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跨学科智慧助力临床诊疗,《不合格静脉血标本管理中国专家共识》发布

2020-09-25 medsci medsci

由中华医学会、中华医学会检验医学分会主办的中华医学会第十六次全国检验医学学术会议在山东青岛召开,这是中国检验领域规模最大的一次线下大会。9月25日,《不合格静脉血标本管理中国专家共识》发布会在大会期间

由中华医学会、中华医学会检验医学分会主办的中华医学会第十六次全国检验医学学术会议在山东青岛召开,这是中国检验领域规模最大的一次线下大会。925日,《不合格静脉血标本管理中国专家共识》发布会在大会期间召开,此次发布的专家共识是中国首部关注分析前静脉血液标本管理的专家共识,也是首次联合检验及护理共同发表的关于标本管理的专家共识。

《不合格静脉血标本管理中国专家共识》由中华医学会检验医学分会发起,同时邀请了护理专家共同参与,全球领先的医疗技术公司BD支持,共有32名来自全国的检验领域和护理领域的专家参与撰写,其中通讯作者是中华医学会检验医学分会主任委员王成彬、中国医学科学院阜外医院副院长李庆印,主要执笔包括浙江大学医学院附属第二医院检验科主任陶志华、四川省人民医院检验科主任蒋黎、深圳市人民医院吴文苑、吉林大学第一医院黄晶、广州中医药大学第二附属医院广东省中医院黄宪章、中国人民解放军三零一总医院马燕兰、复旦大学附属中山医院郭玮等7人,参与撰写的则包括山东大学第二医院院长王传新等23名专家。

会议现场图

跨学科专家共识,静脉血样分析前质量指标获关注

实验室检测数据成为临床诊疗工作的重要依据,其中静脉血含有丰富的病理信息,是临床最常使用的标本类型之一,其检验结果的准确性直接或间接影响到患者的诊断与治疗,但静脉血样不合格也成为无法忽视的问题。

数据显示,国外静脉血样不合格率平均达1.29%,国内不合格率在0.63%-10.06%之间,远高于国外水平,导致样本不合格的因素涵盖样本分析的前、中、后三个环节,其中68.2%检验错误发生在与采血管相关的标本分析前 ,包括采血量不正确、不适当的收集容器、患者鉴别错误、空管等。

中华医学会检验医学分会主任委员王成彬

王成彬教授介绍,影响静脉血标本质量的因素较为复杂,此前发布的关键质量指标,尤其是分析前质量指标,无法完全涵盖其关键影响因素,导致在实际操作中缺乏统一的标准定义和管理规范,每家医院难以达成统一,难以全面实施质量监督。

王教授表示,此次《不合格静脉血标本管理中国专家共识》凝聚了检验科和护理部门的跨学科智慧,针对影响静脉血标本质量的关键分析前因素,制定了相应的质量控制指标,进行数据收集与监控,进一步完善评价系统,明确改进措施,强调对静脉血标本的全流程管理,对于提升我国静脉血标本质量及检验质量具有积极的意义。

静脉血样本全流程管理,医患双方共受益

此次发布的《不合格静脉血标本管理中国专家共识》是中国首个关注静脉血标本分析前的专家共识,共梳理了13种不合格静脉血标本的类型,根据能否控制,分为标本采集、运输因素和患者生理及治疗药物相关因素两大类,其中标本采集、运输因素的特点是可通过实验室对相关医护人员的培训、先进设备的引入等措施加以规范。

《不合格静脉血标本管理中国专家共识》高度注重细节,以采血管为例,其质量对静脉血标本的影响常常被忽略,但此次《专家共识》强调,由于各采血管生产企业的产品标准不尽相同,不同品牌的采血管质量差异较大,为避免采血管质量对静脉血标本质量的影响,建议医疗机构在选购采血管时,应选择高质量的产品,如具有双层管壁设计的血凝管、使用冻干喷雾技术进行添加剂喷涂的血常规管等。

浙江大学医学院附属第二医院检验科主任陶志华

陶志华教授表示,《不合格静脉血标本管理中国专家共识》是汇集了检验和护理两个学科专家智慧,形成跨学科专家共识,共识不仅提供了静脉血标本质量管理的基础理论共识,同时,提供了管理血液标本的分析方法和管理工具,将真正帮助全国医疗机构提高血液标本管理水平,确保标本安全,更好为患者提供高质量、安全的检验服务,长期还有助于建立和谐的医患关系。

