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老年男性,胸闷憋气、咳嗽、咳痰10年,请诊断!

2019-08-06 不详 影像园

患者于10年前无明显诱因出现胸闷憋气、咳嗽、咳痰,为少量白痰,于外院就诊,行胸部CT检查提示“肺大泡,肺气肿”,未予治疗。半年前无明显诱因再次出现胸闷憋气,劳累后加重,爬1层楼即感胸闷憋气,夜间可平卧入睡,偶有咳嗽、咳痰,为少量白痰。

【所属科室】

呼吸科

【基本资料】

患者,男,63岁

【主诉】

间断胸闷憋气、咳嗽、咳痰10年,再发半年

【现病史】

患者于10年前无明显诱因出现胸闷憋气、咳嗽、咳痰,为少量白痰,于外院就诊,行胸部CT检查提示“肺大泡,肺气肿”,未予治疗。半年前无明显诱因再次出现胸闷憋气,劳累后加重,爬1层楼即感胸闷憋气,夜间可平卧入睡,偶有咳嗽、咳痰,为少量白痰。

【影像图片】



















【讨论】

评论:肝左叶、脾与底大弯之间可见不规则肿块影,密度不均,内可见低密度区。病灶侵及底大弯、脾及肝左叶,可见胃壁局部增厚。肝左叶、脾与胃底大弯之间恶性占位性病变。
 
【结果】

胃镜诊断:胃Ca
病理诊断:(胃底至胃体上部)恶性肿瘤
 
【病例小结】

胃癌是我国最常见的恶性肿瘤之一,好发于40~60岁,男性多于女性,约为2~3:1。胃癌可发生在胃的任何部位,约50%~60%发生在胃窦部,其次为贲门和胃体小弯。
临床表现:主要表现为上腹疼,不易缓解,吐咖啡色血液或柏油样便,可以扪及肿块或有梗阻症状。

CT表现:早期胃癌胃壁不增厚或增厚不明显,CT诊断价值不大。进展期胃癌,胃壁明显不规则增厚、软组织肿块形成和窦腔狭窄,常合并有腔内溃疡,可累及十二指肠,贲门癌可累及食管、胃结合部,向上侵犯食管下段,胃周侵犯多侵及胰腺,肿瘤沿胃周脂肪组织及韧带扩散,常侵及大网膜、胰腺、肝脏及邻近消化道,CT表现为胃周索条状及带状的软组织影,横跨于病变与周围脏器间迂曲的强化影亦是侵犯的可靠征象。

软组织肿块增厚的胃壁向腔内或腔外生长出现肿块,有时与邻近增大的淋巴结融合在一起形成软组织肿块。当胃壁增厚在1~2cm之间,形态尚规则,表面略不光整,与正常胃壁有明显的界限,肿块常表现不明显,胃壁增厚>2cm以上均可见到软组织肿块,其形态不规则,表面不光整,有时在软组织内见到气体影、水或高密度造影剂影,表面有溃疡存在。若病变发生在胃底,胃壁增厚形成巨大软组织肿块,中间可有坏死及溃疡形成,增强后常呈不均匀性强化。

侵犯邻近组织胃癌向腔外浸润生长可自接侵犯相应的邻近组织,表现为病变和相邻脏器间缺乏正常的脂肪低密度带。胃癌所侵犯的邻近脏器常常与病变发生的部位有关。

胃癌常有腹腔内淋巴结转移,淋巴结的大小是诊断转移的重要标志。有人将CT上发现的直径大于10mm的淋巴结定为肿大淋巴结。CT判定淋巴结是否转移除以其大小为标准外,还可通过增强薄层连续扫描观察淋巴结内部结构,如密度不均匀,有坏死灶等均提示淋巴结转移。胃癌血行转移以肝脏多见,其次为肺和卵巢。

