{"countAll":0,"orderType":null,"readLevel":"0","lyTopicReq":{"id":"1697","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":null,"content":null,"barId":"1697","topicTypeId":null,"topicThemeId":"1016","readLevel":0,"files":null,"clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":null},"lyBarModerators":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":8,"pageNumber":0,"totalPage":0,"totalRow":0},"metaSearch":{"description":"洞医为您提供:北京协和呼吸哮喘、协和医院呼吸科肺栓塞、北京协和呼吸科病友的治疗经验等相关信息，让您在便捷的求医路上不花一分冤枉钱。","keywords":"北京协和呼吸哮喘_北京协和呼吸科_协和医院呼吸科肺栓塞_洞医","title":"北京协和呼吸哮喘_北京协和呼吸科_协和医院呼吸科肺栓塞_洞医","channels":null},"data":{"list":[{"id":"5530","isDel":0,"createAt":1502700041958,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"专家为你聊聊：感觉呼吸困难是怎么回事","content":"

　　感觉呼吸困难是怎么回事呢，其实在医学中特指呼吸不舒适的主观体验，涵盖几种性质不同，严重程度不一的主观感受。呼吸困难与生理、心理、社会、环境多种因素相关，特别是呼吸困难本身又可以引起继发性的生理和行为反应。

\n

\"感觉呼吸困难是怎么回事\"

\n

  病理生理机制比如呼吸努力的程度、外周中枢化学感受器的刺激、肺和胸壁机械感受器的刺激、中枢对外周传入的整合等引起感知性呼吸困难，包括“呼吸幅度和频率”, “呼吸渴求”, “呼吸时相关的呼吸困难”，“喘息”。

\n

  情感性呼吸困难指伴随呼吸困难的“难受”和“情绪反应”，是一种感觉，发生机制与情绪、文化背景、疾病经历以及个体特质有关。相当于警示大脑，“您的身体出了异常，自身调节已不足以纠正”。激发情绪反应让人难受，调动适应性行为，甚至使运动器官做好奔往医院的准备。就感知性呼吸困难来说，全世界所有人都一样。而情感性呼吸困难明显受到文化背景的影响。

\n

  一般情况下，病人对五种性质不同的呼吸困难症状描述，指向其病理生理改变和负面情感。如果医师在问诊时能注意到病人呼吸困难的语言，相当高比例的患者可以得到正确诊断，避免了没有必要的实验室检查。

\n

  恰当的区别感知性呼吸困难和情感性呼吸困难，不仅能够帮助诊断和鉴别诊断，以便做出正确的治疗决策缓解症状，理解呼吸困难对患者行为的影响。国内外呼吸困难研究领域的最新进展，精准的诠释了生物心理医学模式对呼吸困难诊断治疗的推动作用。

\n

 

","barId":"1697","topicTypeId":"2","topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1965,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1502700041960,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1502700041960,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"5515","isDel":0,"createAt":1502440644759,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"一文让你明白气胸是怎么引起的，气胸症状的表现","content":"

   如果您有憋气症状，尤其晚上加重情形，不妨看下本文，通过一个病例让你明白气胸是怎么引起的，气胸症状的表现。赵女士最近又出现了憋气，在晚上憋气加重，导致难以入睡，而且有越来越加重的趋势，到医院拍胸片以后，结果显示右侧胸腔气胸，肺压缩50%。进行了胸腔闭式引流，患者的症状迅速缓解，2天之后右肺完全复张，拔除了胸腔引流管，患者的症状没有反复。

\n

\"气胸是怎么引起的，气胸症状的表现\"

