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公卫人的真实生活,太心酸了!

2018-01-22 朱涛 基层医师公社

自打从事了国家基本公共卫生、家庭医生签约服务工作,我们就与忙碌结了缘……

公卫人的忙碌从每年年初持续到岁末年尾,从清晨日出开始计时一直到夕阳日落甚至月上枝头……

村级人员的忙碌

做完一次健康咨询,10分钟就忙过去了……

录入20余针次预防接种信息,1小时就忙过去了……

连续完善10份居民电子健康档案随访信息,一晚上就忙过去了……

预约入户做完5家产后访视,半天就忙过去了……

每月1次村医例会培训,记着笔记一下午就忙过去了……

过不去的是:

总是在提起精神想及时完成公卫信息录入的时候,由于工作人员多,电脑只能挨个轮流使用……

网速不给力,显示屏一直在绕圈圈,页面怎么都切换不了……

赶上新老系统更替,录入的信息还会自动玩丢失……

面对这网速、这设备、这系统……

我们录还是不录?

院级人员的忙碌

顺利开具1张住院分娩证,20分钟就忙过去了……

做完1名0-6岁的儿童健康体检,完善相关资料,还是20分钟就忙过去了……

入户规范管理1位结核病患者,两三个小时就忙过去了……

过不去的是:

入户多次好不容易才见到了患者,患者本人及家属还不配合管理,忙乎了半天的无功而返……

我们管还是不管?

组织辖区百余人严重精神障碍患者做好健康体检,一周就忙过去了……

过不去的是:

当遇到几名闹腾得厉害的精神障碍患者,心电图怎么都做不标准……

我们做还是不做?

督导辖区村卫生室人员工作,逐个督导1遍,两周就忙过去了……

一季度督导一次,全年就过去了……

过不去的是:

随着辖区流动人口的迁进迁出,居民电子健康档案不能及时变迁,流入人口人来档案不来,流出人口人走档案不走。

最终居民电子健康档案数无法等同现管理人口数,而各级部门年度考核指标要求在管花名册要与电子健康档案数一致……

我们务实还是务虚?

镇村两级公卫人员共同的忙碌

做好一批朝觐回国人员居家医学观察,14天就忙过去了……

完成辖区1千余人农村适龄妇女免费“两癌”筛检,一个月就忙过去了……

整理“两癌”筛检资料、反馈“两癌”筛检结果,再转诊疑似患者到指定上级医院复查,数月就忙过去了……

完成辖区2千余人的老年人、慢性病患者、普惠性健康体检,4个半月就忙过去了……

每逢国家宣传日,挨个跑完辖区村清真寺、学校、居委会、村落,进行健康教育知识讲座,一年就忙过去了……

辛辛苦苦忙碌一整年,各级卫计部门来院年度考评,考核一天很快就忙过去了……

过不去的是:

没有得到一个公平公正的评分和绩效,还要日复一日、年复一年的忙碌着……

我们干还是不干?

完成每村约2000居民的签约任务,集中签约不知不觉一个月就忙过去了……

做好做实家庭医生签约服务,一个5人团队,忙着忙着一年就过去了……

年年签约、年年服务,这辈子就忙过去了……

过不去的是:

拿着低廉的签约服务费用,面对居民医疗就诊系统、居民电子健康档案管理系统、家庭医生签约服务系统三者不能兼容的情况下,重复繁重的工作……

我们服务还是不服务?

纵然“过不去”虐我们千百回,我们公卫人心中的答案依然是肯定的!因为我们从事的是最有意义的工作!我们护佑的是生命,守护的是群众的健康!