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    2019-11-25 wxl882001

    了解一下

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1809955, encodeId=74f118099554a, content=<a href='/topic/show?id=27dd8424843' target=_blank style='color:#2F92EE;'>#胸闷憋气#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84248, encryptionId=27dd8424843, topicName=胸闷憋气)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=416347, createdName=mhzhuang@stu.e, createdTime=Mon Jun 08 04:05:00 CST 2020, time=2020-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1897830, encodeId=f65d189e8300b, content=<a href='/topic/show?id=a3b080193fe' target=_blank style='color:#2F92EE;'>#老年男性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80193, encryptionId=a3b080193fe, topicName=老年男性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=226a143, createdName=cathymary, createdTime=Sat Aug 24 23:05:00 CST 2019, time=2019-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=375833, encodeId=84d63e58333c, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Mon Nov 25 23:41:13 CST 2019, time=2019-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=373487, encodeId=5f893e348799, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=114, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Thu Oct 03 16:40:07 CST 2019, time=2019-10-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740264, encodeId=b6831e402646b, content=<a href='/topic/show?id=7e7a53e883f' target=_blank style='color:#2F92EE;'>#憋气#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53788, encryptionId=7e7a53e883f, topicName=憋气)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8fe134698252, createdName=HinsMax, createdTime=Tue Jul 14 01:05:00 CST 2020, time=2020-07-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=371120, encodeId=7d853e1120e6, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Sun Aug 11 20:02:39 CST 2019, time=2019-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1341015, encodeId=f7ca134101547, content=<a href='/topic/show?id=27b98424ea9' target=_blank style='color:#2F92EE;'>#胸闷#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84247, encryptionId=27b98424ea9, topicName=胸闷)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=838d2500169, createdName=12498cb5m13暂无昵称, createdTime=Thu Aug 08 14:05:00 CST 2019, time=2019-08-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1481737, encodeId=b00c1481e37ca, content=<a href='/topic/show?id=7ae83981550' target=_blank style='color:#2F92EE;'>#咳痰#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39815, encryptionId=7ae83981550, topicName=咳痰)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fd1b7820168, createdName=ms7258648636991762, createdTime=Thu Aug 08 14:05:00 CST 2019, time=2019-08-08, status=1, ipAttribution=)]
    2019-10-03 wxl882001

    了解一下

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1809955, encodeId=74f118099554a, content=<a href='/topic/show?id=27dd8424843' target=_blank style='color:#2F92EE;'>#胸闷憋气#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84248, encryptionId=27dd8424843, topicName=胸闷憋气)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=416347, createdName=mhzhuang@stu.e, createdTime=Mon Jun 08 04:05:00 CST 2020, time=2020-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1897830, encodeId=f65d189e8300b, content=<a href='/topic/show?id=a3b080193fe' target=_blank style='color:#2F92EE;'>#老年男性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80193, encryptionId=a3b080193fe, topicName=老年男性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=226a143, createdName=cathymary, createdTime=Sat Aug 24 23:05:00 CST 2019, time=2019-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=375833, encodeId=84d63e58333c, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Mon Nov 25 23:41:13 CST 2019, time=2019-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=373487, encodeId=5f893e348799, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=114, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Thu Oct 03 16:40:07 CST 2019, time=2019-10-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740264, encodeId=b6831e402646b, content=<a href='/topic/show?id=7e7a53e883f' target=_blank style='color:#2F92EE;'>#憋气#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53788, encryptionId=7e7a53e883f, topicName=憋气)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8fe134698252, createdName=HinsMax, createdTime=Tue Jul 14 01:05:00 CST 2020, time=2020-07-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=371120, encodeId=7d853e1120e6, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Sun Aug 11 20:02:39 CST 2019, time=2019-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1341015, encodeId=f7ca134101547, content=<a href='/topic/show?id=27b98424ea9' target=_blank style='color:#2F92EE;'>#胸闷#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84247, encryptionId=27b98424ea9, topicName=胸闷)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=838d2500169, createdName=12498cb5m13暂无昵称, createdTime=Thu Aug 08 14:05:00 CST 2019, time=2019-08-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1481737, encodeId=b00c1481e37ca, content=<a href='/topic/show?id=7ae83981550' target=_blank style='color:#2F92EE;'>#咳痰#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39815, encryptionId=7ae83981550, topicName=咳痰)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fd1b7820168, createdName=ms7258648636991762, createdTime=Thu Aug 08 14:05:00 CST 2019, time=2019-08-08, status=1, ipAttribution=)]
    2020-07-14 HinsMax
  6. [GetPortalCommentsPageByObjectIdResponse(id=1809955, encodeId=74f118099554a, content=<a href='/topic/show?id=27dd8424843' target=_blank style='color:#2F92EE;'>#胸闷憋气#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84248, encryptionId=27dd8424843, topicName=胸闷憋气)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=416347, createdName=mhzhuang@stu.e, createdTime=Mon Jun 08 04:05:00 CST 2020, time=2020-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1897830, encodeId=f65d189e8300b, content=<a href='/topic/show?id=a3b080193fe' target=_blank style='color:#2F92EE;'>#老年男性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80193, encryptionId=a3b080193fe, topicName=老年男性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=226a143, createdName=cathymary, createdTime=Sat Aug 24 23:05:00 CST 2019, time=2019-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=375833, encodeId=84d63e58333c, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Mon Nov 25 23:41:13 CST 2019, time=2019-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=373487, encodeId=5f893e348799, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=114, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Thu Oct 03 16:40:07 CST 2019, time=2019-10-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740264, encodeId=b6831e402646b, content=<a href='/topic/show?id=7e7a53e883f' target=_blank style='color:#2F92EE;'>#憋气#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53788, encryptionId=7e7a53e883f, topicName=憋气)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8fe134698252, createdName=HinsMax, createdTime=Tue Jul 14 01:05:00 CST 2020, time=2020-07-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=371120, encodeId=7d853e1120e6, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Sun Aug 11 20:02:39 CST 2019, time=2019-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1341015, encodeId=f7ca134101547, content=<a href='/topic/show?id=27b98424ea9' target=_blank style='color:#2F92EE;'>#胸闷#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84247, encryptionId=27b98424ea9, topicName=胸闷)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=838d2500169, createdName=12498cb5m13暂无昵称, createdTime=Thu Aug 08 14:05:00 CST 2019, time=2019-08-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1481737, encodeId=b00c1481e37ca, content=<a href='/topic/show?id=7ae83981550' target=_blank style='color:#2F92EE;'>#咳痰#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39815, encryptionId=7ae83981550, topicName=咳痰)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fd1b7820168, createdName=ms7258648636991762, createdTime=Thu Aug 08 14:05:00 CST 2019, time=2019-08-08, status=1, ipAttribution=)]
    2019-08-11 wxl882001