\n

自发性气胸是怎么引起的？

\n

　　自发性气胸是肺或胸膜病变，造成胸膜破裂，空气在进入胸膜腔以后，就形成气胸。气胸会造成胸膜腔内压力升高（正常胸膜腔为负压），使肺不能正常膨胀，肺压向肺门，甚至可以使气管、心脏等产生移位，推向对侧胸腔。气胸引起的原因包括慢性支气管炎并发肺气肿、支气管哮喘、尘肺、广泛肺纤维化、肺大泡破裂等。肺癌、肺结核空洞、肺脓肿亦可引起气胸。老年患者多是原发病为慢性阻塞性肺气肿。自发性气胸多由肺大泡破裂所致，好发于身体瘦高的青年男性。该部分人群的发病诱因多由感染、剧烈咳嗽、有持重物、屏气、剧烈运动等原因引起。

\n

\"气胸是怎么引起的，气胸症状的表现\"

\n

气胸症状的表现

\n

　　气胸一般由持重物、屏气、剧烈运动等因素诱发，患者会突感胸痛、气急、憋气，可伴有咳嗽。小量气胸先有气急，发病数小时后逐渐平稳，X光检查也不一定能发现。若气胸量较大者或者原来已有广泛肺部疾患，患者多半不能平卧。患者呼吸困难的程度与积气量的多少、原来肺内病变范围有相关性。当胸膜粘连和肺功能减损之时，即使小量局限性气胸也会造成明显胸痛和气急。

\n

\"气胸是怎么引起的，气胸症状的表现\"

\n

　　气胸症状的主要表现包括以下几方面：

\n

胸痛：多数患者伴有胸痛，这是胸膜粘连牵拉、撕裂所造成。胸痛可突然发生，患者会感到刺痛或胀痛，在咳嗽及深吸气时疼痛加剧。对老年患者而言，感觉迟钝，胸痛的表现不如年轻人明显。因此，容易造成早期诊断的延误。

\n

呼吸困难：多与胸痛同时发生，年轻人肺压缩小于20%，呼吸困难有时并不明显。老年人多伴有慢性肺部疾病，肺功能差，虽然肺压缩仅为10%，也会出现明显呼吸困难。如果是高压性气胸，患者多表现为进行性呼吸困难，甚至休克、呼吸衰竭等。

\n

咳嗽：一般表现为干咳，这是胸膜反射性刺激所引发。如果伴有感染或者支气管胸膜瘘，咳嗽将会加重，痰液为脓性。

\n

休克：高压性气胸如果得不到及时救治，患者可能会休克，这种情况下，患者除了伴有呼吸困难外，还会伴有紫绀、大汗淋漓、烦躁不安、意识不清、四肢厥冷、脉搏减弱、血压下降、严重者甚至会死亡。老年人的临床表现，有可能被原发疾病掩盖（如慢性支气管炎合并阻塞性肺气肿），造成诊断延误。X线检查可帮助确诊，并了解肺压缩的程度，气管偏移的情况，对疾病本身也是有益的提示。

\n

 

\n

 

","barId":"1697","topicTypeId":"2","topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1743,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1502440644760,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1502440644760,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"5509","isDel":0,"createAt":1502184112537,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"病友总结的几个睡眠呼吸暂停综合征典型症状","content":"

　　许多病友因为知识缺乏，病急求医，不知道打呼噜、睡眠呼吸暂停综合征是什么概念，什么情况应该就医，现在病友总结几个常见情形，如果患有一个或多个就可以去就医啦，早日摆脱打呼噜的烦恼！

\n

　　（1）睡了一整夜，醒来仍然感到浑身乏力。

\n

　　（2）夜间反复憋醒，夜眠不宁，不自主翻动，甚至昏迷抽搐。

\n

　　（3）打鼾突然停止，持续一段时间后，鼾声又起。

\n

　　（4）醒后头痛，睡醒起床后口干舌燥。

\n

　　（5）白天非常困倦或者打盹，甚至在工作、站凳子就打盹或驾驶时睡着。

\n

　　（6）暴躁易怒，每天睡醒血压最高。

\n

　　（7）注意力不易集中或记忆力下降。

\n

　　（8）夜间睡觉时小便次数增加。

\n

　　（9）阳痿、性欲减低。

\n

 

","barId":"1697","topicTypeId":"2","topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1670,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1502184112539,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1502184112539,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"5507","isDel":0,"createAt":1502180830082,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"睡眠呼吸暂停综合征的易发人群、症状与危害","content":"