李庆印教授表示,此次发布的《不合格静脉血标本管理中国专家共识》提到了采血时机、患者的采血姿势、穿刺部位皮肤消毒等操作细则,对于临床护理工作同样具有重要的指导意义。过去面对不合格的静脉血标本,护理人员可能不理解检验科为什么要求重新采血,现在有了共识,护理人员也可以清楚了解哪些前段操作可能影响样本质量,进而更好地做好样本采集工作。

《不合格静脉血标本管理中国专家共识》还提出,客观完整的原始数据收集与整理、科学的分析方法是统计分析及制定改进措施的基础,也是实现标本质量全面管理和监控的重要保障。BD公司为《不合格静脉血标本管理中国专家共识》推出了配套的分析软件智皓,借助技术的力量,帮助临床医务人员更科学、更规范地管理不合格静脉血样,使得静脉血标本质量管理更有效。

BD大中华区整合诊断解决方案业务副总裁王晓勇

BD大中华区整合诊断解决方案业务副总裁王晓勇表示,很高兴见证《不合格静脉血标本管理中国专家共识》的正式发布,这份共识大原则与小细节并存,检验和护理知识并存,必将促进中国不合格静脉血样的管理水平。自上世纪中期,BD创造性发明了静脉血液专业采集系统 VACUTAINER® 真空采血系统及其他一系列标本采集产品,时至今日我们始终致力于提升临床诊断的准确性,以提高人们的健康水平。在静脉血标本管理领域,BD仍将继续技术创新,以更优质的产品和检验全流程解决方案,帮助改善实验室运营流程和效率,助力中国医疗卫生事业的发展。

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createdBy=568152, createdName=snowpeakxu, createdTime=Tue Jun 22 20:45:21 CST 2021, time=2021-06-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740985, encodeId=16341e40985d9, content=<a href='/topic/show?id=095623025c9' target=_blank style='color:#2F92EE;'>#临床诊疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23025, encryptionId=095623025c9, topicName=临床诊疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=330334842359, createdName=ms7524819409032184, createdTime=Sat Jun 12 01:45:21 CST 2021, time=2021-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=957521, encodeId=c42e95e52130, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, 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objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png;jsessionid=23017AF9A43E478B081BD06235BF844F, createdBy=e98c5416040, createdName=ms3000001121456932, createdTime=Sat Sep 26 07:20:29 CST 2020, time=2020-09-26, status=1, ipAttribution=)]
  4. 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createdBy=568152, createdName=snowpeakxu, createdTime=Tue Jun 22 20:45:21 CST 2021, time=2021-06-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740985, encodeId=16341e40985d9, content=<a href='/topic/show?id=095623025c9' target=_blank style='color:#2F92EE;'>#临床诊疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23025, encryptionId=095623025c9, topicName=临床诊疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=330334842359, createdName=ms7524819409032184, createdTime=Sat Jun 12 01:45:21 CST 2021, time=2021-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=957521, encodeId=c42e95e52130, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, 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channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20326, encryptionId=1086203266c, topicName=不合格)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f77c26479803, createdName=echonoir, createdTime=Sat Apr 24 02:45:21 CST 2021, time=2021-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1698148, encodeId=158e16981486d, content=<a href='/topic/show?id=f2399910109' target=_blank style='color:#2F92EE;'>#静脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99101, encryptionId=f2399910109, topicName=静脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0bc129907796, createdName=fusion, createdTime=Mon Dec 14 06:45:21 CST 2020, time=2020-12-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1758984, encodeId=a1c71e5898431, content=<a href='/topic/show?id=39e96195411' target=_blank style='color:#2F92EE;'>#标本#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=61954, encryptionId=39e96195411, topicName=标本)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=45f437392611, createdName=ms306040998833292, createdTime=Sun Nov 15 21:45:21 CST 2020, time=2020-11-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=888459, encodeId=aad688845911, content=学习了!!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=129, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=59321624668, createdName=zb1235672, createdTime=Sat Sep 26 07:45:07 CST 2020, time=2020-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=888456, encodeId=25988884561b, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png;jsessionid=23017AF9A43E478B081BD06235BF844F, createdBy=e98c5416040, createdName=ms3000001121456932, createdTime=Sat Sep 26 07:20:29 CST 2020, time=2020-09-26, status=1, ipAttribution=)]
    2021-04-16 thy817

