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External validation of a predictive model for aged-related skin tears in Fitzpatrick skin types I–IV cohort 外部验证菲茨帕特里克 I-IV 型皮肤队列中与老化相关的皮肤撕裂预测模型。
IF 2.6 3区 医学 Q2 DERMATOLOGY Pub Date : 2024-08-21 DOI: 10.1111/iwj.70031
Robyn Louise Rayner, Keryln Joy Carville

Older Australians are at increased risk of skin tears with the risk not always recognised or the injury able to be prevented. This study externally validated Rayner et al. (2019) Skin Tear Risk Prediction Model in an independent aged cohort with a Fitzpatrick skin types I–IV from across multiple residential-care sites, over a 6-month period. A total of 362 individuals aged between 65 and 102.5 years completed the study. In all, 165-residents sustained one or more skin tears. Logistic regression analysis was conducted of the five variables (gender, previous history of skin tears, previous history of falls, purpura and solar elastosis) identified in the skin tear model. The skin tear model provided ‘good’ to nearly ‘very good discrimination’ for correctly classifying residents at-risk or not-at-risk (area under the curve of 0.799 [95% confidence interval, CI: 0.75–0.84]). The skin tear model correctly predicted 75.8% (sensitivity) of participants with skin tears and 71.6% (specificity) of residents without skin tears. The model demonstrated it could work as a screening tool to identify older individuals at risk of skin tears and would benefit clinical practice as it was easy to use, was reproducible, and had good accuracy across aged-care residents with a Fitzpatrick skin type I–IV.

澳大利亚老年人发生皮肤撕裂的风险越来越高,但这种风险并非总能被识别出来,也并非总能预防伤害的发生。本研究在为期 6 个月的时间内,对 Rayner 等人(2019 年)的皮肤撕裂风险预测模型进行了外部验证。共有 362 名年龄在 65 岁至 102.5 岁之间的老人完成了这项研究。共有 165 名居民出现了一次或多次皮肤裂伤。对皮肤撕裂模型中确定的五个变量(性别、既往皮肤撕裂史、既往跌倒史、紫癜和日光性弹性减退)进行了逻辑回归分析。皮肤撕裂模型提供了 "良好 "到接近 "非常好 "的判别能力,能正确地将居民划分为有风险或无风险(曲线下面积为 0.799 [95% 置信区间,CI:0.75-0.84])。皮肤撕裂模型能正确预测 75.8%(灵敏度)有皮肤撕裂的参与者和 71.6%(特异度)无皮肤撕裂的居民。该模型证明,它可以作为一种筛查工具来识别有皮肤裂伤风险的老年人,并将有益于临床实践,因为它易于使用、可重复,而且对 Fitzpatrick 皮肤类型 I-IV 的老年护理住院患者具有良好的准确性。
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引用次数: 0
Dynamic optical coherence tomography for imaging acute wound healing 用于急性伤口愈合成像的动态光学相干断层扫描。
IF 2.6 3区 医学 Q2 DERMATOLOGY Pub Date : 2024-08-20 DOI: 10.1111/iwj.70015
Sandra Schuh, Maximilian Berger, Stefan Schiele, Anna Rubeck, Gernot Müller, Jennifer Jahel Vélez González, Jon Holmes, Julia Welzel

The aim of this study was to investigate acute wound healing with dynamic optical coherence tomography (D-OCT). From 22 patients with 23 split skin graft donor sites, vessels at four wound edges, the wound bed, and adjacent and unaffected skin of the contralateral leg were measured by D-OCT at six time points from surgery to 4 weeks of healing. Changes in vessel orientation, density, diameter, morphology and pattern in horizontal, vertical and 3D images were analysed for wound healing and re-epithelialization. At 300 μm depth, there were significant differences of blobs and serpiginous vessels between normal and wounded skin. The wound had significantly more vertically oriented vessels, a higher degree of branching, vessel density and diameter compared with healthy skin. 3D images showed increased angiogenesis from healthy skin towards the wound centre, significantly higher vessel density at the wound than at normal skin and the highest at the interface. During wound healing blobs, coils and serpiginous vessels occurred significantly more frequently in lesional than healthy skin. Vessel density was greatest at the beginning, decreased and then increased by 4 weeks post-surgery. D-OCT helps to evaluate acute wound healing by visualizing and quantifying blood vessel growth in addition to re-epithelialization.

