Seminars in Cardiothoracic and Vascular Anesthesia最新文献_第3页

Year in Review 2025: Noteworthy Literature in Cardiac Anesthesiology. 2025年回顾：心脏麻醉学值得关注的文献。

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Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-06-01 Epub Date: 2026-03-26 DOI: 10.1177/10892532261437742

Aubrey Yao, David Asseff, Orode Badakhsh, Ala Jamal, David Li, Hong Liu, Gregory Peterfreund, Nathaen Weitzel

{"title":"Year in Review 2025: Noteworthy Literature in Cardiac Anesthesiology.","authors":"Aubrey Yao, David Asseff, Orode Badakhsh, Ala Jamal, David Li, Hong Liu, Gregory Peterfreund, Nathaen Weitzel","doi":"10.1177/10892532261437742","DOIUrl":"10.1177/10892532261437742","url":null,"abstract":"Cardiac anesthesiology continues to evolve as new evidence reshapes practice across multiple domains of patient care. The pace and volume of publication make it increasingly difficult for clinicians to identify studies that are most likely to change day-to-day practice. We performed a structured search of major bibliographic databases and targeted high-impact journals to identify significant cardiac anesthesia research published in 2025. Of 639 records identified, 24 publications were selected by three reviewers based on methodological rigor, clinical relevance, and anticipated impact on perioperative management. The included literature clustered into six themes: prevention of acute kidney injury, blood conservation and coagulation management, multimodal analgesia and opioid-sparing strategies, Enhanced Recovery After Surgery (ERAS) protocols with emphasis on ventilation strategies and delirium prevention, point-of-care ultrasound applications, and workforce sustainability. Together, these studies highlight a continued shift from reactive rescue to proactive optimization-before, during, and after cardiac surgery. This review summarizes the most practice-informing cardiac anesthesiology publications from 2025 to support evidence-based decision-making at the bedside.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"103-114"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13133413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Moving Forward, Together. 共同前进。

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Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-06-01 Epub Date: 2026-04-18 DOI: 10.1177/10892532261444926

Barbara Wilkey, Miklos D Kertai, Benjamin Abrams

引用次数: 0

Noteworthy in Cardiothoracic Surgery 2025. 《心胸外科2025》值得注意。

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Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-06-01 Epub Date: 2026-03-05 DOI: 10.1177/10892532261433415

Elizabeth J Bashian, T Brett Reece, Jessica Y Rove, Alison H Mungo

{"title":"Noteworthy in Cardiothoracic Surgery 2025.","authors":"Elizabeth J Bashian, T Brett Reece, Jessica Y Rove, Alison H Mungo","doi":"10.1177/10892532261433415","DOIUrl":"10.1177/10892532261433415","url":null,"abstract":"Noteworthy in Cardiothoracic Surgery 2025 highlights several of the most influential trials and emerging trends shaping cardiothoracic surgical practice. In structural heart disease, new randomized data have expanded consideration of transcatheter aortic valve replacement to asymptomatic patients while reinforcing the importance of longer-term durability and lifetime valve management in lower-risk populations. In heart transplantation, advances in minimally invasive and robotic techniques, alongside growing international experience with donation after circulatory death, underscore both the promise of innovation and the need for disciplined management of ischemic and preservation times. Endovascular management of complex thoracic aortic disease continues to evolve with broader use of branched devices. In thoracic oncology, practice changing trials support a shift towards perioperative chemotherapy and immunotherapy for resectable esophageal, gastroesophageal junction, and lung cancers, redefining surgical timing, coordination, and multidisciplinary care. Finally, continued adoption of minimally invasive and robotic approaches reflects a broader trend toward reducing surgical morbidity while maintaining oncologic and transplant outcomes.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"144-149"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147356493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Variations in Intraoperative Opioid Use in Cardiac Surgical Patients With Midline Sternotomy. 胸骨中线切开心脏手术患者术中阿片类药物使用的变化。

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Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-04-24 DOI: 10.1177/10892532261446159

Negmeldeen Mamoun, Morgan A Rosser, Kamrouz Ghadimi, Crosby Culp, Bryan Chow, Katherine Sun, Sharon McCartney, Michael Manning

