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漫谈淋巴瘤治疗的方向与挑战
(抗癌)2018年第一期
淋巴瘤是原发于淋巴结及其他淋巴组织的血液系统恶性肿瘤,包括霍奇金淋巴瘤和非霍奇金淋巴瘤两大类,其中以非霍奇金淋巴瘤较为常见而且危害更大。淋巴瘤特征性的临床表现是无痛性进行性的淋巴结肿大,通常以实体瘤形式生长,可伴有发热、消瘦、盗汗等全身症状。
霍奇金淋巴瘤首发症状常是无痛性的颈部、锁骨上或腋下淋巴结进行性肿大,肿大淋巴结一般融合成块、活动度可,只有少数患者仅有深部淋巴结肿大,可压迫邻近器官,出现静脉压迫、输尿管压迫甚至脊髓压迫症等,一部分患者以原因不明的持续或周期性发热为主要起病症状,伴有盗汗、消瘦等全身症状,可出现全身或局部皮肤瘙痒。
非霍奇金淋巴瘤大多数以无痛性颈和锁骨上淋巴结进行性肿大为首见表现,也可引起相应压迫症状,晚期患者常常有淋巴瘤发热、消瘦、盗汗等症状,进展迅速,易有结外侵犯倾向,可累及胃肠道、骨、肝、脾、骨髓甚至中枢神经系统。随着科学技术的发展,对淋巴瘤也有了更深层次的研究。在临床上,由于新药的增多特别综合治疗经验的不断积累,无论近期疗效还是远期生存都有了相当的进展,恶性淋巴瘤在相当程度上已成为可治愈之症。
引起恶性淋巴瘤发生的原因很多,如病毒感染(特别是EB病毒感染)、免疫抑制(如因器官移植需长期服用免疫抑制剂的患者,其淋巴瘤的发生率明显高于一般人群)、细菌感染和环境因素(如长期接触农药,油漆等以及接触过量辐射)等。淋巴瘤早期的症状是:常见颌下或锁骨上等部位浅表淋巴结肿大,无痛且有韧性,起初为黄豆大小,可活动,逐渐增大并与周围组织或皮肤粘连,有不明原因的发热,夜间会有出汗。
对于淋巴瘤的高发人群,如免疫力低下、经常暴露于电磁辐射环境的人群,一旦出现早期症状,应引起足够重视。非环保家庭装潢材料的污染以及过重的学业压力,可能是儿童淋巴瘤发病的重要诱因,因此要重视对儿童的保护。疾病的早期教育和干预,对于淋巴瘤的防治具有重要意义,一旦出现可疑症状应及时就诊。由于缺乏相关医学知识,许多人误以为上述症状是疲劳所致,而贻误了最佳治疗时机,许多患者来就诊时已到了中晚期。
淋巴瘤的病因和发病机制不完全清楚,有一部分类型可能与病毒有关,如EB病毒是伯基特淋巴瘤的病因,人类T细胞白血病/淋巴瘤病毒被证明是这类T细胞淋巴瘤的病因,另一逆转录病毒人类T细胞白血病/淋巴瘤病毒-II型认为与T细胞皮肤淋巴瘤的发病有关。胃粘膜相关淋巴瘤是一种B细胞低度恶性淋巴瘤,幽门螺杆菌感染考虑为其病因。患者的免疫功能也与淋巴瘤的发病有关,遗传性或获得性免疫缺陷患者合并淋巴瘤者较正常人比例显著增高,移植后长期应用免疫抑制剂亦容易继发淋巴瘤。
如何认识淋巴瘤的特性?淋巴瘤是一组异质性较高的淋巴系统恶性肿瘤,其病理类型、临床表现、治疗效果等差异性很大,治疗方案主要是联合化疗及放疗,近些年来淋巴瘤的诊治也取得了显著的进展,如B细胞淋巴瘤随着利妥昔单抗的出现,患者的无进展生存期和总生存期明显改善。随着联合化疗、单克隆抗体靶向治疗、造血干细胞移植等技术的发展,淋巴瘤的疗效显著提高,但是临床上仍有部分患者化疗后出现复发或者诱导化疗原发耐药,最终成为复发难治性淋巴瘤,例如约1/3的晚期B细胞淋巴瘤患者由于多种原因导致初次治疗无效或短期有效继而复发进展。因此,开发新的治疗策略已成为改善淋巴瘤治疗现状的首要任务。
免疫治疗、自体干细胞移植及以免疫效应细胞为核心的细胞治疗等最近成了晚期或者复发难治淋巴瘤治疗的热点,引起广泛关注。尤其是前段时间热门的嵌合抗原受体T细胞(CAR-T)治疗,就是最新的细胞免疫治疗——是将有抗肿瘤功能的淋巴细胞大量分离出来,经过体外的改造和大量扩增,成为“专职的抗肿瘤细胞”,通过静脉输液或皮下注射进入人体内,这些细胞可以找到肿瘤细胞,将它们包围起来,释放细胞因子,消灭癌细胞。但在T细胞的大量释放中,很容易产生较严重的不良反应,对患者身体造成伤害,因此此项治疗手段在国内大型的肿瘤诊治中心尚处于临床试验阶段。
但我们由此可以看到,临床医师将获得越来越多的抗肿瘤利器,患者生存也因这些利器而越来越有希望。