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    2018-01-26 hhh678

    henhao

    0

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    2018-01-25 1e0e5a1fm42(暂无匿称)

    henhao

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=2022511, encodeId=a4c0202251157, content=<a href='/topic/show?id=9294298510a' target=_blank style='color:#2F92EE;'>#公卫人#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=29851, encryptionId=9294298510a, topicName=公卫人)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/vLodSSFTQLpHtfwJicWJibSWH7pbiauxvpCMvQIv0N9Oes8vHkDkCIW2HNDkt7icUq3RCZiaDcHR9Rap17fFySRbiaFg/132, createdBy=9f202500205, createdName=ms3297076796458174, createdTime=Thu Jul 12 09:28:00 CST 2018, time=2018-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282312, encodeId=0c2928231279, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=b0041939716, createdName=hhh678, createdTime=Fri Jan 26 22:02:51 CST 2018, time=2018-01-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=281982, encodeId=f7172819826e, content=henhao, 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/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=7dcf1938111, createdName=1e0e5a1fm42(暂无匿称), createdTime=Thu Jan 25 20:23:33 CST 2018, time=2018-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=281947, encodeId=836e28194eb8, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/14/98b313dfe26b90ecf72d9fa320a8b56b.jpg, createdBy=ca4a2247226, createdName=红木中餐, createdTime=Thu Jan 25 19:53:59 CST 2018, time=2018-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=281653, encodeId=253e28165338, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=b10c1938054, createdName=1e0e5697m83(暂无匿称), createdTime=Wed Jan 24 19:51:24 CST 2018, time=2018-01-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=281294, encodeId=f60128129431, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/14/98b313dfe26b90ecf72d9fa320a8b56b.jpg, createdBy=ca4a2247226, createdName=红木中餐, createdTime=Tue Jan 23 19:28:15 CST 2018, time=2018-01-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=281055, encodeId=b4c0281055fe, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=b10c1938054, createdName=1e0e5697m83(暂无匿称), createdTime=Mon Jan 22 21:43:56 CST 2018, time=2018-01-22, status=1, ipAttribution=)]
    2018-01-25 红木中餐

    henhao

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=2022511, encodeId=a4c0202251157, content=<a href='/topic/show?id=9294298510a' target=_blank style='color:#2F92EE;'>#公卫人#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=29851, encryptionId=9294298510a, topicName=公卫人)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/vLodSSFTQLpHtfwJicWJibSWH7pbiauxvpCMvQIv0N9Oes8vHkDkCIW2HNDkt7icUq3RCZiaDcHR9Rap17fFySRbiaFg/132, createdBy=9f202500205, createdName=ms3297076796458174, createdTime=Thu Jul 12 09:28:00 CST 2018, time=2018-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282312, encodeId=0c2928231279, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=b0041939716, createdName=hhh678, createdTime=Fri Jan 26 22:02:51 CST 2018, time=2018-01-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=281982, encodeId=f7172819826e, content=henhao, 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/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=7dcf1938111, createdName=1e0e5a1fm42(暂无匿称), createdTime=Thu Jan 25 20:23:33 CST 2018, time=2018-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=281947, encodeId=836e28194eb8, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/14/98b313dfe26b90ecf72d9fa320a8b56b.jpg, createdBy=ca4a2247226, createdName=红木中餐, createdTime=Thu Jan 25 19:53:59 CST 2018, time=2018-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=281653, encodeId=253e28165338, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=b10c1938054, createdName=1e0e5697m83(暂无匿称), createdTime=Wed Jan 24 19:51:24 CST 2018, time=2018-01-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=281294, encodeId=f60128129431, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/14/98b313dfe26b90ecf72d9fa320a8b56b.jpg, createdBy=ca4a2247226, createdName=红木中餐, createdTime=Tue Jan 23 19:28:15 CST 2018, time=2018-01-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=281055, encodeId=b4c0281055fe, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=b10c1938054, createdName=1e0e5697m83(暂无匿称), createdTime=Mon Jan 22 21:43:56 CST 2018, time=2018-01-22, status=1, ipAttribution=)]
    2018-01-24 1e0e5697m83(暂无匿称)