{"title":"Variations in Intraoperative Opioid Use in Cardiac Surgical Patients With Midline Sternotomy.","authors":"Negmeldeen Mamoun, Morgan A Rosser, Kamrouz Ghadimi, Crosby Culp, Bryan Chow, Katherine Sun, Sharon McCartney, Michael Manning","doi":"10.1177/10892532261446159","DOIUrl":"https://doi.org/10.1177/10892532261446159","url":null,"abstract":"High-dose opioid use in cardiac anesthesia has been challenged due to its association with increased postoperative complications. We retrospectively compared postoperative opioid consumption in a cohort of adult cardiac surgery patients who received low, moderate, or high doses of intraoperative opioids. We also examined variability in intraoperative opioid use among cardiac anesthesiologists. Within our cohort, we categorized patients into \"lower opioid recipients\" (LOR), \"mid opioid recipients\" (MOR), or \"higher opioid recipients\" (HOR) based on the distribution of intraoperative opioids administered in morphine milligram equivalents (MME) within our cohort. After summarizing their demographics and clinical characteristics, we assessed the association between their intraoperative opioid dose group and our outcomes of interest including postoperative opioid consumption. A total of 6390 patients who underwent cardiac surgery between 2014 and 2022 met our inclusion criteria. Our multivariable models indicated that the HOR group was significantly associated with less postoperative opioid consumption relative to the LOR (MME: Mean Ratio (MR) = 0.51 (0.47, 0.56), P < 0.001; MME/kg: MR = 0.51 (0.48, 0.55), P < 0.001) and the MOR (MME: MR = 0.53 (0.50, 0.57), P < 0.001; MME/kg: MR = 0.55 (0.55 (0.51, 0.58), P < 0.001). Among patients undergoing elective adult cardiac surgery, higher doses of intraoperative opioids were associated with lower postoperative opioid consumption. Marked variability in opioid administration was observed among cardiac anesthesiologists, where higher intraoperative opioid use remains a common practice. This highlights the need for precise distinction between high and low dose opioid techniques.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"10892532261446159"},"PeriodicalIF":1.0,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implementation and Results of On-Table Extubation Following Hypothermic Circulatory Arrest: Early Experience and Outcomes. 低温循环停止后桌上拔管的实施和结果：早期经验和结果。

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Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-04-18 DOI: 10.1177/10892532261444603

Justin W Walker, Nicholas D'Alonzo, Cooper Grove, Abdulrhman S Elnaggar, Shayne Michael Roberts

{"title":"Implementation and Results of On-Table Extubation Following Hypothermic Circulatory Arrest: Early Experience and Outcomes.","authors":"Justin W Walker, Nicholas D'Alonzo, Cooper Grove, Abdulrhman S Elnaggar, Shayne Michael Roberts","doi":"10.1177/10892532261444603","DOIUrl":"https://doi.org/10.1177/10892532261444603","url":null,"abstract":"The objective of this study is to discuss the implementation, safety, and potential benefits of on-table extubation (OTE) in surgeries involving hypothermic circulatory arrest (HCA). A retrospective analysis of all consecutive cases involving HCA from 2021 to 2024 was completed. The setting of this study is a single, tertiary academic medical center. All cardiac surgery patients undergoing HCA during the study period were evaluated for inclusion in this study. The intervention in this study was the implementation of OTE in patients undergoing HCA. Twelve out of 85 (14%) patients underwent OTE following HCA. In this cohort, there were no post-operative reintubations, major complications, or mortalities. The median intensive care unit (ICU) length of stay was 21.5 hours, and the median duration of hospitalization was 6.6 days. Patients undergoing fast track extubation (FTE) (extubation within 6 hours post-operatively), or extubation >6 hours had a median ICU length of stay of 42.1 hours (P = 0.12) and 91.8 hours (P < 0.01) and a hospital length of stay of 5.0 days (P = 0.03) and 11.5 days (P = 0.02), respectively. There were no reintubations or mortalities in the FTE group, and five reintubations and ten mortalities in the >6 hour group. OTE in patients undergoing HCA is feasible and demonstrated minimal post-operative complications in our cohort. Consideration of these cases for OTE may improve outcomes and appears to be safe in select patients. Centers experienced with OTE should consider internal evaluation of their readiness to broaden OTE to traditionally more \"high-risk\" populations on a case-by-case basis.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"10892532261444603"},"PeriodicalIF":1.0,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intraoperative Change of Right Ventricular Free Wall Strain in Coronary Artery Bypass Grafting and in Aortic Valve Replacement Surgery. 冠状动脉搭桥术和主动脉瓣置换术中右心室游离壁应变的变化。

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Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-03-01 Epub Date: 2025-12-29 DOI: 10.1177/10892532251412933

André Foit, Eva Gerwin, Parwis Rahmanian, Bernd W Böttiger, Wolfgang A Wetsch, Deepak Borde, Jakob Labus