治疗恶性淋巴瘤的方法有很多种,如放疗、化疗、移植、免疫治疗等,患者如能在一个正规的医疗机构进行合理的治疗,总体而言将获得较好的疗效。恶性淋巴瘤虽然对放化疗较为敏感,治疗效果不错,但在病因学、病理分型、临床分期、治疗方案的选择、生物治疗等领域仍存在着很多问题未能完全解决,还需要进一步研究和探索。对肿瘤细胞生物学特性认识的飞速发展为恶性淋巴瘤研究提供了新的途径,但其治疗仍存在挑战,致力于发展新的治疗药物将有望提高淋巴瘤患者的生存率,这些都给我们未来带来了许多挑战。有理由相信,随着对恶性淋巴瘤认识的进一步深入、对现有抗肿瘤药物更为合理的应用,新的分子靶向药物的不断研发以及科学合理的个体化综合治疗的推广,恶性淋巴瘤的治疗必将进入一个新的历史阶段。
科普文章原文链接:
http://www.eanticancer.com:808/public/anticancer/multi/25-%E6%B7%8B%E5%B7%B4%E7%98%A4/299-%E6%BC%AB%E8%B0%88%E6%B7%8B%E5%B7%B4%E7%98%A4%E6%B2%BB%E7%96%97%E7%9A%84%E6%96%B9%E5%90%91%E4%B8%8E%E6%8C%91%E6%88%98
大家都了解预防接种的重要性,哺乳妈妈也会有接种疫苗的需求,但因为哺乳,很多妈妈会关心疫苗是否安全,比如现在大热的HPV疫苗能不能接种呢?各种疫苗接种后能不能哺乳呢,本文就简要总结一下美国CDC关于哺乳期疫苗接种的相关信息。
根据美国免疫实践咨询委员会 Advisory Committee on Immunization Practices (ACIP)的指导,母乳喂养并不是预防接种的禁忌,也不应阻止常规的疫苗接种。除天花和黄热病疫苗外,对哺乳期妇女接种的灭活疫苗和减活疫苗均不影响妇女及其婴儿母乳喂养的安全性。虽然疫苗中的活病毒可以在母亲体内复制,但疫苗中的大多数活病毒已被证明不会在母乳中排泄。灭活、重组、亚单位、结合疫苗以及类毒素等对正在哺乳的母亲或其婴儿均不构成风险。
美国儿科学会同样认为,除了少数例外情况,母亲免疫接种不会给母乳喂养的婴儿带来任何问题,而且推荐产后母亲接种几种疫苗,如破伤风,白喉,无细胞百日咳疫苗和流感疫苗,以保护婴儿和母亲,无论是否哺乳。其他常规疫苗如HPV,HAV和HBV,哺乳母亲都可以接种。
详细的疫苗列表请见下面列表(来自CDC网站):
总结
除了黄热病疫苗和天花疫苗,在我们国家的正常免疫规划里的疫苗,哺乳期都可以放心接种,不用停母乳。
SUMMARY
其次需要说明一下一些接种的免疫球蛋白,免疫球蛋白分子量巨大,很难进入母乳,即使进入母乳,口服生物利用度也很低。哺乳妈妈可能接触到的有人狂犬病毒免疫球蛋白,药物与母乳喂养提到,大多数资料认为,注射狂犬病免疫球蛋白和启动相应接种程序后,哺乳可以继续。乙肝免疫球蛋白接种后也是不影响哺乳婴儿的,还有破伤风免疫球蛋白,肌注的方式使用,大分子蛋白难以进入乳汁,安全性没有明确的文献研究,但也没有相关的不良反应报告。
主要参考资料:
1. Up To Date:POSTPARTUM IMMUNIZATION
(https://www.uptodate.com/contents/immunizations-during-pregnancy?search=POSTPARTUM%20IMMUNIZATION§ionRank=1&usage_type=default&anchor=H35&source=machineLearning&selectedTitle=2~150&display_rank=2#H35)
2. Vaccination Safety for Breastfeeding Mothers
(https://www.cdc.gov/breastfeeding/breastfeeding-special-circumstances/vaccinations-medications-drugs/vaccinations.html)
3. Guiding principles for developing ACIP recommendations for vaccination during pregnancy and breastfeeding,2008
4. Immunization and Breastfeeding
(https://www.healthychildren.org/English/safety-prevention/immunizations/Pages/Immunization-and-Breastfeeding.aspx)
5. 雷正龙,崔富强 . 有计划的预防接种是提高国民健康水平的重要保障[J]. 中华预防医学杂志,2014,48(6):433⁃436.