   睡眠呼吸暂停综合征是指在睡眠时发生的呼吸暂时停顿的现象。对人影响比较大呼吸暂停的是指，口和鼻气流每次停止10秒以上，一晚7个小时的睡眠中，暂停发生30次以上或睡眠呼吸紊乱指数超过5次以上。病友们可以根据自己白天有无乏力、嗜睡等症状，来初步判断自己是否患有阻塞性睡眠呼吸暂停综合征。

\n

\"睡眠呼吸暂停综合征\"

\n

　　阻塞性睡眠呼吸暂停综合征易发于中年以上的人群中。调查显示：大约2%的男性和4%的女性患有阻塞性睡眠呼吸暂停综合征。阻塞性睡眠呼吸暂停综合征都有哪些危害呢？

\n

  阻塞性睡眠呼吸暂停综合征由于反复出现呼吸暂停，从而引起体内缺氧、以及二氧化碳的体内堆积所引起的一系列病理改变。不但破坏睡眠，还会引起白天嗜睡、乏力、记忆力减退、使人工作能力和生活质量严重下降，甚至会引起一系列的社会问题。由于本病发生在睡眠时间，容易忽略，多是因为其它病到门诊就诊，如高血压、冠心病、脑血管病、情绪障碍、口干、咽炎、阳萎等，医生如果不加以重视，也容易造成漏诊和误诊。

\n

  另外，睡眠呼吸暂停综合征也是引起诸多交通事故的主要诱因之一。美国的车祸是引起死亡和伤害的第三位原因，每年发生的200万交通事故中，有4万到5万人丧生，而患有睡眠呼吸暂停综合征的司机车祸发生率是正常人的3-7倍，并占恶性交通事故的80%。

\n

  综上所述，睡眠呼吸暂停综合征属于源头性疾病，许多疾病，比如阳痿、早泄、高血压等疾病在治疗好睡眠呼吸暂停综合征以后，也会自然销售。

\n

 

","barId":"1697","topicTypeId":"2","topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1682,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1502180830084,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1502180830084,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"5505","isDel":0,"createAt":1502175836969,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"吸引朋友建议看看肺癌早期症状","content":"

　 对于肺癌患者的最大特点来说延误诊断和漏诊较多，因为肺癌患者来讲，肺癌早期症状没有特异的临床表现。病人根本没有异常感觉，早期的患者也多数在体检时发现，影像检查也就是发现阴影，多数也是因没有症状而延误，导致早干预的好时机，如果疾病处于早期，手术治疗是可以治愈的。另外75%的患者也又临床表现，具体如下：

\n

\"肺癌早期症状\"

\n

　　一、肺癌在肺内生长直接引起的症状

\n

　　1、咳嗽、早期肺癌患者常表现为突发无痰阵发遇刺激性气味等咳嗽（即刺激性干咳），非常容易当成为呼吸道感染。当大的气道管腔（即中央气道）内肿瘤引起气道狭窄梗阻时，咳嗽转为持续性，表现为高音调的金属声。当肿瘤进一步增大时，影响到肺内的痰等能咳出来时，可引发肺部感染，激烈咳嗽后痰量增多，呈粘液脓性。特殊病人会有大量粘液痰，部分病人每日可达2000ml黏液痰（肺泡癌病人常有的特点）。

\n

\"肺癌早期症状\"

\n

　　2、咯血、由于癌组织血管丰富，易发生组织坏死，因此约21％以上病人有咯血，表现为痰中带血丝，或间断血痰，有时仅有1-2次。如侵蚀大血管，可引起大咯血。

\n

\"肺癌早期症状\"