    学习了

    0

  5. 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createdBy=568152, createdName=snowpeakxu, createdTime=Tue Jun 22 20:45:21 CST 2021, time=2021-06-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740985, encodeId=16341e40985d9, content=<a href='/topic/show?id=095623025c9' target=_blank style='color:#2F92EE;'>#临床诊疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23025, encryptionId=095623025c9, topicName=临床诊疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=330334842359, createdName=ms7524819409032184, createdTime=Sat Jun 12 01:45:21 CST 2021, time=2021-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=957521, encodeId=c42e95e52130, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, 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channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20326, encryptionId=1086203266c, topicName=不合格)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f77c26479803, createdName=echonoir, createdTime=Sat Apr 24 02:45:21 CST 2021, time=2021-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1698148, encodeId=158e16981486d, content=<a href='/topic/show?id=f2399910109' target=_blank style='color:#2F92EE;'>#静脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99101, encryptionId=f2399910109, topicName=静脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0bc129907796, createdName=fusion, createdTime=Mon Dec 14 06:45:21 CST 2020, time=2020-12-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1758984, encodeId=a1c71e5898431, content=<a href='/topic/show?id=39e96195411' target=_blank style='color:#2F92EE;'>#标本#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=61954, encryptionId=39e96195411, topicName=标本)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=45f437392611, createdName=ms306040998833292, createdTime=Sun Nov 15 21:45:21 CST 2020, time=2020-11-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=888459, encodeId=aad688845911, content=学习了!!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=129, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=59321624668, createdName=zb1235672, createdTime=Sat Sep 26 07:45:07 CST 2020, time=2020-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=888456, encodeId=25988884561b, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png;jsessionid=23017AF9A43E478B081BD06235BF844F, createdBy=e98c5416040, createdName=ms3000001121456932, createdTime=Sat Sep 26 07:20:29 CST 2020, time=2020-09-26, status=1, ipAttribution=)]
    2020-10-12 xue8602
  6. 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objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png;jsessionid=23017AF9A43E478B081BD06235BF844F, createdBy=e98c5416040, createdName=ms3000001121456932, createdTime=Sat Sep 26 07:20:29 CST 2020, time=2020-09-26, status=1, ipAttribution=)]
  7. [GetPortalCommentsPageByObjectIdResponse(id=1741659, encodeId=b3671e4165936, content=<a href='/topic/show?id=c2c621665c4' target=_blank style='color:#2F92EE;'>#中国专家共识#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=21665, encryptionId=c2c621665c4, topicName=中国专家共识)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=218a34934063, createdName=12498f1em19(暂无昵称), createdTime=Sat Apr 03 01:45:21 CST 2021, time=2021-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1845829, encodeId=d45018458291e, content=<a href='/topic/show?id=5d2f206482e' target=_blank style='color:#2F92EE;'>#专家共识#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20648, encryptionId=5d2f206482e, topicName=专家共识)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=568152, createdName=snowpeakxu, createdTime=Tue Jun 22 20:45:21 CST 2021, time=2021-06-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740985, encodeId=16341e40985d9, content=<a href='/topic/show?id=095623025c9' target=_blank style='color:#2F92EE;'>#临床诊疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23025, encryptionId=095623025c9, topicName=临床诊疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=330334842359, createdName=ms7524819409032184, createdTime=Sat Jun 12 01:45:21 CST 2021, time=2021-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=957521, encodeId=c42e95e52130, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210504/e70423f0acb1416e94fae28334b8ae52/63068d3d8e954d199d2ae0c9e6625bb9.jpg, createdBy=1f741337328, createdName=thy817, createdTime=Fri Apr 16 10:22:58 CST 2021, time=2021-04-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1955510, encodeId=efa8195551089, content=<a href='/topic/show?id=0aeb991e44c' target=_blank style='color:#2F92EE;'>#静脉血#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99174, encryptionId=0aeb991e44c, topicName=静脉血)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d139492, createdName=xue8602, createdTime=Mon Oct 12 06:45:21 CST 2020, time=2020-10-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1668969, encodeId=eaa11668969fb, content=<a href='/topic/show?id=1086203266c' target=_blank style='color:#2F92EE;'>#不合格#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20326, encryptionId=1086203266c, topicName=不合格)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f77c26479803, createdName=echonoir, createdTime=Sat Apr 24 02:45:21 CST 2021, time=2021-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1698148, encodeId=158e16981486d, content=<a href='/topic/show?id=f2399910109' target=_blank style='color:#2F92EE;'>#静脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99101, encryptionId=f2399910109, topicName=静脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0bc129907796, createdName=fusion, createdTime=Mon Dec 14 06:45:21 CST 2020, time=2020-12-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1758984, encodeId=a1c71e5898431, content=<a href='/topic/show?id=39e96195411' target=_blank style='color:#2F92EE;'>#标本#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=61954, encryptionId=39e96195411, topicName=标本)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=45f437392611, createdName=ms306040998833292, createdTime=Sun Nov 15 21:45:21 CST 2020, time=2020-11-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=888459, encodeId=aad688845911, content=学习了!!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=129, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=59321624668, createdName=zb1235672, createdTime=Sat Sep 26 07:45:07 CST 2020, time=2020-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=888456, encodeId=25988884561b, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png;jsessionid=23017AF9A43E478B081BD06235BF844F, createdBy=e98c5416040, createdName=ms3000001121456932, createdTime=Sat Sep 26 07:20:29 CST 2020, time=2020-09-26, status=1, ipAttribution=)]
    2020-12-14 fusion