6.https://www.uptodate.com/contents/tetanus-immune-globulin-human-drug-information?search=%E7%A0%B4%E4%BC%A4%E9%A3%8E%E5%85%8D%E7%96%AB%E7%90%83%E8%9B%8B%E7%99%BD%20%E5%93%BA%E4%B9%B3&topicRef=5525&source=see_link
7.托马斯.W.黑格尔.药物与母乳喂养.上海.上海世界图书出版公司.2019:2-3
","pureContent":"大家都了解预防接种的重要性,哺乳妈妈也会有接种疫苗的需求,但因为哺乳,很多妈妈会关心疫苗是否安全,比如现在大热的HPV疫苗能不能接种呢?各种疫苗接种后能不能哺乳呢,本文就简要总结一下美国CDC关于哺乳期疫苗接种的相关信息。根据美国免疫实践咨询委员会 Advisory Committee on Immunization Practices (ACIP)的指导,母乳喂养并不是预防接种的禁忌,也不应阻止常规的疫苗接种。除天花和黄热病疫苗外,对哺乳期妇女接种的灭活疫苗和减活疫苗均不影响妇女及其婴儿母乳喂养的安全性。虽然疫苗中的活病毒可以在母亲体内复制,但疫苗中的大多数活病毒已被证明不会在母乳中排泄。灭活、重组、亚单位、结合疫苗以及类毒素等对正在哺乳的母亲或其婴儿均不构成风险。美国儿科学会同样认为,除了少数例外情况,母亲免疫接种不会给母乳喂养的婴儿带来任何问题,而且推荐产后母亲接种几种疫苗,如破伤风,白喉,无细胞百日咳疫苗和流感疫苗,以保护婴儿和母亲,无论是否哺乳。其他常规疫苗如HPV,HAV和HBV,哺乳母亲都可以接种。详细的疫苗列表请见下面列表(来自CDC网站):图片发自160医生App总结除了黄热病疫苗和天花疫苗,在我们国家的正常免疫规划里的疫苗,哺乳期都可以放心接种,不用停母乳。 SUMMARY其次需要说明一下一些接种的免疫球蛋白,免疫球蛋白分子量巨大,很难进入母乳,即使进入母乳,口服生物利用度也很低。哺乳妈妈可能接触到的有人狂犬病毒免疫球蛋白,药物与母乳喂养提到,大多数资料认为,注射狂犬病免疫球蛋白和启动相应接种程序后,哺乳可以继续。乙肝免疫球蛋白接种后也是不影响哺乳婴儿的,还有破伤风免疫球蛋白,肌注的方式使用,大分子蛋白难以进入乳汁,安全性没有明确的文献研究,但也没有相关的不良反应报告。主要参考资料:1. Up To Date:POSTPARTUM IMMUNIZATION(https://www.uptodate.com/contents/immunizations-during-pregnancy?search=POSTPARTUM%20IMMUNIZATION§ionRank=1&usage_type=default&anchor=H35&source=machineLearning&selectedTitle=2~150&display_rank=2#H35)2. Vaccination Safety for Breastfeeding Mothers(https://www.cdc.gov/breastfeeding/breastfeeding-special-circumstances/vaccinations-medications-drugs/vaccinations.html)3. Guiding principles for developing ACIP recommendations for vaccination during pregnancy and breastfeeding,20084. Immunization and Breastfeeding(https://www.healthychildren.org/English/safety-prevention/immunizations/Pages/Immunization-and-Breastfeeding.aspx)5. 雷正龙,崔富强 . 有计划的预防接种是提高国民健康水平的重要保障[J]. 中华预防医学杂志,2014,48(6):433⁃436.6.https://www.uptodate.com/contents/tetanus-immune-globulin-human-drug-information?search=%E7%A0%B4%E4%BC%A4%E9%A3%8E%E5%85%8D%E7%96%AB%E7%90%83%E8%9B%8B%E7%99%BD%20%E5%93%BA%E4%B9%B3&topicRef=5525&source=see_link7.