{"title":"Intraoperative Change of Right Ventricular Free Wall Strain in Coronary Artery Bypass Grafting and in Aortic Valve Replacement Surgery.","authors":"André Foit, Eva Gerwin, Parwis Rahmanian, Bernd W Böttiger, Wolfgang A Wetsch, Deepak Borde, Jakob Labus","doi":"10.1177/10892532251412933","DOIUrl":"10.1177/10892532251412933","url":null,"abstract":"Background: Right ventricular (RV) function changes after on-pump cardiac surgery but the impact of the surgical procedure is largely unexplored. For this purpose, we aimed to describe the changes of RV function through the intraoperative period by transesophageal echocardiography (TEE) in patients scheduled for isolated on-pump coronary artery bypass grafting (CABG) or for isolated surgical aortic valve replacement (AVR). Methods: Thirty patients each scheduled for on-pump CABG and for isolated surgical AVR were included into this prospective observational study. TEE was performed intraoperatively after induction of anesthesia [T1], after termination of cardiopulmonary bypass [T2], and after sternal closure [T3]. Echocardiographic evaluation included the assessment of RV fractional area change (FAC), RV ejection fraction (RVEF), tricuspid annular plane systolic excursion (TAPSE), and RV free wall strain (FWS). Results: Although there was no significant difference in RVEF and FAC before and immediately after bypass, TAPSE decreased significantly. In contrast, FWS remained unchanged in the same period (-22.7% (IQR -18.9 to -29.6) v -22.1% (IQR -17.1 to -26.1), P = 1). After sternal closure [T2 v T3], there was a significant deterioration of FWS (-22.1% (IQR -17.1 to -26.1) v -17.1% (IQR -13.3 to -21.7), P < 0.001). In the same interval, the values of RVEF, FAC, and TAPSE remained unchanged. These alterations in RV contractile pattern were observed in both groups of patients. Conclusion: There was no difference in the change of RV contractile pattern after on-pump CABG and AVR surgery, suggesting similar impact of both procedures on RV function.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"8-20"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trends and Regional Disparities of Cardiothoracic Anesthesia Procedures in China Between 2016 and 2023. 2016 - 2023年中国心胸麻醉手术趋势及地区差异

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Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-03-01 Epub Date: 2025-11-20 DOI: 10.1177/10892532251401728

Mingye Zhao, Fenghao Yu, Yuwei Qiu, Jingxiang Wu

{"title":"Trends and Regional Disparities of Cardiothoracic Anesthesia Procedures in China Between 2016 and 2023.","authors":"Mingye Zhao, Fenghao Yu, Yuwei Qiu, Jingxiang Wu","doi":"10.1177/10892532251401728","DOIUrl":"10.1177/10892532251401728","url":null,"abstract":"PurposeThis study quantified trends and regional disparities in cardiothoracic anesthesia procedures across China from 2016 to 2023, assessing workforce adequacy to inform policy development.MethodsData were extracted from the White Book of Chinese Cardiovascular Surgery and standardized monthly reports of the Chinese Society of Cardiothoracic and Vascular Anesthesiology (CSCTVA). Cardiac anesthesia volumes reflected national aggregates, while thoracic anesthesia data derived from 100 CSCTVA member hospitals. Regional economic stratification (GDP tiers) and workforce surveys from top-tier centers complemented procedural analyses.ResultsCardiac anesthesia procedures increased by 25% (2016: 158,268 and 2023: 197,937), with cardiopulmonary bypass utilization growing at 13.3% CAGR. Thoracic anesthesia volumes tripled from 114 460 in 2016 to 301 412 in 2023, coinciding with a rise in minimally invasive techniques from 67% to 91.4% of all procedures. Significant regional disparities emerged: High-GDP regions exhibited fivefold greater thoracic surgery density (52.26 vs 10.56 per 100 000; P < .01). Top 10 centers performed 32%-42% of thoracic procedures, yet a 60.5% workforce expansion lagged demand, yielding sub-optimal doctor-patient ratios (e.g., 1:4.7).ConclusionsRapid growth in cardiothoracic anesthesia is juxtaposed with persistent geographic inequities and critical workforce shortages. Strategic interventions are urgently needed to ensure equitable access; these findings establish a comprehensive baseline framework for hypothesis-driven research on health system optimization.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"37-45"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of Preoperative Cannabis Use on Postoperative Pain and Outcomes Following Cardiothoracic Surgery. 术前使用大麻对心胸外科术后疼痛和预后的影响。

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Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-03-01 Epub Date: 2025-09-04 DOI: 10.1177/10892532251374952

Sareena Shah, Paul Fletcher, Kareem Hamadah, Drake Gilmore, Bryant Staples, Andrea Chadwick, Jianghua He, Jaromme Kim, Brigid Flynn