\n

　　3、其它、如果肿瘤造成较大气道的阻塞，病人可出现不同程度的阻塞症状如喘鸣、胸闷、气促、胸痛和发热等。

\n

　　二、肿瘤胸内蔓延：如胸痛、呼吸困难、胸闷、声嘶哑。还有一些症候群如：上腔静脉综合症（ 由胸内肿瘤或转移压迫上腔静脉引起的急性或亚急性呼吸困难,面颈部肿胀,检查可见面颈,上肢和胸部静脉回流受阻,瘀血,水肿,呼吸困难,进一步发展可导致缺氧和颅内压增高,需要紧急处理以缓解症状）。膈肌麻痹、及食道受压、胸腔积液、心包积液症状等。肺尖部肺癌，亦称Pancost肿瘤，侵入纵隔和压迫位于胸廓上口的器官或组织，如第1肋骨、锁骨下动脉和静脉、臂丛神经、颈交感神经等，产生剧烈的胸肩痛、上肢静脉怒张、水肿、臂痛和上肢运动障碍，同侧上眼睑下垂、瞳孔缩小、眼球内陷、面部无汗等交感神经综合症。

\n

　　三、肿瘤组织的远处转移：锁骨上、颈部等淋巴结肿大。出现中枢神经系统症状，如头痛、呕吐、眩晕、复视、共济失调、偏瘫及癫痫发作等，往往是颅内转移表现。肩背痛、下肢无力、膀胱或肠道功能失调，应高度怀疑脊髓束受压迫。约28%—33%肝转移时患者有肝肿大和疼痛。骨转移时表现为骨痛、骨折等。

\n

　　四、肺癌的肺外表现

\n

　　肺癌的肺外表现多为肺癌细胞产生的某些特殊物质（激素、抗原、酶或代谢产物）所引起的临床表现。不同病理类型肺癌细胞产生的异位激素发生率不同。

\n

  找良医网提示您：肺癌并不可怕，早诊断、早治疗、科学治疗非常重要，如果做的好一样活的很好。

\n

 

","barId":"1697","topicTypeId":"2","topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1844,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1502175836971,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1502175836971,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"5503","isDel":0,"createAt":1502169952266,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"一文让你明白胸腔积液的原因及胸腔积液的症状","content":"

 

\n

　　许多病友会突感胸痛，不敢深呼吸，2天后疼痛好转，但有隐痛感，逐渐感到胸闷憋气，活动困难。X光片和B检查后多半显示胸腔积液。那么胸腔积液的原因及胸腔积液的症状有哪些呢

\n

\"胸腔积液的原因及胸腔积液的症状\"

\n

　一、什么是胸腔积液？引起胸腔积液的原因有哪些

\n

　　临床中，不管什么原因诱发的胸膜腔内出现过多的液体统一称作胸腔积液。临床上常见的胸腔积液有以下几种：

\n

　　1、根据胸腔积液的特点分类，可分为漏出液、渗出液（浆液性或血性）、脓胸、血胸、乳糜胸。

\n

　　2、根据引起胸腔积液的原因可以分为：

\n

　　（1）感染性疾病：胸膜炎（结核病、各类感染）、膈下炎症 肺结核、各类肺感染 肺结核

\n

　　（2）循环系统疾患、上腔静脉受阻、充血性心力衰竭、缩窄性心包炎

\n

　　（3）肿瘤：恶性肿瘤、胸膜间皮瘤、

\n

　　（4）肺梗死

\n

　　（5）血管瘤破裂、肺梗死 胸导管受阻

\n

　　（6）低蛋白血症 肾病综合征、肝硬化

\n

　　（7）其他疾病 腹膜透析、粘液性水肿、药物过敏、放射反应 风湿热、系统性红斑狼疮、胸部手术后、气胸外伤、食管瘘、气胸、胸腔穿刺术后继发化脓性感染外伤、气胸（伴胸膜粘连带撕裂）外伤致胸导管破裂、丝虫病

\n

\"胸腔积液的原因及胸腔积液的症状\"