  8. [GetPortalCommentsPageByObjectIdResponse(id=1741659, encodeId=b3671e4165936, content=<a href='/topic/show?id=c2c621665c4' target=_blank style='color:#2F92EE;'>#中国专家共识#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=21665, encryptionId=c2c621665c4, topicName=中国专家共识)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=218a34934063, createdName=12498f1em19(暂无昵称), createdTime=Sat Apr 03 01:45:21 CST 2021, time=2021-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1845829, encodeId=d45018458291e, content=<a href='/topic/show?id=5d2f206482e' target=_blank style='color:#2F92EE;'>#专家共识#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20648, encryptionId=5d2f206482e, topicName=专家共识)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=568152, createdName=snowpeakxu, createdTime=Tue Jun 22 20:45:21 CST 2021, time=2021-06-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740985, encodeId=16341e40985d9, content=<a href='/topic/show?id=095623025c9' target=_blank style='color:#2F92EE;'>#临床诊疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23025, encryptionId=095623025c9, topicName=临床诊疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=330334842359, createdName=ms7524819409032184, createdTime=Sat Jun 12 01:45:21 CST 2021, time=2021-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=957521, encodeId=c42e95e52130, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, 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channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20326, encryptionId=1086203266c, topicName=不合格)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f77c26479803, createdName=echonoir, createdTime=Sat Apr 24 02:45:21 CST 2021, time=2021-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1698148, encodeId=158e16981486d, content=<a href='/topic/show?id=f2399910109' target=_blank style='color:#2F92EE;'>#静脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99101, encryptionId=f2399910109, topicName=静脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0bc129907796, createdName=fusion, createdTime=Mon Dec 14 06:45:21 CST 2020, time=2020-12-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1758984, encodeId=a1c71e5898431, content=<a href='/topic/show?id=39e96195411' target=_blank style='color:#2F92EE;'>#标本#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=61954, encryptionId=39e96195411, topicName=标本)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=45f437392611, createdName=ms306040998833292, createdTime=Sun Nov 15 21:45:21 CST 2020, time=2020-11-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=888459, encodeId=aad688845911, content=学习了!!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=129, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=59321624668, createdName=zb1235672, createdTime=Sat Sep 26 07:45:07 CST 2020, time=2020-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=888456, encodeId=25988884561b, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png;jsessionid=23017AF9A43E478B081BD06235BF844F, createdBy=e98c5416040, createdName=ms3000001121456932, createdTime=Sat Sep 26 07:20:29 CST 2020, time=2020-09-26, status=1, ipAttribution=)]
  9. [GetPortalCommentsPageByObjectIdResponse(id=1741659, encodeId=b3671e4165936, content=<a href='/topic/show?id=c2c621665c4' target=_blank style='color:#2F92EE;'>#中国专家共识#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=21665, encryptionId=c2c621665c4, topicName=中国专家共识)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=218a34934063, createdName=12498f1em19(暂无昵称), createdTime=Sat Apr 03 01:45:21 CST 2021, time=2021-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1845829, encodeId=d45018458291e, content=<a href='/topic/show?id=5d2f206482e' target=_blank style='color:#2F92EE;'>#专家共识#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20648, encryptionId=5d2f206482e, topicName=专家共识)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=568152, createdName=snowpeakxu, createdTime=Tue Jun 22 20:45:21 CST 2021, time=2021-06-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740985, encodeId=16341e40985d9, content=<a href='/topic/show?id=095623025c9' target=_blank style='color:#2F92EE;'>#临床诊疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23025, encryptionId=095623025c9, topicName=临床诊疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=330334842359, createdName=ms7524819409032184, createdTime=Sat Jun 12 01:45:21 CST 2021, time=2021-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=957521, encodeId=c42e95e52130, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210504/e70423f0acb1416e94fae28334b8ae52/63068d3d8e954d199d2ae0c9e6625bb9.jpg, createdBy=1f741337328, createdName=thy817, createdTime=Fri Apr 16 10:22:58 CST 2021, time=2021-04-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1955510, encodeId=efa8195551089, content=<a href='/topic/show?id=0aeb991e44c' target=_blank style='color:#2F92EE;'>#静脉血#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99174, encryptionId=0aeb991e44c, topicName=静脉血)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d139492, createdName=xue8602, createdTime=Mon Oct 12 06:45:21 CST 2020, time=2020-10-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1668969, encodeId=eaa11668969fb, content=<a href='/topic/show?id=1086203266c' target=_blank style='color:#2F92EE;'>#不合格#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20326, encryptionId=1086203266c, topicName=不合格)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f77c26479803, createdName=echonoir, createdTime=Sat Apr 24 02:45:21 CST 2021, time=2021-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1698148, encodeId=158e16981486d, content=<a href='/topic/show?id=f2399910109' target=_blank style='color:#2F92EE;'>#静脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99101, encryptionId=f2399910109, topicName=静脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0bc129907796, createdName=fusion, createdTime=Mon Dec 14 06:45:21 CST 2020, time=2020-12-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1758984, encodeId=a1c71e5898431, content=<a href='/topic/show?id=39e96195411' target=_blank style='color:#2F92EE;'>#标本#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=61954, encryptionId=39e96195411, topicName=标本)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=45f437392611, createdName=ms306040998833292, createdTime=Sun Nov 15 21:45:21 CST 2020, time=2020-11-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=888459, encodeId=aad688845911, content=学习了!!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=129, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=59321624668, createdName=zb1235672, createdTime=Sat Sep 26 07:45:07 CST 2020, time=2020-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=888456, encodeId=25988884561b, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png;jsessionid=23017AF9A43E478B081BD06235BF844F, createdBy=e98c5416040, createdName=ms3000001121456932, createdTime=Sat Sep 26 07:20:29 CST 2020, time=2020-09-26, status=1, ipAttribution=)]
    2020-09-26 zb1235672