托马斯.W.黑格尔.药物与母乳喂养.上海.上海世界图书出版公司.2019:2-3","source":"转载","sourceTips":"育人母乳喂养促进中心","publicSource":"app","typeId":0,"cover":"https://images.91160.com/doc/2019/08/1567153754731.jpg","shareNum":1,"likeNum":1,"viewNum":6889,"addTime":1567154748000,"updTime":1577974519000,"illTags":["乙肝"],"articleLevel":1,"sortOrder":0,"illTagsInfo":[{"illId":525,"illName":"乙肝"}],"unitsInfo":[{"unitId":134,"unitName":"深圳市盐田区人民医院"}],"depsInfo":[],"articleEssence":0,"linksInfo":[{"linkId":134,"linkType":1,"linkState":1,"auditState":0}],"article_id":169301,"image":"http://wximg.91160.com/wechat/img/news/newimg01.jpg","tags_name":"医生文章","doctor_name":"海峰","unit_name":"深圳市盐田区人民医院"},"sortInfo":[]},{"code":1,"index":"160_article_v4","type":"article","id":"articleDocSay_278223","version":-1,"score":110.756355,"result":{"dataStatInfo":"1_7_2_14","tj_bize_type":202,"url":"https://wap.91160.com/vue/doctorarticle/detail.html?id=278223","highestPrice":0.0,"id":278223,"kind":1,"unitId":100000816,"unitName":"海口市人民医院","depId":0,"doctorId":200110108,"doctorName":"杨晓阳","doctorJobTitleId":1,"doctorJobTitleName":"主任医师","icon":"https://imagesbasicinfo.91160.com/doctoricon/upload/doctor/200111/doctor_200110108_202007032317.jpg?x-oss-process=image/resize,mfit,h_300,w_300","title":"PD-1抑制剂与新冠疫苗的关系?以及我们认识的一些误区。","tagName":["医生文章"],"content":"以前主要介绍美国血液病协会关于新冠疫苗和血液病,但部分细节不完善,如PD-1等免疫抑制剂与新冠疫苗的关系未详细介绍。介于有患者咨询,避免受到某度上所谓砖家的误导,经查询UPTODATE,NCCN疫苗指南,癌症免疫治疗协会及最近相关文献,特作此科普。
PD-1抑制剂,属于免疫检查点抑制剂(immune checkpoint inhibitor, ICI),这类药物和新冠疫苗有何相关性?
学术界的共识是两者联合,可增强彼此的效果,副作用有可能增强,也有可能无统计学差异,需待临床观察。但打疫苗可能利大于弊,故uptodate,NCCN,癌症免疫治疗协会,等均认为应用PD-1治疗期间,打新冠疫苗非禁忌。
移植或CAR-T与新冠疫苗
这个以前科普有介绍,参考移植后接种计划表。最快要在治疗3个月后。
新冠疫苗相关淋巴结肿大及其对影像学检查的影响
淋巴结肿大通常发生于接种疫苗后2-4日内,平均持续10日。故近期(一般感染和炎症引起淋巴结肿大维持约2-3周,4-6周后检测常影响较少)接种新冠疫苗,对于影像学有影响。
新冠疫苗对乳腺X线钼靶摄影筛查的影响
乳腺X线钼靶摄影筛查应安排在接种首剂疫苗前,或接种第2剂疫苗后4-6周。
肿瘤患者是否需要接种新冠疫苗
美国癌症协会的癌症患者疫苗接种指南无新冠疫苗接种意见。
NCCN指南推荐新冠疫苗可以接种。
打新冠疫苗期间是否需特殊饮食?