\n

　　临床中胸腔积液中渗出性胸膜炎最常见；结核病诱发的胸腔积液在中青年患者中常见。中老年胸腔积液（尤其是血性胸液）应慎重考虑恶性病变与恶性肿瘤（如肺癌、乳腺癌、淋巴瘤等）向胸膜或纵隔淋巴结转移。肿瘤累及胸膜，使其表面通透性增加，或淋巴引流受阻，或伴有阻塞性肺炎累及胸膜，均可引起渗出性胸腔积液。胸导管受阻而形成乳糜胸比较少见。如果心包受累也会产生心包积液，如果上腔静脉受阻，血管内静水压升高，或因恶性肿瘤所致营养不良低蛋白血症，胸腔积液可为漏出液。

\n

\"胸腔积液的原因及胸腔积液的症状\"

\n

　　二、胸腔积液的症状

\n

　　年龄、病史、症状及体征对胸腔积液的诊断均有参考价值。结核性胸膜炎多发于青年人，常伴有发热；中年以上患者应警惕由肺癌引起的胸膜转移。炎性积液多为渗出性，常伴有胸痛及发热。由心力衰竭诱发胸腔积液为漏出液。肝脓肿所伴右侧胸腔积液表现为反应性胸膜炎，也可以是脓胸。积液量少于0.3L时症状多不明显；当超过0.5L时，患者渐有胸闷感。局部叩击表现为浊音，呼吸的声音减低。在积液量逐渐增多后，两层胸膜隔开，不再随呼吸摩擦，胸痛亦渐缓解，但呼吸困难程度明显加剧；大量积液时纵膈脏器受压，心慌及呼吸困难也更加明显。

\n

 

","barId":"1697","topicTypeId":"2","topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":3482,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1502169952268,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1502169952268,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"1765","isDel":0,"createAt":1486647151744,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"哮喘会出现哪些明显的症状","content":"

　　想必大家对于哮喘有一些了解，这个病发作时带给患者的痛苦非常大，严重的还会影响患者的生命，所以大家在平时要多关注自己的身体，一旦发现这个病时要及时的治疗，避免疾病加重，那么为了我们第一时间发现疾病积极的进行治疗，接下来我们来具体的看一下，患上哮喘后会出现哪些明显的症状。

\n

　　患上哮喘后会出现哪些明显的症状。

\n

　　明显的症状1、患者在患有了哮喘之后最先出现的症状也就是咳嗽了。病人在初期的时候主要表现为长期的咳嗽，常常是夜间、清晨以及运动过后会尤其的显著，即使是采用了抗生素治疗后，也没有什么很好的效果，这也就是典型的哮喘表现。

\n

　　明显的症状2、患者在患有了哮喘之后还会出现气短的症状，这种症状主要是指的患者的呼吸常常感觉到很困难。要是病情比较轻微的患者，那么只会表现在运动的时候或者是进行了较大体力活动的时候，常常感觉自己的气量不够，总是胸闷的厉害;但如果患者的病情已经比较严重了，那么患者即使是在安静的时候也会出现呼吸困难的症状表现，常常都不能平卧，只有坐着的时候才会稍感通畅。

\n

　　明显的症状3、患者在患有了哮喘之后还会出现一些其他的症状表现，如患者在吸入一些致敏源之后，如灰尘以及动物的毛发等物质都可以引起患者的器官出现过敏反应。这个时候患者就通常都会出现眼睛鼻子发痒以及皮肤过敏等症状表现。

\n

 

","barId":"1697","topicTypeId":"2","topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1562,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486647151746,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486647151744,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"1488","isDel":0,"createAt":1486647120530,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"肺气肿的早期症状有哪些","content":"

　　随着肺气肿这种疾病困扰的人群越来越广泛，人们在生活中对这种疾病也就越来越重视，如果我们不能够对这种疾病进行有效的预防，那么我们如果了解了这种疾病的早期症状表现，也是可以对这种疾病做到早发现，早治疗的，所以今天我们就来了解一下肺气肿的早期症状吧！