本研究旨在利用动态光学相干断层扫描(D-OCT)研究急性伤口愈合。通过 D-OCT 对 22 名患者的 23 个分瓣植皮供皮部位、四个伤口边缘的血管、伤口床以及邻近和未受影响的对侧腿部皮肤进行了测量,测量时间为手术后至伤口愈合 4 周的六个时间点。分析了水平、垂直和三维图像中血管方向、密度、直径、形态和模式的变化,以了解伤口愈合和再上皮情况。在 300 μm 深处,正常皮肤和受伤皮肤上的球状血管和锯齿状血管存在显著差异。与健康皮肤相比,伤口处垂直方向的血管明显更多,分支程度更高,血管密度和直径也更大。三维图像显示,血管生成从健康皮肤向伤口中心增加,伤口处的血管密度明显高于正常皮肤,界面处的血管密度最高。在伤口愈合过程中,病变皮肤上出现小泡、线圈和丝状血管的频率明显高于健康皮肤。血管密度在伤口愈合初期最大,到手术后 4 周开始下降,然后上升。D-OCT 除了能观察和量化血管生长情况外,还能帮助评估急性伤口愈合情况。
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引用次数: 0
Expansion of our editorial board 扩大编辑部。
IF 2.6 3区 医学 Q2 DERMATOLOGY Pub Date : 2024-08-18 DOI: 10.1111/iwj.70010
Keith Harding, Douglas Queen

Like many journals, the IWJ has seen a significant increase in submissions, with some of it being our natural growth as an important resource for those involved in wounds. However, some of the increase is related to “papermill” type activity. This has challenged our submission and review process. To manage this, we are implementing significant back-end processes to identify and reject such content. We are also creating the largest single editorial board for any wound care journal, to strengthen our review process to enhance its effectiveness. This has become necessary to ensure the continued quality of our journal, especially considering the threat that “papermill type” activity may have on our overall subject area. This is a global challenge to the world of academic and clinical research. It is something that the IWJ does not take lightly and we are working diligently in playing our part to minimize its impact in the world of wound care.

We are pleased to announce the expansion of our editorial board (Figure 1). Our founding members who remain on our board become our senior editorial advisers. We would be remis, however, if we did not thank our retiring board members for their service and remember those who are no longer with us (Table 1).

This is the first editorial in a series where we will introduce our newly expanded editorial board. We have created the largest most internationally diverse board to greatly increase the capabilities and expertise of the journal as it moves to its third decade of life. From Figure 1, you can see we have expanded our board to include over 240 plus members. These individuals are diverse geographically, diverse in speciality, diverse in experience and gender balanced.

The first stage of our board expansion was to establish those who wished to continue and to use their experience in creating our Senior Editorial Advisors. Here you will be introduced to our founding board members who decided to continue and become the senior advisors. We are privileged and honoured to have such high-calibre members continuing on our board.

Please meet the Senior Editorial Advisors for the International Wound Journal:

Look out for a series of editorials in the coming month introducing our new board members by providing some background on their valued experiences. As the editorial team, we are excited to expand this group to help maintain the high-quality standards of the International Wound Journal moving forward into our third decade of existence.

