{"nowTime30":1779792278791,"lyBarModerator":null,"metaSearch":{"description":"我是一名医生，我于2010年的时候，在北京一家医院肾内科进修学习，这里的仪器很发达，是一个纯西医科室，这样的环境影响的我当时几乎都快弃中从西了，都忘了我还是个中医大夫。一个很清闲的周日上午，我值周末班，收了一个肾病综合征的18岁少年。查体的时候把我吓了一大跳。水肿的病人见了不少，但是肿成这种面包状的","keywords":"我对肾病综合征少年的治疗过程_洞医","title":"我对肾病综合征少年的治疗过程_洞医","channels":null},"identificate":{"id":"5a3adeaa985911e8972100163e0462f1","isDel":0,"createAt":1533437016805,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":0,"updateBy":null,"updateName":null,"userId":"8abb11d0af1511e7a3d800163e04584d","realName":"周鑫","certifiedStatus":2,"phone":"15525873223","email":"langlixunta@163.com","hospitalId":"14629","departmentId":"2035","illName":"","illId":"ac6f137def9411e7a3d800163e04584d","cardType":1,"cardImg":"http://01luntan.com/ly_img/1533437073284.jpg","idCardImg":"","identityType":2,"stop":0,"departmentName":"内分泌科","hospitalName":null},"canEdit":null,"adList":[],"lyBar":{"id":"1732","isDel":0,"createAt":1483430762297,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"肾病","type":102,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":null,"cityId":null,"illId":"5ff7d83ebb5f11e6a61c00163e04584d","hospitalId":null,"keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"channels\":{\"病友社区\":{\"description\":\"为病友提供:肾病论坛_病友交流平台_病友论坛，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"肾病论坛_病友交流平台_病友论坛\",\"title\":\"肾病论坛_病友交流平台_病友论坛\"},\"治疗\":{\"description\":\"为您提供:肾病怎么治疗_肾病最佳治疗方法_肾病如何治疗等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"肾病怎么治疗_肾病最佳治疗方法_肾病如何治疗\",\"title\":\"肾病怎么治疗_肾病最佳治疗方法_肾病如何治疗\"},\"症状\":{\"description\":\"为您提供:肾病的症状表现_肾病的早期症状表现_肾病的中期症状等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"肾病的症状表现_肾病的早期症状表现_肾病的中期症状\",\"title\":\"肾病的症状表现_肾病的早期症状表现_肾病的中期症状\"},\"并发症\":{\"description\":\"为您提供:肾病的危害_肾病对身体的危害_肾病综合症后遗症等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"肾病的危害_肾病对身体的危害_肾病综合症后遗症\",\"title\":\"肾病的危害_肾病对身体的危害_肾病综合症后遗症\"},\"饮食\":{\"description\":\"为您提供:肾病吃什么食物好_肾病可以吃哪些水果_肾病不能吃什么等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"肾病吃什么食物好_肾病可以吃哪些水果_肾病不能吃什么\",\"title\":\"肾病吃什么食物好_肾病可以吃哪些水果_肾病不能吃什么\"},\"病因\":{\"description\":\"为您提供:肾病是怎么回事_肾病怎么引起的_肾病怎么得的等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"肾病是怎么回事_肾病怎么引起的_肾病怎么得的\",\"title\":\"肾病是怎么回事_肾病怎么引起的_肾病怎么得的\"},\"病友求助\":{\"description\":\"为您提供:肾病好治吗_肾病怎么才能治好_肾病能治愈吗等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"肾病好治吗_肾病怎么才能治好_肾病能治愈吗\",\"title\":\"肾病好治吗_肾病怎么才能治好_肾病能治愈吗\"},\"预防\":{\"description\":\"为您提供:如何预防肾病_怎样预防肾病的发生_吃什么可以预防肾病等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"如何预防肾病_怎样预防肾病的发生_吃什么可以预防肾病\",\"title\":\"如何预防肾病_怎样预防肾病的发生_吃什么可以预防肾病\"}},\"description\":\"为您提供:男人肾病的早期症状_肾病综合症可以治愈吗_肾病综合症能活多少年_肾病综合症病友的治疗经验等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"男人肾病的早期症状_肾病综合症可以治愈吗_肾病综合症能活多少年\",\"title\":\"男人肾病的早期症状_肾病综合症可以治愈吗_肾病综合症能活多少年\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"13930","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"肾病是怎么得的","content":"<p style=\"margin-right:0;margin-left:0;text-indent:28px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">我</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">前段时间查出来得来肾病，</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">由于经济不是很允许</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">，</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">所以我</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">选择先保守治疗，</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">我</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">现在天天去医院做透析，</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">但是真的很痛苦</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">，</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">家里人看着也很不舒服</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">，</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">我现在</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">整个人</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">已经</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">憔悴</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">的不行</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">了</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">，但是这个</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">肾病是怎么得的</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">？