f96e42642ea, topicName=复方丹参滴丸)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=63a4277, createdName=cy0324, createdTime=Tue Apr 26 00:48:00 CST 2016, time=2016-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1969488, encodeId=9c8719694888f, content=<a href='/topic/show?id=7f255e55509' target=_blank style='color:#2F92EE;'>#救命药#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57555, encryptionId=7f255e55509, topicName=救命药)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0a27288, createdName=smallant2002, createdTime=Sat Mar 26 14:48:00 CST 2016, time=2016-03-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72951, encodeId=201ee2951b6, content=经常温习, beContent=null, objectType=article, channel=null, level=null, likeNumber=144, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:05:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72945, encodeId=30a2e294591, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72944, encodeId=55e8e294400, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72946, encodeId=24d1e29463d, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72947, encodeId=03b5e294723, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72948, encodeId=6e94e294841, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=157, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72949, encodeId=f5ebe294938, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=)]
    2016-03-23 忠诚向上

    好好看下,!

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1995382, encodeId=105a199538294, content=<a href='/topic/show?id=2e0642641f7' target=_blank style='color:#2F92EE;'>#复方丹参#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42641, encryptionId=2e0642641f7, topicName=复方丹参)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=373a131, createdName=jxrzshh, createdTime=Tue Sep 13 17:48:00 CST 2016, time=2016-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2071073, encodeId=a4a720e107328, content=<a href='/topic/show?id=f96e42642ea' target=_blank style='color:#2F92EE;'>#复方丹参滴丸#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42642, encryptionId=f96e42642ea, topicName=复方丹参滴丸)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=63a4277, createdName=cy0324, createdTime=Tue Apr 26 00:48:00 CST 2016, time=2016-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1969488, encodeId=9c8719694888f, content=<a href='/topic/show?id=7f255e55509' target=_blank style='color:#2F92EE;'>#救命药#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57555, encryptionId=7f255e55509, topicName=救命药)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0a27288, createdName=smallant2002, createdTime=Sat Mar 26 14:48:00 CST 2016, time=2016-03-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72951, encodeId=201ee2951b6, content=经常温习, beContent=null, objectType=article, channel=null, level=null, likeNumber=144, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:05:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72945, encodeId=30a2e294591, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72944, encodeId=55e8e294400, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72946, encodeId=24d1e29463d, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72947, encodeId=03b5e294723, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72948, encodeId=6e94e294841, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=157, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72949, encodeId=f5ebe294938, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=)]
    2016-03-23 忠诚向上

    好好看下,!

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1995382, encodeId=105a199538294, content=<a href='/topic/show?id=2e0642641f7' target=_blank style='color:#2F92EE;'>#复方丹参#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42641, encryptionId=2e0642641f7, topicName=复方丹参)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=373a131, createdName=jxrzshh, createdTime=Tue Sep 13 17:48:00 CST 2016, time=2016-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2071073, encodeId=a4a720e107328, content=<a href='/topic/show?id=f96e42642ea' target=_blank style='color:#2F92EE;'>#复方丹参滴丸#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42642, encryptionId=f96e42642ea, topicName=复方丹参滴丸)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=63a4277, createdName=cy0324, createdTime=Tue Apr 26 00:48:00 CST 2016, time=2016-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1969488, encodeId=9c8719694888f, content=<a href='/topic/show?id=7f255e55509' target=_blank style='color:#2F92EE;'>#救命药#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57555, encryptionId=7f255e55509, topicName=救命药)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0a27288, createdName=smallant2002, createdTime=Sat Mar 26 14:48:00 CST 2016, time=2016-03-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72951, encodeId=201ee2951b6, content=经常温习, beContent=null, objectType=article, channel=null, level=null, likeNumber=144, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:05:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72945, encodeId=30a2e294591, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72944, encodeId=55e8e294400, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72946, encodeId=24d1e29463d, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72947, encodeId=03b5e294723, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72948, encodeId=6e94e294841, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=157, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72949, encodeId=f5ebe294938, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=)]
    2016-03-23 忠诚向上

    好好看下,!

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1995382, encodeId=105a199538294, content=<a href='/topic/show?id=2e0642641f7' target=_blank style='color:#2F92EE;'>#复方丹参#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42641, encryptionId=2e0642641f7, topicName=复方丹参)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=373a131, createdName=jxrzshh, createdTime=Tue Sep 13 17:48:00 CST 2016, time=2016-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2071073, encodeId=a4a720e107328, content=<a href='/topic/show?id=f96e42642ea' target=_blank style='color:#2F92EE;'>#复方丹参滴丸#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42642, encryptionId=f96e42642ea, topicName=复方丹参滴丸)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=63a4277, createdName=cy0324, createdTime=Tue Apr 26 00:48:00 CST 2016, time=2016-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1969488, encodeId=9c8719694888f, content=<a href='/topic/show?id=7f255e55509' target=_blank style='color:#2F92EE;'>#救命药#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57555, encryptionId=7f255e55509, topicName=救命药)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0a27288, createdName=smallant2002, createdTime=Sat Mar 26 14:48:00 CST 2016, time=2016-03-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72951, encodeId=201ee2951b6, content=经常温习, beContent=null, objectType=article, channel=null, level=null, likeNumber=144, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:05:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72945, encodeId=30a2e294591, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72944, encodeId=55e8e294400, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72946, encodeId=24d1e29463d, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72947, encodeId=03b5e294723, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72948, encodeId=6e94e294841, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=157, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72949, encodeId=f5ebe294938, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=)]
    2016-03-23 忠诚向上

    好好看下,!

    0

  10. [GetPortalCommentsPageByObjectIdResponse(id=1995382, encodeId=105a199538294, content=<a href='/topic/show?id=2e0642641f7' target=_blank style='color:#2F92EE;'>#复方丹参#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42641, encryptionId=2e0642641f7, topicName=复方丹参)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=373a131, createdName=jxrzshh, createdTime=Tue Sep 13 17:48:00 CST 2016, time=2016-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2071073, encodeId=a4a720e107328, content=<a href='/topic/show?id=f96e42642ea' target=_blank style='color:#2F92EE;'>#复方丹参滴丸#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42642, encryptionId=f96e42642ea, topicName=复方丹参滴丸)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=63a4277, createdName=cy0324, createdTime=Tue Apr 26 00:48:00 CST 2016, time=2016-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1969488, encodeId=9c8719694888f, content=<a href='/topic/show?id=7f255e55509' target=_blank style='color:#2F92EE;'>#救命药#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57555, encryptionId=7f255e55509, topicName=救命药)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0a27288, createdName=smallant2002, createdTime=Sat Mar 26 14:48:00 CST 2016, time=2016-03-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72951, encodeId=201ee2951b6, content=经常温习, beContent=null, objectType=article, channel=null, level=null, likeNumber=144, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:05:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72945, encodeId=30a2e294591, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72944, encodeId=55e8e294400, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72946, encodeId=24d1e29463d, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72947, encodeId=03b5e294723, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72948, encodeId=6e94e294841, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=157, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72949, encodeId=f5ebe294938, content=好好看下,!, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Mar 23 16:04:00 CST 2016, time=2016-03-23, status=1, ipAttribution=)]
    2016-03-23 忠诚向上

    好好看下,!

    0

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