与许多期刊一样,IWJ 的投稿量也有显著增长,其中一部分是我们作为伤口相关人员的重要资源的自然增长。然而,其中一些增长与 "造纸厂 "式的活动有关。这对我们的提交和审查程序提出了挑战。为了解决这一问题,我们正在实施重要的后台程序,以识别和拒绝此类内容。此外,我们还将成立最大的伤口护理期刊编辑委员会,以加强我们的审稿流程,提高其有效性。为了确保我们期刊的持续质量,尤其是考虑到 "造纸厂式 "活动可能对我们整个主题领域造成的威胁,我们有必要这样做。这是学术和临床研究领域面临的全球性挑战。我们很高兴地宣布,我们的编辑委员会已经扩大(图 1)。我们很高兴地宣布,我们的编辑委员会已经扩大(图 1)。我们的创始成员将继续留任,成为我们的高级编辑顾问。然而,如果我们不感谢即将卸任的编委会成员所做的贡献,并缅怀那些已经离开我们的成员,那就太遗憾了(表 1)。这是系列社论的第一篇,我们将介绍新扩充的编委会。我们成立了规模最大、最具国际多样性的编委会,以大大提高本刊的能力和专业水平,迎接其第三个十年的到来。从图 1 中,您可以看到我们的编委会已经扩大到 240 多名成员。这些成员地域多样、专业各异、经验丰富、性别均衡。我们扩大董事会的第一阶段是确定那些希望继续留任的成员,并利用他们的经验创建我们的高级编辑顾问。在此,我们将向您介绍决定继续担任高级顾问的创始董事会成员。我们很荣幸能有如此高素质的成员继续留在我们的董事会。请认识一下《国际伤口杂志》的高级编辑顾问: 敬请期待下个月的系列社论,我们将通过介绍新董事会成员的背景,介绍他们的宝贵经验。作为编辑团队,我们很高兴能扩大这一团队,以帮助《国际伤口杂志》在第三个十年中保持高质量标准。
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引用次数: 0
Integrating Toe Brachial Index and longitudinal strain echocardiography for detecting coronary artery disease in patients with diabetic foot syndrome 结合趾肱指数和纵向应变超声心动图检测糖尿病足综合征患者的冠状动脉疾病。
IF 2.6 3区 医学 Q2 DERMATOLOGY Pub Date : 2024-08-18 DOI: 10.1111/iwj.70026
Mani Moayerifar, Maziar Moayerifar, Arian Mirdamadi, Mahboobeh Gholipour, Mohammad Taghi Ashoobi, Hosein Hemmati, Mohammad Ali Yazdanipour, Mahsa Radmoghadam, Golshan Ghasemzadeh

Coronary artery disease (CAD) is a common problem amongst diabetic foot syndrome (DFS) patients, associated with peripheral arterial disease. This analytic cross-sectional study investigates the diagnostic efficacy of the Toe Brachial Index (TBI) in the detection of CAD in 62 DFS patients. The presence of CAD was assessed by longitudinal strain echocardiography, a sensitive method that provides a more accurate measure of intrinsic left ventricular contractility than left ventricular ejection fraction, especially in diabetic patients. Univariate and multivariate logistic regression identified CAD-associated factors. Receiver operating characteristic curve evaluated TBI and toe pressure's diagnostic performance for CAD. p-Values < 0.05 were considered significant. There was a significant association between TBI and CAD, with each 0.01 increase in TBI associated with a 15% decrease in the odds of CAD development (odds ratio = 0.85, 95% CI: 0.72–0.99, p = 0.039). TBI demonstrated an area under the curve of 0.854, a sensitivity of 80.0% and a specificity of 66.7% at a cut-off of 0.69. Additionally, toe pressure exhibited an area under the curve of 0.845, sensitivity of 74.0% and specificity of 75.0% at a cut-off of 68.0 mmHg. Overall accuracy for TBI and toe pressure was 77.4% and 74.2%, respectively, indicating their potential for CAD risk stratification in the DFS population. This study highlights a significant association between low TBI and the presence of CAD in DFS patients. Consequently, TBI emerges as a valuable screening tool for identifying CAD within this population.

冠状动脉疾病(CAD)是糖尿病足综合征(DFS)患者的常见问题,与外周动脉疾病有关。这项横断面分析研究调查了趾肱指数(TBI)在检测 62 名糖尿病足综合征患者的冠状动脉疾病方面的诊断效果。通过纵向应变超声心动图评估是否存在 CAD,这种敏感的方法比左心室射血分数更能准确测量左心室的内在收缩力,尤其是在糖尿病患者中。单变量和多变量逻辑回归确定了与 CAD 相关的因素。接收者操作特征曲线评估了TBI和趾压对CAD的诊断性能。
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引用次数: 0
Association of vitamin D status and vitamin D receptor polymorphism in diabetic foot ulcer patients: A prospective observational study in a South-Indian tertiary healthcare facility 糖尿病足溃疡患者的维生素 D 状态与维生素 D 受体多态性的关系:一项在南印度三级医疗机构开展的前瞻性观察研究。
IF 2.6 3区 医学 Q2 DERMATOLOGY Pub Date : 2024-08-14 DOI: 10.1111/iwj.70027
Shilia Jacob Kurian, Tejaswini Baral, Ruby Benson, Murali Munisamy, Kavitha Saravu, Gabriel Sunil Rodrigues, M. Sunil Krishna, Sahana Shetty, Amit Kumar, Sonal Sekhar Miraj