\n

　　1·肺气肿是肺腺泡任何部分的永久性异常扩大，伴破坏性改变。一般来说，如出现以下情况，就是患上了肺气肿：有慢性支气管炎、支气管哮喘史、咳嗽、咳痰，呼吸困难逐步加重，紫绀逐渐加深;有桶状胸、胸部前后径增大、肋间隙增宽，呼吸困难，口唇手指发绀，胸部呼吸运动减弱，语颤减弱，叩诊检查吸音低，呼气延长;x线胸片可表现出双肺透亮度增强，外周肺纹减少，横隔下降，运动不良;肺功能明显减弱。

\n

　　2·肺功能呼吸困难程度可为五度：第一度时工作、步行及上下阶梯与同年龄健康者一样;第二度时平地步行与同年龄健康者一样，但上坡及走阶梯则不能同健康人一样;第三度时平地步行按自己的速度可行走1 公里以上，但达不到健康人的速度;第四度时行走要作多次休息，50米也不能一气走到底;第五度时说话、转身、穿衣、用餐均会发生呼吸急促。

\n

　　3·得了肺气肿后怎么办呢?首先要预防和控制支气管感染，不吸烟或戒烟，适当体育活动，增强体质，防止感冒。若有咳嗽、咳痰要立即就医，用抗生素控制感染。其次是作呼吸体操，坚持在早上深呼吸运动，锻炼腹式呼吸，或做以肋间肌运动为主的胸式呼吸。在治疗上可采服氧气治疗和正压呼吸治疗。还应当注意减少支气管痉挛，改善肺循环。

\n

　　如果患上肺气肿不能够进行有效治疗的话，那么就有可能会诱发患者出现自发性气胸，呼吸衰竭，慢性肺源性心脏病和右心衰竭以及胃溃疡等并发症的出现，如果大家想要让自己远离这些并发症，那么一定要把握对这种疾病的最佳治疗时间，从而帮助自己更好的控制病情。

\n

 

","barId":"1697","topicTypeId":"2","topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1442,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486647120532,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486647120530,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"1265","isDel":0,"createAt":1486647091760,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"成人最常见的肺结核临床类型是","content":"

　疾病的种类是非常繁多的，但是我们还是要积极的去多学习一些这方面的相关知识，这样才能在生活中更好的应对，平时大家在日常生活中，一定要注意肺结核，很多的老年人在出现这种疾病时，会造成身体受到影响，而且这种疾病还会造成胸闷气短，直接严重地影响到身体健康，平时大家需要注意合理地进行保健，那么，成人最常见的肺结核临床类型是哪些？

\n

　　发病过程和临床类型

\n

　　(1)原发型肺结核：老年病人极度少见，为初次感染即发病的肺结核，又称初染结核。典型病变包括肺部原发灶、引流淋巴管和肺门或纵隔淋巴结的结核性炎症，三者联合称为原发复合征，有时X线上仅显示肺门或纵隔淋巴结肿大，也称支气管淋巴结结核。

\n

　　(2)血行播散型肺结核：大多伴随于原发型肺结核，儿童较多见。在成人，原发感染后隐潜性病灶中的结核菌进入血行，偶尔由于肺或其他脏器继发性活动性结核病灶侵蚀邻近淋巴血道而引起。由肺静脉入侵经体循环则引起全身播散性结核病;经肺动脉、支气管动脉及体静脉系统入侵者主要引起肺部粟粒性结核;极个别情况下肺部病灶中的结核菌破入一侧肺动脉或其分支，引起一侧或一部分肺区的粟粒性结核。本型肺结核发生于免疫力极度低下者，诱因包括药物和疾病引起的免疫抑制、麻疹、百日咳、糖尿病、分娩等。以一次性或短期内大量细菌入侵引起的急性血行播散型肺结核，临床表现复杂多变，常伴有结核性脑膜炎或其他脏器结核。当少量结核菌间歇性多次入侵血道或机体免疫力相对较好时，则形成亚急性或慢性血行播散型肺结核，病变局限于肺或其一部分，临床上比较少见。