    了解一下

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1809955, encodeId=74f118099554a, content=<a href='/topic/show?id=27dd8424843' target=_blank style='color:#2F92EE;'>#胸闷憋气#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84248, encryptionId=27dd8424843, topicName=胸闷憋气)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=416347, createdName=mhzhuang@stu.e, createdTime=Mon Jun 08 04:05:00 CST 2020, time=2020-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1897830, encodeId=f65d189e8300b, content=<a href='/topic/show?id=a3b080193fe' target=_blank style='color:#2F92EE;'>#老年男性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80193, encryptionId=a3b080193fe, topicName=老年男性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=226a143, createdName=cathymary, createdTime=Sat Aug 24 23:05:00 CST 2019, time=2019-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=375833, encodeId=84d63e58333c, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Mon Nov 25 23:41:13 CST 2019, time=2019-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=373487, encodeId=5f893e348799, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=114, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Thu Oct 03 16:40:07 CST 2019, time=2019-10-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740264, encodeId=b6831e402646b, content=<a href='/topic/show?id=7e7a53e883f' target=_blank style='color:#2F92EE;'>#憋气#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53788, encryptionId=7e7a53e883f, topicName=憋气)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8fe134698252, createdName=HinsMax, createdTime=Tue Jul 14 01:05:00 CST 2020, time=2020-07-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=371120, encodeId=7d853e1120e6, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Sun Aug 11 20:02:39 CST 2019, time=2019-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1341015, encodeId=f7ca134101547, content=<a href='/topic/show?id=27b98424ea9' target=_blank style='color:#2F92EE;'>#胸闷#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84247, encryptionId=27b98424ea9, topicName=胸闷)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=838d2500169, createdName=12498cb5m13暂无昵称, createdTime=Thu Aug 08 14:05:00 CST 2019, time=2019-08-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1481737, encodeId=b00c1481e37ca, content=<a href='/topic/show?id=7ae83981550' target=_blank style='color:#2F92EE;'>#咳痰#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39815, encryptionId=7ae83981550, topicName=咳痰)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fd1b7820168, createdName=ms7258648636991762, createdTime=Thu Aug 08 14:05:00 CST 2019, time=2019-08-08, status=1, ipAttribution=)]
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