国家卫健委《肿瘤药物应用指点原则》（三）——血液肿瘤用药
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">说到血液肿瘤，<span style="color: black;">博主</span>就想起了白血病，这<span style="color: black;">亦</span>就要说起慢粒白血病，即慢性粒细胞白血病，<span style="color: black;">便是</span>电影《我不是药神》中<span style="color: black;">说到</span>的病！电影中的“神药”格列宁正是治疗慢粒白血病的靶向药，<span style="color: black;">亦</span><span style="color: black;">便是</span><span style="color: black;">咱们</span>今天会<span style="color: black;">说到</span>的格列卫（甲磺酸伊马替尼）。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">格列卫是新一代的靶向性抗癌药，是所有抗肿瘤药中效果最好的一种，其中<span style="color: black;">针对</span>慢性粒细胞白血病效果堪<span style="color: black;">叫作</span>神药，它使“慢粒白血病”<span style="color: black;">病人</span>的五年<span style="color: black;">存活</span>率<span style="color: black;">加强</span>到90%，且<span style="color: black;">长时间</span><span style="color: black;">吃下</span>不产生抗药性，只要你<span style="color: black;">始终</span>吃这个药，你就不会死。<span style="color: black;">日前</span>已被美国食品<span style="color: black;">药物</span>监督管理局<span style="color: black;">准许</span>用于十种不同癌症的治疗。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">当然，血液肿瘤不只<span style="color: black;">包含</span>白血病，血液肿瘤是相对<span style="color: black;">通常</span>实体瘤而言。WHO的血液系统肿瘤<span style="color: black;">归类</span><span style="color: black;">重点</span>依据细胞系<span style="color: black;">源自</span>确定肿瘤类型，<span style="color: black;">包含</span>髓系肿瘤、淋巴系肿瘤、组织细胞肿瘤和肥大细胞肿瘤四种类型。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在每一类型内，<span style="color: black;">按照</span>细胞形态学、免疫表型、遗传学特点和临床特点来确定不同病种。最<span style="color: black;">平常</span>的血液肿瘤<span style="color: black;">包含</span>急性髓性白血病（AML）、慢性髓性白血病（CML）、急性淋巴细胞白血病（ALL）、慢性淋巴细胞白血病（CLL）、多发性骨髓瘤（MM）、非霍奇金淋巴瘤（NHL）等。</p>
<h2 style="color: black; text-align: left; margin-bottom: 10px;">恐惧的“白血病”并不可怕</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">白血病<span style="color: black;">做为</span>血液肿瘤中的大类，白血病中最<span style="color: black;">平常</span>的是急性白血病和慢性白血病。急性白血病是原始的、不成熟的细胞<span style="color: black;">显现</span>了癌变，发展得<span style="color: black;">火速</span>，<span style="color: black;">倘若</span>不治疗，短期内会<span style="color: black;">显现</span>问题。慢性白血病<span style="color: black;">重点</span>来自于成熟细胞的癌变，病情<span style="color: black;">通常</span>发展得非常缓慢，过<span style="color: black;">非常多</span>年才会<span style="color: black;">显现</span>问题。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">虽然白血病听着很恐怖，<span style="color: black;">然则</span>白血病如今是<span style="color: black;">能够</span>治愈的。在急性淋巴细胞白血病的<span style="color: black;">病人</span>中，小孩80%都<span style="color: black;">能够</span>根治，成年人<span style="color: black;">亦</span>有30～40%<span style="color: black;">能够</span>根治。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">而<span style="color: black;">有些</span>特殊的急性粒细胞白血病，<span style="color: black;">例如</span>说急性早幼粒细胞白血病，80～90%都<span style="color: black;">能够</span>彻底治愈。<span style="color: black;">因此</span>有<span style="color: black;">有些</span>特殊型的儿童白血病，治愈率非常高。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">回过头再<span style="color: black;">来讲</span>血液肿瘤，经过正规治疗现<span style="color: black;">周期</span>肿瘤<span style="color: black;">长时间</span><span style="color: black;">存活</span><span style="color: black;">或</span>治愈的概率还是很大的。<span style="color: black;">这儿</span><span style="color: black;">亦</span><span style="color: black;">举荐</span><span style="color: black;">病人</span>参考阅读国家卫健委<span style="color: black;">颁布</span>的《新型抗肿瘤<span style="color: black;">药品</span>临床应用<span style="color: black;">指点</span>原则（2018年版）》<span style="color: black;">做为</span><span style="color: black;">认识</span>、治疗血液肿瘤的参考！</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">这般</span><span style="color: black;">病人</span>和家属<span style="color: black;">亦</span>能更好<span style="color: black;">认识</span>血液肿瘤、做好肿瘤治疗的<span style="color: black;">选取</span>！</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">小提示</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">关注春风健康，后台回复“<span style="color: black;">指点</span>原则”，获取《新型抗肿瘤<span style="color: black;">药品</span>临床应用<span style="color: black;">指点</span>原则（2018年版）》的下载<span style="color: black;">位置</span>。</p>
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<h2 style="color: black; text-align: left; margin-bottom: 10px;">血液肿瘤用药原则</h2>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">作者：春风健康临床<span style="color: black;">病人</span>招募咨询、海外医药信息咨询服务<span style="color: black;">公司</span>总编 - 菜头头</p>
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