\n

　　(3)继发型肺结核：由于初染后体内潜伏病灶中的结核菌重新活动和释放而发病，极少数可以是外源性重复感染。本型是成人肺结核的最常见类型，但成人肺结核并不限于此型。常呈慢性重复感染或呈慢性起病及经过，但也有呈急性起病和临床过程者，称为慢性结核似不十分确切。而浸润性肺结核的名称仅是着眼于病理X线形态，亦非本型结核病的准确表达。根据发病学称为继发型或原发后肺结核则是合乎逻辑的。继发肺结核可以发生在原发感染后的任何年龄，以成人多见。其诱因除全身免疫力降低外，肺局部因素使静止的纤维包裹性病灶或钙化灶破溃亦可诱发。但临床上绝大多数继发型肺结核并无明确诱因可寻。由于免疫和变态反应的相互重叠以及治疗措施的影响，继发型肺结核在病理和X线形态上又有渗出型浸润性肺结核、增生型肺结核、纤维干酪性肺结核、干酪性肺炎、空肺结核等区分。但继发型肺结核在形态上极少是单一性的，常是多种形态并存，而仅以某一种为主，随着强力高效化疗的推行，其中不少区分已很少临床意义。继发型肺结核好发于两肺上叶尖后段和下叶背段，肺门淋巴结很少肿大，病灶趋于局限，但易有干酪样坏死和空洞形成，排菌较多，不同于大多数原发型肺结核不治自愈、很少排菌的特点，在流行病学上更具重要性。

\n

 

","barId":"1697","topicTypeId":"2","topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1752,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486647091762,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486647091760,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"4778","isDel":0,"createAt":1486647061968,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"病毒性肺炎的临床症状有哪些","content":"

　　病毒性肺炎是由多种病毒感染引起的支气管肺炎。多发生于冬春季节。临床表现一般较轻。主要症状为干咳、发热、呼吸困难、紫绀和食欲减退。肺部体征较少，血白细胞计数正常或稍增高。胸部X线检查有斑片状炎症阴影。一般病程约1-2周。

\n

　　病毒性肺炎是由多种病毒感染引起的支气管肺炎。常见是流行性感冒病毒，其次是副流感病毒、巨细胞病毒、腺病毒、鼻病毒、冠状病毒和某些肠道病毒，如柯萨奇、埃可病毒等，以及水痘、风疹、麻疹病毒、呼吸道合胞病毒。

\n

　　感染从上呼吸道开始，气道上皮有广泛的破坏，粘膜发生溃疡，被覆纤维蛋白性膜。气道的防御功能降低，容易招致细菌感染，免疫状态低下者，尚可合并真菌、原虫特别是卡氏肺孢子虫感染。单纯性病毒性肺炎引起间质性肺炎，肺泡间隔有大单核细胞浸润。肺泡水肿，被覆含血浆蛋白和纤维蛋白的透明膜，使肺泡弥膜距离增厚。肺炎可为局灶性或广泛弥漫性，甚至实变。肺泡细胞和巨噬细胞内可见病毒包涵体。细支气管内有渗出物。病变吸收后可留有肺纤维化，甚至结节性钙化。

\n

　　继发性细菌性肺炎:最常见的病原菌是肺炎链球菌、金黄色葡萄球菌或流感嗜血杆菌。病人病情逐渐加重，或在暂时的改善后临床症状进一步加重，咳嗽，咳脓痰，并且出现肺部实变体征，X 线发现肺部有片状和斑片状阴影。

\n

　　Reye 综合征。

\n

　　心肌炎：有报道流感病毒性肺炎可以并发心肌炎。　

\n

　　一、一般治疗：

\n

　　保暧，保持呼吸道通畅，防止水、电解质和酸碱失衡，必要时氧疗。

\n

　　二、抗病毒药物：

\n

　　金刚烷胺 0.1g, 2次/d，连用3～5天；病毒唑，10mg/kg，2～3次/d，口服或注射；板兰根、黄芪、金银花、大青叶、连翘等有一定的抗病毒作用。还可用α-干扰素，胸腺肽等。

\n

　　三、继发性细菌感染时给予相应抗生素治疗。

\n

 