WHO明确规定无任何证据,认为饮食或者酒等饮料对疫苗有影响。
参考文献
Uptodate新冠疫苗
https://www.uptodate.com/contents/zh-Hans/covid-19-cancer-screening-diagnosis-post-treatment-surveillance-in-uninfected-patients-during-the-pandemic-and-issues-related-to-covid-19-vaccination-in-cancer-patients?search=PD-1%20%E6%96%B0%E5%86%A0%E7%96%AB%E8%8B%97&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1#H1022596729
NCCN疫苗指南
https://www.nccn.org/docs/default-source/covid-19/2021_covid-19_vaccination_guidance_v3-0.pdf?sfvrsn=b483da2b_60
癌症免疫治疗协会
https://www.sitcancer.org/aboutsitc/press-releases/2020/sitc-statement-sars-cov-2-vaccination-cancer-immunotherapy
WHO关于新冠疫苗期间饮食的介绍
https://www.who.int/zh/news-room/q-a-detail/coronavirus-disease-(covid-19)-vaccines?gclid=EAIaIQobChMItNGK36rE8gIVAbbtCh0rAAPuEAAYASAAEgIyFPD_BwE&topicsurvey=v8kj13)
相关文献
Bangyu Luo,Jixi Li, Xianhua Hou,et al,Indications for and contraindications of immune checkpoint inhibitors in cancer patients with coronavirus disease 2019 vaccination,Future Oncol. 2021 May : 10.2217/fon-2021-0288.
","pureContent":"以前主要介绍美国血液病协会关于新冠疫苗和血液病,但部分细节不完善,如PD-1等免疫抑制剂与新冠疫苗的关系未详细介绍。介于有患者咨询,避免受到某度上所谓砖家的误导,经查询UPTODATE,NCCN疫苗指南,癌症免疫治疗协会及最近相关文献,特作此科普。 PD-1抑制剂,属于免疫检查点抑制剂(immune checkpoint inhibitor, ICI),这类药物和新冠疫苗有何相关性?学术界的共识是两者联合,可增强彼此的效果,副作用有可能增强,也有可能无统计学差异,需待临床观察。但打疫苗可能利大于弊,故uptodate,NCCN,癌症免疫治疗协会,等均认为应用PD-1治疗期间,打新冠疫苗非禁忌。 移植或CAR-T与新冠疫苗这个以前科普有介绍,参考移植后接种计划表。最快要在治疗3个月后。 新冠疫苗相关淋巴结肿大及其对影像学检查的影响淋巴结肿大通常发生于接种疫苗后2-4日内,平均持续10日。故近期(一般感染和炎症引起淋巴结肿大维持约2-3周,4-6周后检测常影响较少)接种新冠疫苗,对于影像学有影响。 新冠疫苗对乳腺X线钼靶摄影筛查的影响乳腺X线钼靶摄影筛查应安排在接种首剂疫苗前,或接种第2剂疫苗后4-6周。 肿瘤患者是否需要接种新冠疫苗美国癌症协会的癌症患者疫苗接种指南无新冠疫苗接种意见。NCCN指南推荐新冠疫苗可以接种。 打新冠疫苗期间是否需特殊饮食?WHO明确规定无任何证据,认为饮食或者酒等饮料对疫苗有影响。 参考文献Uptodate新冠疫苗https://www.uptodate.com/contents/zh-Hans/covid-19-cancer-screening-diagnosis-post-treatment-surveillance-in-uninfected-patients-during-the-pandemic-and-issues-related-to-covid-19-vaccination-in-cancer-patients?search=PD-1%20%E6%96%B0%E5%86%A0%E7%96%AB%E8%8B%97&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1#H1022596729NCCN疫苗指南https://www.nccn.org/docs/default-source/covid-19/2021_covid-19_vaccination_guidance_v3-0.pdf?sfvrsn=b483da2b_60癌症免疫治疗协会https://www.sitcancer.org/aboutsitc/press-releases/2020/sitc-statement-sars-cov-2-vaccination-cancer-immunotherapyWHO关于新冠疫苗期间饮食的介绍https://www.who.int/zh/news-room/q-a-detail/coronavirus-disease-(covid-19)-vaccines?gclid=EAIaIQobChMItNGK36rE8gIVAbbtCh0rAAPuEAAYASAAEgIyFPD_BwE&topicsurvey=v8kj13)相关文献Bangyu Luo,Jixi Li, Xianhua Hou,et al,Indications for and contraindications of immune checkpoint inhibitors in cancer patients with coronavirus disease 2019 vaccination,Future Oncol. 