真的很费解。</span></span></p><p><br/></p>","barId":"1732","topicTypeId":null,"topicThemeId":"1033","readLevel":0,"files":"","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":2},{"id":"14161","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"被美容院欺骗了该怎么维权","content":"<p style=\"line-height:200%\"></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">有的美容院为了吸引顾客，可能会欺诈消费者，夸大自己的美容功能，给消费者带来损失。那么，美容院顾客被欺诈怎么办，消费者应该怎么维权呢？</span></span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"line-height: 200%; text-align: center;\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1526267214313.jpg\" title=\"被美容院欺骗了该怎么维权\" alt=\"被美容院欺骗了该怎么维权\" width=\"600\" height=\"372\"/></span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">　　被美容院欺骗了，可以参照《消费者权益保护法》第三十九条规定解决问题：</span></span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">　　消费者和经营者发生消费者权益争议的，可以通过下列途径解决：</span></span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">　　（一）与经营者协商和解；</span></span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">　　（二）请求消费者协会或者依法成立的其他调解组织调解；</span></span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">　　（三）向有关行政部门投诉；</span></span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">　　（四）根据与经营者达成的仲裁协议提请仲裁机构仲裁；</span></span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">　　（五）向人民法院提起诉讼。</span></span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">　　医美企业应明确，若经营过程中明知自身提供的医疗美容服务存在缺陷，例如以次充好；使用不符合国标的药品、针剂、填充物；以国产充当进口等，故意不告知前来就诊的客户，导致在服务过程中给消费者造成人身损害的，受害人有权要求赔偿损失，除此以外，有权要求所受损失二倍以下的惩罚性赔偿。</span></span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">　　其中，因医疗美容服务存在缺陷造成人身损害的，赔偿范围可能包括人身伤害损失、医疗费、护理费、交通费、误工损失；造成死亡的，还包括丧葬费、死亡赔偿金等；除此以外还包括财产损失和精神损害赔偿。</span></span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">　　而根据新消法规定，除赔偿损失外，受害人还可以主张相当于两倍损失以下的惩罚性赔偿。</span></span></p><p><br/></p>","barId":"1732","topicTypeId":null,"topicThemeId":"1032","readLevel":0,"files":"","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":9},{"id":"8064","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"女性早期肾炎的症状都有哪些","content":"<p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><img src=\"http://01luntan.com/ly_img/uimgs/1511321384557.jpg\" title=\"女性早期肾炎的症状都有哪些\" alt=\"女性早期肾炎的症状都有哪些\" width=\"600\" height=\"372\"/></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">1、不同程度的感染。肾炎的发病在一定程度上和患者的感染关系密切，比如常见的上呼吸道感染、咽喉炎等等。当出现了这些感染的症状之后，患者就要及时进行检查，以便排除肾炎的可能性。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">2、身体出现水肿。女性肾炎患者还常出现的一个症状就是身体的水肿，最常见的水肿部位是脸部、下肢以及胸腹部。同时患者还会出现乏力头晕、腰部疼痛等症状，尿液中可能混合有血液，同时尿液颜色异常。这些都可能是早期肾炎的症状，一旦出现了这些症状，女性朋友一定要引起重视，及早进行检查治疗。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">3、尿量的异常。有的女性肾炎患者在早期可能会出现尿量的异常或者是排尿次数增多或者减少等症状，尤其是夜间排尿的次数大于3次以上就要引起重视，及时到医院进行尿液的抽样检查，以便查明肾脏是否出现病变。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">4、伴随有高血压出现。在调查的女性肾炎或者里面，有将近三分之一的或者都有高血压的症状，一般多表现为头晕乏力、睡眠质量不好等症状，长期下去会严重影响患者的正常生活和工作。一旦出现这样的症状，就请务必及时就医检查，以便及时发现肾炎及早进行治疗。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">5、如果女性肾炎发展到了中度程度，还会出现贫血的症状，常常会感到头晕乏力、面色较差等症状，这时需要及时接受检查，以便对症治疗。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">那么，肾炎这种疾病是如何被检查和诊断出来的呢？</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">在血常规的检查中，急性肾炎有轻微的贫血症状。其血色素一般不低于</span>10克/100毫升，白血球一般呈现正常水平。然而早期的链球菌感染和受细菌感染的白血球很可能会增多，中性分类有所升高，血沉增快，可达到30-60毫米/小时。而且部分急性肾炎的患者，其抗链球菌溶血素“o”的滴度增高，血清循环免疫复合物也有所升高。在患者的血液或者尿液中，发现纤维蛋白降解产物（PDP）有所升高，血清总补体和补体C降低。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">在尿常规的检查中，有些症状不太明显的急性肾炎患者，其尿液中有时只有尿的变化，如有少量的蛋白、红细胞、白细胞等，而没有出现高血压、水肿、少尿等临床症状。