    henhao

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=2022511, encodeId=a4c0202251157, content=<a href='/topic/show?id=9294298510a' target=_blank style='color:#2F92EE;'>#公卫人#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=29851, encryptionId=9294298510a, topicName=公卫人)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/vLodSSFTQLpHtfwJicWJibSWH7pbiauxvpCMvQIv0N9Oes8vHkDkCIW2HNDkt7icUq3RCZiaDcHR9Rap17fFySRbiaFg/132, createdBy=9f202500205, createdName=ms3297076796458174, createdTime=Thu Jul 12 09:28:00 CST 2018, time=2018-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282312, encodeId=0c2928231279, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=b0041939716, createdName=hhh678, createdTime=Fri Jan 26 22:02:51 CST 2018, time=2018-01-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=281982, encodeId=f7172819826e, content=henhao, 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/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=7dcf1938111, createdName=1e0e5a1fm42(暂无匿称), createdTime=Thu Jan 25 20:23:33 CST 2018, time=2018-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=281947, encodeId=836e28194eb8, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/14/98b313dfe26b90ecf72d9fa320a8b56b.jpg, createdBy=ca4a2247226, createdName=红木中餐, createdTime=Thu Jan 25 19:53:59 CST 2018, time=2018-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=281653, encodeId=253e28165338, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=b10c1938054, createdName=1e0e5697m83(暂无匿称), createdTime=Wed Jan 24 19:51:24 CST 2018, time=2018-01-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=281294, encodeId=f60128129431, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/14/98b313dfe26b90ecf72d9fa320a8b56b.jpg, createdBy=ca4a2247226, createdName=红木中餐, createdTime=Tue Jan 23 19:28:15 CST 2018, time=2018-01-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=281055, encodeId=b4c0281055fe, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=b10c1938054, createdName=1e0e5697m83(暂无匿称), createdTime=Mon Jan 22 21:43:56 CST 2018, time=2018-01-22, status=1, ipAttribution=)]
    2018-01-23 红木中餐

    henhao

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=2022511, encodeId=a4c0202251157, content=<a href='/topic/show?id=9294298510a' target=_blank style='color:#2F92EE;'>#公卫人#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=29851, encryptionId=9294298510a, topicName=公卫人)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/vLodSSFTQLpHtfwJicWJibSWH7pbiauxvpCMvQIv0N9Oes8vHkDkCIW2HNDkt7icUq3RCZiaDcHR9Rap17fFySRbiaFg/132, createdBy=9f202500205, createdName=ms3297076796458174, createdTime=Thu Jul 12 09:28:00 CST 2018, time=2018-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282312, encodeId=0c2928231279, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=b0041939716, createdName=hhh678, createdTime=Fri Jan 26 22:02:51 CST 2018, time=2018-01-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=281982, encodeId=f7172819826e, content=henhao, 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/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=7dcf1938111, createdName=1e0e5a1fm42(暂无匿称), createdTime=Thu Jan 25 20:23:33 CST 2018, time=2018-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=281947, encodeId=836e28194eb8, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/14/98b313dfe26b90ecf72d9fa320a8b56b.jpg, createdBy=ca4a2247226, createdName=红木中餐, createdTime=Thu Jan 25 19:53:59 CST 2018, time=2018-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=281653, encodeId=253e28165338, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=b10c1938054, createdName=1e0e5697m83(暂无匿称), createdTime=Wed Jan 24 19:51:24 CST 2018, time=2018-01-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=281294, encodeId=f60128129431, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/14/98b313dfe26b90ecf72d9fa320a8b56b.jpg, createdBy=ca4a2247226, createdName=红木中餐, createdTime=Tue Jan 23 19:28:15 CST 2018, time=2018-01-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=281055, encodeId=b4c0281055fe, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=b10c1938054, createdName=1e0e5697m83(暂无匿称), createdTime=Mon Jan 22 21:43:56 CST 2018, time=2018-01-22, status=1, ipAttribution=)]
    2018-01-22 1e0e5697m83(暂无匿称)

    henhao

    0

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