2021 May : 10.2217/fon-2021-0288.","source":"原创","sourceTips":"杨晓阳","publicSource":"PC","typeId":0,"cover":"https://static.91160.com/docWechat/images/articlegallery/nk/nk1.jpg","shareNum":0,"likeNum":0,"viewNum":6117,"addTime":1629895505000,"updTime":1629897602000,"illTags":["淋巴瘤"],"articleLevel":2,"sortOrder":0,"illTagsInfo":[{"illId":135,"illName":"淋巴瘤"}],"unitsInfo":[{"unitId":100000816,"unitName":"海口市人民医院"}],"depsInfo":[],"articleEssence":1,"linksInfo":[{"linkId":100000816,"linkType":1,"linkState":1,"auditState":0}],"article_id":278223,"image":"http://wximg.91160.com/wechat/img/news/newimg08.jpg","tags_name":"医生文章","doctor_name":"杨晓阳","unit_name":"海口市人民医院"},"sortInfo":[]}],"recommend":false,"withoutCity":false,"reQueryAskDoctor":false,"checkup":false},{"type":"related_search","sortPriority":4,"searchResScope":2,"records":[{"result":{"highestPrice":0.0,"keyword":"手足癣"}},{"result":{"highestPrice":0.0,"keyword":"手足综合症"}},{"result":{"highestPrice":0.0,"keyword":"手足肿胀"}},{"result":{"highestPrice":0.0,"keyword":"手足发冷"}},{"result":{"highestPrice":0.0,"keyword":"手足外科"}},{"result":{"highestPrice":0.0,"keyword":"口腔科"}}],"recommend":false,"withoutCity":false,"reQueryAskDoctor":false,"checkup":false},{"index":"comment","type":"comment","page":1,"size":10,"total":859430,"sortPriority":5,"maxScore":344.83636,"searchResScope":2,"records":[{"code":1,"index":"160_comment_v3","type":"comment","id":"108593605","version":-1,"score":344.83636,"result":{"dataStatInfo":"1_6_0_8","tj_bize_type":104,"document_id":"108593605","highestPrice":0.0,"askId":108593605,"unitId":118,"doctorId":200304826,"askClass":1,"content":"黄医生你好,这是今天检查的结果,你帮忙看看,http://def.szftzy.com/szftzyy/wx/jian-cha-bao-gao.html?reportTitle=CT%E8%83%B8%E3%80%81%E5%85%A8%E8%85%B9%E9%83%A8%E5%A2%9E%E5%BC%BA%E6%89%AB%E6%8F%8F%EF%BC%88%E8%81%94%E5%90%88%E6%89%AB%E6%8F%8F%EF%BC%89%EF%BC%88%E5%A5%97%EF%BC%89&reportId=13164239_3&patientName=%E7%8E%8B%E6%96%87%E5%AD%A6&patientId=0002625303&outPara19=1952-08-08&deptName=%E8%82%BF%E7%98%A4%E7%A7%91/%E8%A1%80%E6%B6%B2%E7%A7%91%E9%97%A8%E8%AF%8A","sex":0,"addTime":1651746099,"ill":"尚未确诊","age":"69岁","isShow":1,"upvote":0,"num":6,"renum":7,"unitName":"广州中医药大学深圳医院","doctorName":"陈秀梅","catNos":"M13,A51,","catNames":"中医肿瘤科,综合内科,","replys":[{"askId":108593605,"content":"黄医生你好,这是今天检查的结果,你帮忙看看,http://def.szftzy.com/szftzyy/wx/jian-cha-bao-gao.html?reportTitle=CT%E8%83%B8%E3%80%81%E5%85%A8%E8%85%B9%E9%83%A8%E5%A2%9E%E5%BC%BA%E6%89%AB%E6%8F%8F%EF%BC%88%E8%81%94%E5%90%88%E6%89%AB%E6%8F%8F%EF%BC%89%EF%BC%88%E5%A5%97%EF%BC%89&reportId=13164239_3&patientName=%E7%8E%8B%E6%96%87%E5%AD%A6&patientId=0002625303&outPara19=1952-08-08&deptName=%E8%82%BF%E7%98%A4%E7%A7%91/%E8%A1%80%E6%B6%B2%E7%A7%91%E9%97%A8%E8%AF%8A","classType":"1","type":"1","time":"1651746099"},{"askId":108593605,"content":"挂其他医生的号可以吗?