要注意运用多种检查方法，与泌尿系统感染类的疾病区别开来。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">进行肾功能检查的时候，绝大多数的患者，都会出现一过性肌酐清除率下降的现象，其肌酐、尿素氮有所升高。针对不同患者的具体情况，采用恰当的治疗方法，一般都能很快恢复正常的。而作为辅助性检查的</span>B超、CT检查，可以看到一些患者的肾脏体积有较为明显地增大。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">通过检查和诊断以后，确定患上了肾炎的病人，还应该特别注意，因为肾病可能会引起一些如急性肾小球肾炎和肾功能的衰竭等疾病。</span></p><p><br/></p>","barId":"1732","topicTypeId":null,"topicThemeId":"1029","readLevel":0,"files":"","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":3},{"id":"11014","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"肾病综合征最新治疗方法——看看专家的观点","content":"<p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">肾病综合征在目前来说，虽然医疗技术水平在不断的提高，但是对于此病，还是比较难以治愈的一种疾病，需要注意的是，一定要及时的治疗，若是发展到一定程度时，甚至是不可逆的损伤，对于症状比较明显的，治疗一般也能及时，那么<strong>肾炎怎么治</strong>呢</span>?</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1515831081873.gif\" title=\"肾病综合征最新治疗方法——看看专家的观点\" alt=\"肾病综合征最新治疗方法——看看专家的观点\" width=\"600\" height=\"372\"/></span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><br/></span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">发病</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">前期</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">大部分</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">患者都会</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">出现</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的一种症状。对有严重水肿以及低白蛋白血症的患者应者卧床休息。</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">而且</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">给</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">到</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">正常量的优质蛋白饮食，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">保持</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">充分的热量，保证每天营养的均衡。而且患者在水肿时</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">适当</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">进行</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">一些</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">低盐饮食，如果患者有高脂血症时应进行</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">稍</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">低脂饮食。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">持续性大量蛋白尿本身可</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">诱导</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">肾小球高滤过、加重肾小管</span>-间质损伤、促进肾小球硬化，是影响肾小球病预后的重要因素。</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">更加证实</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">减少尿蛋白可以有效延缓肾功能的恶化。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">不过</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">还有一种普遍的治疗方法激素治疗，这是</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">另一种</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">在药物治疗中，重要的药物，对于肾病综合症的治疗是</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">很</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">有效的。但是患者</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">应该</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">规律使用，不可自行的减量或者在长期使用后突然</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">不食用</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">药，这可能会导致</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">患者</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的治疗效果欠佳</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">或者</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">是出现</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">别的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">严重副作用。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">肾病综合症是非常的容易引起感染的发生的，若是引起感染的情况下，患者的病情会更加复杂，变得更加严重，抗感染治疗是非常常见的方法，但这并不是绝对的，有些患者引起感染的情况下，并非一定需要抗感染治疗，否则会引起副作用，祝大家能够早日康复。