Objective of the study was to find the association of vitamin D receptor (VDR) polymorphisms (Fokl, Taql and Apal) with vitamin D levels in diabetic foot ulcer (DFU) patients in South India. In this case–control study, plasma vitamin D levels and VDR genotype frequencies of 70 cases (DFU patients) were compared with 70 diabetic (diabetes mellitus [DM] [non-DFU]) patients and 70 apparently healthy controls (HC) from South India. Plasma vitamin D levels were measured using the ELISA technique, and genotyping of VDR polymorphisms was carried out using real-time polymerase chain reaction. Logistic regression was used to find the association between DFU versus HC and DFU versus DM traits. Association analysis was performed based on additive, dominant and recessive models with age and gender as covariates. A 45.7% of DFU patients have sufficient vitamin D levels than 48.6% and 40% of DM patients and HC, respectively. Linkage disequilibrium analysis for DFU versus HC and DFU versus DM traits shows that single nucleotide polymorphisms (SNPs) Taq1 (rs731236) and Apal (rs7975232) are in strong linkage disequilibrium in DFU patients. The alleles and genotype frequencies were similar in all three groups. Although the additive model does not show statistical significance, age and sex correlate with the three SNPs (Fokl, Taql and Apal). No association was found between VDR gene polymorphisms and vitamin D levels in DFU patients in Southern India. On the other hand, age and sex correlate with the three SNPs.

本研究旨在发现南印度糖尿病足溃疡(DFU)患者体内维生素 D 受体(VDR)多态性(Fokl、Taql 和 Apal)与维生素 D 水平的关系。在这项病例对照研究中,70 例病例(DFU 患者)与来自南印度的 70 例糖尿病(DM [非DFU])患者和 70 例表面上健康的对照组(HC)的血浆维生素 D 水平和 VDR 基因型频率进行了比较。使用 ELISA 技术测量了血浆维生素 D 水平,并使用实时聚合酶链反应对 VDR 多态性进行了基因分型。逻辑回归用于发现 DFU 与 HC 和 DFU 与 DM 特征之间的关联。以年龄和性别为协变量,根据加性、显性和隐性模型进行了关联分析。结果显示,45.7%的DFU患者的维生素D水平足够,而DM患者和HC患者的这一比例分别为48.6%和40%。DFU与HC、DFU与DM的连锁不平衡分析表明,单核苷酸多态性(SNPs)Taq1(rs731236)和Apal(rs7975232)在DFU患者中存在强连锁不平衡。三组患者的等位基因和基因型频率相似。虽然加性模型没有显示出统计学意义,但年龄和性别与三个 SNP(Fokl、Taql 和 Apal)相关。在印度南部的 DFU 患者中,没有发现 VDR 基因多态性与维生素 D 水平之间存在关联。另一方面,年龄和性别与三个 SNPs 相关。
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引用次数: 0
Retraction: Effects of rapid rehabilitation nursing model on surgical site wound infection and pain of patients with ovarian cancer: A meta-analysis 撤回:快速康复护理模式对卵巢癌患者手术部位伤口感染和疼痛的影响:荟萃分析
IF 2.6 3区 医学 Q2 DERMATOLOGY Pub Date : 2024-08-09 DOI: 10.1111/iwj.70021

Fan E, Zhang K, Wan Y, Hu S. Effects of rapid rehabilitation nursing model on surgical site wound infection and pain of patients with ovarian cancer: a meta-analysi. Int Wound J. 2023; 21(3):e14464. 10.1111/iwj.14464

The above article, published online on 12 November 2023, in Wiley Online Library (http://onlinelibrary.wiley.com/), has been retracted by agreement between the journal Editor in Chief, Professor Keith Harding; and John Wiley & Sons, Ltd. It came to the publisher's attention from a third party that a number of articles shared concerning similarities in format and structure. Following an investigation by the publisher, the retraction of this article has been agreed on because the peer review and publishing process for this article were found to have been manipulated. The authors did not respond to our notice of retraction.