{"title":"Effect of Preoperative Cannabis Use on Postoperative Pain and Outcomes Following Cardiothoracic Surgery.","authors":"Sareena Shah, Paul Fletcher, Kareem Hamadah, Drake Gilmore, Bryant Staples, Andrea Chadwick, Jianghua He, Jaromme Kim, Brigid Flynn","doi":"10.1177/10892532251374952","DOIUrl":"10.1177/10892532251374952","url":null,"abstract":"Cannabis use has grown both recreationally and medicinally in the United States over the past decades, alongside increased legalization and social acceptance. However, there remains little research investigating the effects of preoperative cannabis use on postoperative pain in patients undergoing surgery. We conducted a single-center prospective study in adults undergoing cardiac surgery via sternotomy. Patients seen for preoperative consultation in clinic were asked a standardized survey about cannabis use. Clinical data was collected via chart review. Primary outcomes were morphine equivalents in the first 48 hours postoperatively and Visual Analog Scale (VAS) scores. Secondary outcomes were time to extubation, postoperative nausea/vomiting, ICU length of stay (LOS), reoperation, and in-hospital mortality. The non-cannabis user group had 50 patients, and the cannabis user group had 23 patients. Average morphine equivalents in the first 48 hours were similar between cannabis users and non-users (60.98 vs 59.90; P = 0.93), as were VAS scores at 24 hours (5.52 vs 4.84; P = 0.414) and 48 hours (4.74 vs 3.90; P = 0.23). Average time to extubation (minutes) was nearly identical between cannabis users and non-users (718.41 vs 718.67; P = 0.99). There was also no significant difference in average LOS (days) between cannabis users and non-users (2.91 vs 3.48; P = 0.26). There were no differences in postoperative nausea/vomiting, reoperation, or in-hospital mortality. In patients undergoing cardiac surgery via sternotomy, there was no effect of cannabis use on any outcomes, including morphine equivalents, Visual Analog Scale scores, time to extubation, ICU length of stay, postoperative nausea or vomiting, reoperation, or in-hospital mortality.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"21-27"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mechanical Valved Conduit Replacement of Aortic Valve and Aortic Root (Bentall Procedure) with Excision of Left Ventricular Mass in the Setting of Factor V Leiden Heterozygosity. 在因子V - Leiden杂合情况下，主动脉瓣和主动脉根机械带瓣导管置换术（Bentall手术）合并左心室肿块切除。

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Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-03-01 Epub Date: 2025-08-08 DOI: 10.1177/10892532251364201

Glen Lussier, Christopher Kerr, Christopher Russo, Patrick J Coleman

引用次数: 0

The Effect of Transport Manual and Mechanical Ventilation on Hemodynamics Change: Randomized Clinical Trial. 手动运输和机械通气对血流动力学改变的影响：随机临床试验。

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Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-03-01 Epub Date: 2025-09-24 DOI: 10.1177/10892532251383583

Yoshihisa Morita, Tomoki Sakata, Yuki Nakamura, Yuta Kikuchi, Jia Wang, Daisuke Kaneyuki, Taro Kariya, Jacob Raphael

{"title":"The Effect of Transport Manual and Mechanical Ventilation on Hemodynamics Change: Randomized Clinical Trial.","authors":"Yoshihisa Morita, Tomoki Sakata, Yuki Nakamura, Yuta Kikuchi, Jia Wang, Daisuke Kaneyuki, Taro Kariya, Jacob Raphael","doi":"10.1177/10892532251383583","DOIUrl":"10.1177/10892532251383583","url":null,"abstract":"Background: Ventilation methods during ICU transport after cardiac surgery are critical. This study aimed to assess the effects of manual and mechanical ventilation on post-transport hypotension in patients undergoing cardiac surgery. Methods: This prospective clinical trial was conducted at a tertiary academic hospital. Adult patients who underwent open heart surgery were randomized to either (1) manual ventilation or (2) mechanical ventilation during transport. The primary outcomes were the hemodynamic parameters change. The secondary outcomes were the PaO2/FiO2 ratio and PaCO2 change. Results: A total of 78 patients were randomized into two groups: manual ventilation (n = 39) and mechanical ventilation (n = 39). Significant hypotension (>20% drop in mean arterial pressure post-transport) was noted in nine patients in the manual ventilation arm, but not in any patient in the mechanical ventilation arm. In manually ventilated patients, receiver operating characteristic curve analysis of systemic vascular resistance for significant hypotension showed that the area under the curve was 0.962 (95% CI, 0.891-1). No mechanically ventilated patients had significant hypotension. No significant difference was observed in % change in PaO2 and PaCO2 between the manual and mechanical ventilation arms. Conclusion: This study demonstrated that significant post-transport hypotension was more common in the manually ventilated arm than in the mechanically ventilated arm. No significant differences in oxygenation or ventilation were observed between the groups. The low systemic vascular resistance showed excellent predictive value for significant post-transport hypotension. Further research is warranted to identify patient-specific risk factors to enhance transportation safety.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"28-36"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0