</span></p><p><br/></p>","barId":"1732","topicTypeId":null,"topicThemeId":"1028","readLevel":0,"files":"","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":3}],"pageObj":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":5,"pageNumber":0,"totalPage":0,"totalRow":0},"loginUser":null,"replies":[],"forumUserFans":null,"herfList":[],"only":"0","topic":{"id":"13079","isDel":0,"createAt":1521423353430,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":0,"updateBy":null,"updateName":null,"userId":"8abb11d0af1511e7a3d800163e04584d","title":"我对肾病综合征少年的治疗过程","content":"<p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><br/></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">我是一名医生，我于</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">2010年</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的时候，在北京一家医院肾内科</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">进修学习，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">这里的仪器很发达，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">是一个纯西医科室，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">这样的环境影响的我</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">当时几乎都快弃中从西了，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">都</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">忘了</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">我还</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">是个中医大夫。一个很清闲的周日上午，我值周末班，收了一个肾病综合征的</span>18岁少年。查体的时候把我吓了一大跳。水肿的病人见了不少，但是肿成这种面包状的还真不多见。整个人就像一个发起来的而且从各个毛孔里滴水的面团一样。人极度憔悴虚弱，父母看着都是老实巴交的农民，中度贫血，低蛋白血症，肾功能受损，大腿皮肤有大面积的感染。细问病史，以前肿过，在</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">河南一家</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">医院做过肾穿，微小病变型。之后激素、环孢素都用过，反复复发。复发了就去小医院做激素冲击。后来看电视里讲座，于是自行中断了所有激素和免疫抑制药物，改喝绿豆汤和冬瓜汁，其结果就是我刚才见到的那个样子。</span></p><p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1521423455958.jpg\" title=\"我对肾病综合征少年的治疗过程\" alt=\"我对肾病综合征少年的治疗过程\" width=\"600\" height=\"372\"/>&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><br/></span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">于是，安排肾穿，头孢三代抗感染，铁剂和叶酸纠正贫血，并且给输了红细胞。肾穿结果出来，还是微小病变。鉴于他是反复复发的病人，给于激素和进口环孢素联合治疗。住院两个月，最后水肿消退、肾功能正常、贫血纠正、感染控制，病情稳定出院。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">当时的情况很复杂，要说起来，也是一个接一个的故事，我在下面总结了一下，写下来记录一下我对这个少年的治疗过程</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">：</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">起初，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">病人在给予大量激素和免疫抑制药物后，出现低热，一到下午就是</span>37.7，到晚饭时最高，到38.5，连续几天。汇报上级医师后，觉得无论是各种检查还是药物使用，都不支持细菌感染。考虑是药物抑制免疫后导致的病毒感染。为了弄清是哪种病毒，在医院抽了很多血化验，并且，抽了不少血，让病人父母送到疾病预防控制中心实验室，化验是哪种病毒。我记得很清楚，我交代病人家属怎么去的时候，那个父亲一脸的茫然。我问他，坐过5号线么。他回答，没有。问，知道5号线是什么么？答，不知道。最后，那位父亲还是费劲力气把结果都拿回来了，我记得提示一种少见的病毒曾经感染，至于现在情况，也不能准确的确定下来。而这种病毒的治疗药物，不仅价格极其昂贵，而且还有肝肾功能损伤。上级也是挠头怎么治，无奈之下，请中医科会诊。请的是本院很有名望的主任来会诊。但是，普通会诊，需要三到四天才能到。正好当时患者在喝一种两位味中药熬得汤来补气补血。于是，我自高奋勇跟上级医师说，在主任中医师来之前的三四天里，我给开个小方子，和他补气补血的药一起喝。上级同意，立即执行。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">当时的现象出现后，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">我</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">就</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">一直觉得</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">病人即使是病毒感染了也没多大的事。这么大量的激素下去，没有病毒感染反倒是不正常了。但是，这么一到下午就烧，很像是中医的阴虚发热。当时手头上什么中医的参考书都没有，那时候网络也不方便。还是从医院内网上查到一本方剂手册，赶紧下载下来，查到一首滋阴益气的方子。不多几味药，开了三付。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">医院熬药的速度真是很快，上午开的方子，下午药就煎好送到病人手里，喝完晚上体温就没有上</span>38，最高烧到37.4。喝了第二天，最高体温到36.9，把我乐的手舞足蹈的。第三天还是如此，人也精神了，没那么燥了，舒服很多。你以为这就是结果么？显然不是。到第四天，中医主任来了，开了7付药，病人吃完了就开始烧。烧了几天病人自己不干了，找到上级，我就要吃何大夫给我开的汤药。可以想见当时上级医师还是很惊诧的，我还是很有点小得意的。不过，上级还是鼓励我，放手开吧，没事，你开就行了，不用再请什么主任了。于是，我再看再开，还是一付热退，第二付身凉，连吃了几付就再也没烧过。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">这件事其中巧合的成分大，因为我天天查病人，观察的细致，对情况的了解的自然要比偶尔来一下看两眼就走的中医主任多。可绝不敢因此就说自己水平如何如何，那是不负责任的。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">病人情况平稳后的某一日</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">临床病理讨论</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">中</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">，肾内科主任问起科里还有什么重病人没有。