Fan E,Zhang K,Wan Y,Hu S. 快速康复护理模式对卵巢癌患者手术部位伤口感染和疼痛的影响:一项荟萃分析。Int Wound J. 2023; 21(3):e14464.10.1111/iwj.14464 上述文章于2023年11月12日在线发表于Wiley Online Library (http://onlinelibrary.wiley.com/),经杂志主编Keith Harding教授和John Wiley & Sons, Ltd.同意,已被撤回。出版商从第三方处获悉,一些文章在格式和结构上存在相似之处。经出版商调查,已同意撤回这篇文章,因为发现这篇文章的同行评审和出版过程受到了操纵。作者没有对我们的撤稿通知做出回应。
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引用次数: 0
Retraction: Effects of intramedullary nailing and internal fixation plates on postoperative wound infection and pain in patients with distal tibia fractures: A meta-analysis 撤回:髓内钉和内固定钢板对胫骨远端骨折患者术后伤口感染和疼痛的影响:荟萃分析。
IF 2.6 3区 医学 Q2 DERMATOLOGY Pub Date : 2024-08-09 DOI: 10.1111/iwj.70020

Kou F, Li T. Effects of intramedullary nailing and internal fixation plates on postoperative wound infection and pain in patients with distal tibia fractures: a meta-analysis. Int Wound J. 2023; 21(3): e14479. doi: 10.1111/iwj.14479

The above article, published online on 20 November 2023, in Wiley Online Library (http://onlinelibrary.wiley.com/), has been retracted by agreement between the journal Editor in Chief, Professor Keith Harding; and John Wiley & Sons, Ltd. It came to the publisher's attention from a third party that a number of articles shared concerning similarities in format and structure. Following an investigation by the publisher, the retraction of this article has been agreed on because the peer review and publishing process for this article were found to have been manipulated. The authors did not respond to our notice of retraction.

Kou F, Li T. 《髓内钉和内固定钢板对胫骨远端骨折患者术后伤口感染和疼痛的影响:一项荟萃分析》。Int Wound J. 2023; 21(3): e14479. doi: 10.1111/iwj.14479 上述文章于2023年11月20日在线发表于Wiley Online Library (http://onlinelibrary.wiley.com/),经杂志主编Keith Harding教授和John Wiley & Sons, Ltd.同意,已被撤回。出版商从第三方处获悉,一些文章在格式和结构上存在相似之处。经出版商调查,已同意撤回这篇文章,因为发现这篇文章的同行评审和出版过程受到了操纵。作者没有对我们的撤稿通知做出回应。
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引用次数: 0
Retraction: Effect of platelet-rich plasma in treating patients with burn wounds: A meta-analysis 撤回:富血小板血浆治疗烧伤患者的效果:荟萃分析。
IF 2.6 3区 医学 Q2 DERMATOLOGY Pub Date : 2024-08-09 DOI: 10.1111/iwj.70018

Lin C, Xin L, Xie S. Effect of platelet-rich plasma in treating patients with burn wounds: a meta-analysis. Int Wound J. 2023; 21(3): e14486. doi: 10.1111/iwj.14486.

The above article, published online on 06 November 2023, in Wiley Online Library (http://onlinelibrary.wiley.com/), has been retracted by agreement between the journal Editor in Chief, Professor Keith Harding; and John Wiley & Sons, Ltd. It came to the publisher's attention from a third party that a number of articles shared concerning similarities in format and structure. Following an investigation by the publisher, the retraction of this article has been agreed on because the peer review and publishing process for this article were found to have been manipulated. The authors did not respond to our notice of retraction.