    学习了!!!!

    0

  10. 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createdBy=568152, createdName=snowpeakxu, createdTime=Tue Jun 22 20:45:21 CST 2021, time=2021-06-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740985, encodeId=16341e40985d9, content=<a href='/topic/show?id=095623025c9' target=_blank style='color:#2F92EE;'>#临床诊疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23025, encryptionId=095623025c9, topicName=临床诊疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=330334842359, createdName=ms7524819409032184, createdTime=Sat Jun 12 01:45:21 CST 2021, time=2021-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=957521, encodeId=c42e95e52130, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210504/e70423f0acb1416e94fae28334b8ae52/63068d3d8e954d199d2ae0c9e6625bb9.jpg, createdBy=1f741337328, createdName=thy817, createdTime=Fri Apr 16 10:22:58 CST 2021, time=2021-04-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1955510, encodeId=efa8195551089, content=<a href='/topic/show?id=0aeb991e44c' target=_blank style='color:#2F92EE;'>#静脉血#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99174, encryptionId=0aeb991e44c, topicName=静脉血)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d139492, createdName=xue8602, createdTime=Mon Oct 12 06:45:21 CST 2020, time=2020-10-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1668969, encodeId=eaa11668969fb, content=<a href='/topic/show?id=1086203266c' target=_blank style='color:#2F92EE;'>#不合格#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20326, encryptionId=1086203266c, topicName=不合格)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f77c26479803, createdName=echonoir, createdTime=Sat Apr 24 02:45:21 CST 2021, time=2021-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1698148, encodeId=158e16981486d, content=<a href='/topic/show?id=f2399910109' target=_blank style='color:#2F92EE;'>#静脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99101, encryptionId=f2399910109, topicName=静脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0bc129907796, createdName=fusion, createdTime=Mon Dec 14 06:45:21 CST 2020, time=2020-12-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1758984, encodeId=a1c71e5898431, content=<a href='/topic/show?id=39e96195411' target=_blank style='color:#2F92EE;'>#标本#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=61954, encryptionId=39e96195411, topicName=标本)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=45f437392611, createdName=ms306040998833292, createdTime=Sun Nov 15 21:45:21 CST 2020, time=2020-11-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=888459, encodeId=aad688845911, content=学习了!!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=129, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=59321624668, createdName=zb1235672, createdTime=Sat Sep 26 07:45:07 CST 2020, time=2020-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=888456, encodeId=25988884561b, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png;jsessionid=23017AF9A43E478B081BD06235BF844F, createdBy=e98c5416040, createdName=ms3000001121456932, createdTime=Sat Sep 26 07:20:29 CST 2020, time=2020-09-26, status=1, ipAttribution=)]
    2020-09-26 ms3000001121456932

    学习

    0

Baidu
map
Baidu
map
Baidu
map