没有你的号","classType":"1","type":"1","time":"1651759336"},{"askId":108593605,"content":"还是直接去住院部呀","classType":"1","type":"1","time":"1651759734"},{"askId":108593605,"content":"好的","classType":"1","type":"1","time":"1651763606"},{"askId":108593605,"content":"医院是48小时核酸吗","classType":"1","type":"1","time":"1651763621"},{"askId":108593605,"content":"你什么时候上班呀","classType":"1","type":"1","time":"1651763675"},{"askId":108593605,"content":"您明天约一个号,过来一下医院好吗?","classType":"1","type":"2","time":"1651756052"},{"askId":108593605,"content":"这个还是有点问题","classType":"1","type":"2","time":"1651756064"},{"askId":108593605,"content":"建议赶紧过来住院系统诊治哈~","classType":"1","type":"2","time":"1651756153"},{"askId":108593605,"content":"有核酸的话明天过来直接过来住院,先不用挂号","classType":"1","type":"2","time":"1651762956"},{"askId":108593605,"content":"明天上班","classType":"1","type":"2","time":"1651766158"},{"askId":108593605,"content":"48小时核酸","classType":"1","type":"2","time":"1651797876"},{"askId":108593605,"content":"你们到了跟我联系哈","classType":"1","type":"2","time":"1651797912"}],"replyContent":"您明天约一个号,过来一下医院好吗?","replyTitle":"医生回复:"},"sortInfo":[]},{"code":1,"index":"160_comment_v3","type":"comment","id":"58738213","version":-1,"score":158.50095,"result":{"dataStatInfo":"1_6_1_9","tj_bize_type":104,"document_id":"58738213","highestPrice":0.0,"askId":58738213,"unitId":131,"doctorId":18898,"askClass":1,"content":"HPV-E6E7mRNA检测:14种高危型HPV 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就每年复查一下就可以,是这个意思吗?","classType":"1","type":"1","time":"1599267538"},{"askId":58738213,"content":"不是HPV16和18(最高分险型别)的感染","classType":"1","type":"2","time":"1599261053"},{"askId":58738213,"content":"细胞学正常说明没有病变","classType":"1","type":"2","time":"1599261081"},{"askId":58738213,"content":"任何年龄段都有感染的可能","classType":"1","type":"2","time":"1599261105"},{"askId":58738213,"content":"有感染要每年复查是否有宫颈病变","classType":"1","type":"2","time":"1599261138"},{"askId":58738213,"content":"如果有性生活要使用避孕套避免交叉感染","classType":"1","type":"2","time":"1599261166"},{"askId":58738213,"content":"没有特效药物可以治疗 增强免疫力有些人可以自愈","classType":"1","type":"2","time":"1599261196"},{"askId":58738213,"content":"是的","classType":"1","type":"2","time":"1599285207"}],"replyContent":"不是HPV16和18(最高分险型别)的感染","replyTitle":"医生回复:"},"sortInfo":[]}],"recommend":false,"withoutCity":false,"reQueryAskDoctor":false,"checkup":false},{"index":"note","type":"note","page":1,"size":10,"total":50,"sortPriority":6,"maxScore":0.0,"searchResScope":2,"records":[{"code":1,"index":"160_note_v14","type":"note","id":"267409","version":-1,"score":0.0,"result":{"id":267409,"userId":200836036,"userProId":"4","title":"E6E7阳性的患者还需要这样做","carefulChosen":0,"type":"4","isRecommend":1,"contentLevel":3,"nickName":"王姝","avatar":"https://imagesbasicinfo.91160.com/upload/doctor/3/doctor_2912_16227122584433.png","mediaType":"2","thumbnailUrl":"https://nykjsnspublic.91160.com/noteCover/4/200836036/a31ef89a-2350-43d5-b4d0-43f9ff8c.jpg","mediaUrl":"387702297986420617","mediaWidth":576,"mediaHeight":1024,"likeTotal":0,"isLike":2,"unitName":"北京协和医院","depName":"特需妇科门诊2","zcName":"副主任医师","createTime":"2022-03-24 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