Lin C, Xin L, Xie S. 《富血小板血浆治疗烧伤创面的效果:荟萃分析》。Int Wound J. 2023; 21(3): e14486.doi: 10.1111/iwj.14486.上述文章于 2023 年 11 月 6 日在线发表于 Wiley Online Library (http://onlinelibrary.wiley.com/),经杂志主编 Keith Harding 教授与 John Wiley & Sons, Ltd. 协商,已被撤回。出版商从第三方处获悉,一些文章在格式和结构上存在相似之处。经出版商调查,已同意撤回这篇文章,因为发现这篇文章的同行评审和出版过程受到了操纵。作者没有对我们的撤稿通知做出回应。
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引用次数: 0
Retraction: Effects of an enhanced recovery after surgery nursing programme on surgical site wound infection and postoperative complications in patients undergoing total knee arthroplasty: A meta-analysis 撤回:加强术后恢复护理计划对全膝关节置换术患者手术部位伤口感染和术后并发症的影响:荟萃分析。
IF 2.6 3区 医学 Q2 DERMATOLOGY Pub Date : 2024-08-09 DOI: 10.1111/iwj.70019

Lu H, Yu J, Hong H. Effects of an enhanced recovery after surgery nursing programme on surgical site wound infection and postoperative complications in patients undergoing total knee arthroplasty: a meta-analysis. Int Wound J. 2023; 21(3): e14485, doi: 10.1111/iwj.14485

The above article, published online on 16 November 2023, in Wiley Online Library (http://onlinelibrary.wiley.com/), has been retracted by agreement between the journal Editor in Chief, Professor Keith Harding; and John Wiley & Sons, Ltd. It came to the publisher's attention from a third party that a number of articles shared concerning similarities in format and structure. Following an investigation by the publisher, the retraction of this article has been agreed on because the peer review and publishing process for this article were found to have been manipulated. The authors did not respond to our notice of retraction.

Lu H, Yu J, Hong H. 增强术后恢复护理计划对全膝关节置换术患者手术部位伤口感染和术后并发症的影响:一项荟萃分析。Int Wound J. 2023; 21(3): e14485, doi: 10.1111/iwj.14485 上述文章于2023年11月16日在线发表于Wiley Online Library (http://onlinelibrary.wiley.com/),经杂志主编Keith Harding教授和John Wiley & Sons, Ltd.同意,已被撤回。出版商从第三方处获悉,一些文章在格式和结构上存在相似之处。经出版商调查,已同意撤回这篇文章,因为发现这篇文章的同行评审和出版过程受到了操纵。作者没有对我们的撤稿通知做出回应。
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引用次数: 0
Retraction: Effects of pneumatic compression therapy on wound healing in patients with venous ulcers: A meta-analysis 撤回:气压疗法对静脉溃疡患者伤口愈合的影响:荟萃分析。
IF 2.6 3区 医学 Q2 DERMATOLOGY Pub Date : 2024-08-09 DOI: 10.1111/iwj.70022

Xu Q, Li Z. Effects of pneumatic compression therapy on wound healing in patients with venous ulcers: a meta-analysis. Int Wound J. 2023; 21(3): e14438. 10.1111/iwj.14438

The above article, published online on 07 November 2023, in Wiley Online Library (http://onlinelibrary.wiley.com/), has been retracted by agreement between the journal Editor in Chief, Professor Keith Harding; and John Wiley & Sons, Ltd. It came to the publisher's attention from a third party that a number of articles shared concerning similarities in format and structure. Following an investigation by the publisher, the retraction of this article has been agreed on because the peer review and publishing process for this article were found to have been manipulated. The authors did not respond to our notice of retraction.

气压疗法对静脉溃疡患者伤口愈合的影响:一项荟萃分析。Int Wound J. 2023; 21(3): e14438.10.1111/iwj.14438 上述文章于2023年11月7日在线发表于Wiley Online Library (http://onlinelibrary.wiley.com/),经杂志主编Keith Harding教授和John Wiley & Sons, Ltd.同意,已被撤回。出版商从第三方处获悉,一些文章在格式和结构上存在相似之处。经出版商调查,已同意撤回这篇文章,因为发现这篇文章的同行评审和出版过程受到了操纵。作者没有对我们的撤稿通知做出回应。
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引用次数: 0
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