","barId":"1697","topicTypeId":"2","topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1587,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486647061971,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486647061968,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"4515","isDel":0,"createAt":1486647035330,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"感冒的症状 盘点各种感冒的不同症状","content":"

　感冒是一件非常令人苦恼的事情，而且引起感冒的原因也是非常多的，比如一些细菌或是病毒都会引起感冒，而且在流感多发期的时候还有可能被感染流行性感冒，但是有很多的感冒在前期都没有什么明显症状，以至于让人们忽视了感冒，那么感冒有哪些症状呢，下面我就给大家介绍一下这方面的内容：

\n

　　感冒的症状1、表现为流浊鼻涕、发热快、口唇红、咽喉痛等为热感冒(风热感冒，暑湿感冒)，用解表、清热解毒的药一般都比较适合。如果是较早期出现的怕冷、流清鼻涕、打喷嚏等症状为风寒感冒，则可喝生姜红糖水，甘和茶、通宣理肺丸等，对症处理。

\n

　　感冒的症状2、各类感冒均有鼻塞，但风寒证无汗，鼻塞流清涕;风热有汗，鼻流浊涕。暑湿感冒汗出不畅或有鼻塞流涕。

\n

　　感冒的症状3、如果你感冒的时候会出现喉咙痛，那可能就是热感冒，通常会表现为鼻流粘液或黄涕，咽喉肿痛，咳嗽痰黄稠，口渴，这时候不妨选用清热解毒类药物。

\n

　　感冒的症状4、咳嗽声音高亢为风热感冒，发热明显、咽喉肿痛、痰黄、大便干结、口渴等。咽痒咳嗽为风寒感冒，怕冷、恶寒、发热、舌苔薄白、痰清稀等。

\n

　　感冒的症状5、感冒后1～3天即会出现症状，鼻咽部不适为常见的初发症状。开始感咽部不适，随后出现喷嚏、流涕、轻度全身不适。一般无发热，有时在症状刚开始时有低热。鼻分泌物初呈无色水样，起始1～2日持续不断，以后渐变稠，呈不透明的黄绿色，量减少。多数患者伴有咳嗽，虽然有痰或无痰的咳嗽常常持续到第2周，症状大多在4～10天消失。、发生并发症会使病程迁延。气管的感染引起胸部紧压感和烧灼样的不适感更易发生于某些人和某些种类的病毒感染。有持续性支气管炎或哮喘的病人，如再有感冒或感冒后可加重呼吸困难。伴随感冒后亦易继发耳、鼻窦、气管及支气管的细菌感染，并需要用抗生素治疗。

\n

 

","barId":"1697","topicTypeId":"2","topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1449,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486647035332,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486647035330,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null}],"list4Map":null,"pageBegin":0,"pageSize":25,"pageNumber":1,"totalPage":1,"totalRow":11},"focus":0,"userDtos":[],"currCount":0,"lyBar":{"id":"1697","isDel":0,"createAt":1483439342701,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"北京协和医院呼吸科","type":101,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":"110000","cityId":"110101","illId":null,"hospitalId":"15009","keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"description\":\"洞医为您提供:北京协和呼吸哮喘、协和医院呼吸科肺栓塞、北京协和呼吸科病友的治疗经验等相关信息，让您在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"北京协和呼吸哮喘_北京协和呼吸科_协和医院呼吸科肺栓塞_洞医\",\"title\":\"北京协和呼吸哮喘_北京协和呼吸科_协和医院呼吸科肺栓塞_洞医\"}","adInfo":null},"foodCouponValThan":null,"zlyTopic":{"id":"1697","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":null,"content":null,"barId":"1697","topicTypeId":null,"topicThemeId":"1016","readLevel":0,"files":null,"clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":null},"pageTopics":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":10,"pageNumber":0,"totalPage":0,"totalRow":0},"herfList":[],"forumUserFocusBar":{"id":null,"isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"barId":null,"barName":null,"barType":0,"webType":0,"userType":0}}