当时把几个重的都说完了。上级就把这个病人提出来了，想讨论分析一下。问题是之前没人和我打招呼好不好，我一点准备都没有好不好。惊得我都傻在那了。主任说：</span>“那就请主管大夫汇报一下病历吧”。我磕磕巴巴的说，“好，那我就简单说一下。”满屋都是笑声，你个小大夫，主任问话你还敢简单说一下。当时一边打印病历首页一边脑子想词。很快思路就慢慢清晰了。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">直到今天我还记得当时我的那些条理莫名其妙的清楚的话：病历汇报略，目前患者存在的问题如下：</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">1、肾小球病。患者18岁男性，既往多次肾综发作史，既往肾穿提示微小病变。我院肾穿也是微小病变。已给予激素及环孢素药物。目前患者尿蛋白已大量减少，血白蛋白已恢复正常。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">2、肾小管病。患者入院时水肿严重，血肌酐升高。考虑血肌酐升高的原因有两个，一个是水肿造成血管内血容量不足，导致的肾小球关注不足。还有一个重要原因是，水肿造成的肾小管组织水肿，这种水肿血肌酐水平会轻度升高。在水肿解除后，多能恢复正常。患者在大量利尿后，血肌酐恢复正常。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">3、贫血。患者入院时中度贫血，骨穿后请血液科会诊提示慢性营养不良性贫血，已给予纠正贫血治疗，目前血红蛋白水平已恢复正常。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">4、慢性感染。患者入院时有小腿部蜂窝组织炎，持续给于头孢他定抗感染。目前感染已纠正。患者近期情况已较前稳定。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">说完屋里静悄悄的，上级医师停了一会儿说，何大夫已经分析的很详细了，我没有可以补充的。主任顿了顿，说，挺好，下一个病人吧。而我，长长的出了一口气。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">病人出院前的晚上，我吃完晚饭回病房加班干活。我找了张干净的</span>A4纸。把所有病人要吃的药物，用法，减药规律都详细的写上去了。把重点的注意事项用红笔专门写清。把我那个中药方也都详细的写上去了。我拿着这张纸，把病人和他的父亲都叫到护士台前，把纸递给病人说，“这是我写的用药注意事项。我到这个科管的病人没有上百也得有大几十个了，我这还是头一次写这么详细的用药方法呢。小王，你记住，你的生命不是你自己的。你能康复到现在，无论是医院，大夫，护士，包括我都已经是尽心竭力了。尤其是你的父母，你看看他们为了你吃了多少苦受了多少罪。你要听医生的话，好好的爱惜自己，多孝顺孝顺你的父母，好好的报答他们。”话音未落，他的父亲竟双手捂脸，止不住的大声哭起来。安慰走了这对父子，一直站在护士台里的夜班护士一下子叫住了我，我回头看时，她什么都没说，只是向我竖了一下大拇指。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">这件</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">事情已经过去</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">很多</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">年了，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">这是</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">一段很精彩的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">经历</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，我一直没有将这件事记录下来。从这里面得到的感想很多。真正高层次的医生并没有什么中医西医这样的鸿沟。谁行谁上，病人好了就行，抓到耗子就是好猫。但是，重要的是中医西医都要把病情弄得清楚明白，要用之有效，要解决问题。</span></p><p><br/></p>","barId":"1732","topicTypeId":"2","topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1473,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1521423353432,"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":1521423353432,"metaSearch":null,"rn":null},"userAllInfo":{"id":null,"isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":null,"password":null,"level":0,"nickName":null,"realName":null,"signName":null,"head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":0,"userType":0,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":0,"provinceId":null,"cityId":null,"userLevel":0,"modifyNameCount":0,"forumUser":{"id":"8abb11d0af1511e7a3d800163e04584d","isDel":0,"createAt":1507789271266,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"良药苦口","password":"zx13401068656","level":0,"nickName":"周良药","realName":null,"signName":"良药苦口利于病，忠言逆耳利于行！","head":"http://01luntan.com/ly_img/1516263139285.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"langlixunta@163.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110114","userLevel":0,"modifyNameCount":1},"forumUserActiveInfo":{"id":"8acedcfeaf1511e7a3d800163e04584d","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":1611056061967,"updateBy":"8abb11d0af1511e7a3d800163e04584d","updateName":"良药苦口","userId":"8abb11d0af1511e7a3d800163e04584d","topicCount":8346,"replayCount":65,"favorteCount":0,"beFavorteCount":0,"creamCount":95,"focusCount":1,"fansCount":1,"integralCount":13965,"foodCouponCount":6624,"lastLoginTime":0,"lastLoginIp":null,"downloadCount":0,"uploadCount":0},"newPass":null,"focusBar":null,"counter":null,"forumUserIdentificateDto":null},"theme":{"id":"1032","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"topicTypeId":"2","topicTypeName":"治疗","themeName":"病友社区","barType":"102","schemaName":2,"reward":0},"page":1,"favorties":true,"isSelf":false,"order":"asc"}