论坛 › 辽宁 › 年老体弱的肿瘤病人宜保守治疗

fny5jt9 发表于 2024-6-24 10:22:25

年老体弱的肿瘤病人宜保守治疗

    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">病人</span>家属</span></p><img src="https://mmbiz.qpic.cn/mmbiz/ziadDDQxbCJFSPoWgiaMsOhkic6tTj0utgQAq9WqicaZkH0MvgIt7rKvHUu0dO5Phr1pHINQeoAWMQOicjhpPbeno8g/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">　　母亲今年74岁，食道癌中晚期<span style="color: black;">病人</span>，有高血压、冠心病等<span style="color: black;">基本</span>病，<span style="color: black;">膳食</span><span style="color: black;">欠好</span>，体质很差。</span><span style="color: black;">此时<span style="color: black;">选取</span>什么治疗<span style="color: black;">办法</span>效果更好呢？</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">河北以岭医院肿瘤科一病区<span style="color: black;">专家</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">刘汉举<span style="color: black;">专家</span>中医师回答：</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">　　手术及放化疗是肿瘤的常规治疗手段，但肿瘤<span style="color: black;">病人</span>中有<span style="color: black;">非常多</span>年老、体弱的<span style="color: black;">病人</span><span style="color: black;">不可</span>承受治疗带来的痛苦及副<span style="color: black;">功效</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“正如孔女士的母亲<span style="color: black;">同样</span>，许多70岁以上的老年<span style="color: black;">病人</span>，<span style="color: black;">常常</span>合并有内科<span style="color: black;">疾患</span>，心肺等多脏器功能较差，这个时候治疗肿瘤，就<span style="color: black;">必要</span>周全<span style="color: black;">思虑</span>，在不影响其脏腑功能的<span style="color: black;">状况</span>下采取适当的治疗<span style="color: black;">办法</span>。”<span style="color: black;">因此呢</span>，刘汉举认为，<span style="color: black;">针对</span>这些年老体弱、<span style="color: black;">不可</span>耐受手术或放化疗的肿瘤<span style="color: black;">病人</span>，<span style="color: black;">不该</span>采取过度治疗，而要提倡人性化治疗理念，<span style="color: black;">尽可能</span>以改善<span style="color: black;">病人</span>的<span style="color: black;">关联</span>症状及<span style="color: black;">加强</span>生活质量为重点。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">中西医结合治肿瘤，</span></strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">应针对<span style="color: black;">病人</span>个体化</span></strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">　　刘汉举说，他带领的团队曾治疗过一位96岁高龄的胃部肿瘤<span style="color: black;">病人</span>，肿瘤严重影响老人的<span style="color: black;">摄食</span>。</span><span style="color: black;">在这种<span style="color: black;">状况</span>下，<span style="color: black;">经过</span>下支架先扩张其消化道，<span style="color: black;">而后</span>再<span style="color: black;">协同</span>中药、热疗、射频消融等治疗<span style="color: black;">掌控</span>病情，改善<span style="color: black;">病人</span>的<span style="color: black;">摄食</span><span style="color: black;">情况</span>，<span style="color: black;">最终</span>使老人能正常吃饭，<span style="color: black;">极重</span>地改善了体力，延长了寿命。</span><span style="color: black;">“<span style="color: black;">针对</span>年老体弱<span style="color: black;">病人</span>，<span style="color: black;">咱们</span>会针对其<span style="color: black;">详细</span>病情，<span style="color: black;">选取</span>适合的<span style="color: black;">办法</span>如射频、介入、热疗等，<span style="color: black;">掌控</span>肿瘤生长，减轻病痛，<span style="color: black;">加强</span>生活质量，总的<span style="color: black;">来讲</span>以改善<span style="color: black;">病人</span>症状为主，让<span style="color: black;">病人</span>生活的有尊严。</span><span style="color: black;">”</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对年老体弱、广泛转移等<span style="color: black;">原由</span><span style="color: black;">已然</span><span style="color: black;">不可</span>进行手术、化疗的<span style="color: black;">病人</span>，河北以岭医院肿瘤科专家<span style="color: black;">经过</span>临床<span style="color: black;">实质</span><span style="color: black;">也</span>摸索出了一套治疗<span style="color: black;">方法</span>，即<span style="color: black;">经过</span>“中药治疗＋微创治疗＋免疫治疗＋个体化治疗”，四法协同<span style="color: black;">帮忙</span>肿瘤<span style="color: black;">病人</span>灭瘤强身。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">　　<span style="color: black;"><strong style="color: blue;"><span style="color: black;">中药治疗：</span></strong></span><span style="color: black;">指的是</span>采用在络病理论<span style="color: black;">指点</span>下研制的中药进行治疗，既<span style="color: black;">能够</span><span style="color: black;">经过</span>多个途径抗击肿瘤，又<span style="color: black;">能够</span><span style="color: black;">加强</span>抗病<span style="color: black;">恢复</span>能力。<span style="color: black;">经过</span>辨证论治，从<span style="color: black;">基本</span>上<span style="color: black;">调节</span><span style="color: black;">病人</span>体质，即改变肿瘤<span style="color: black;">存活</span>的微环境，使<span style="color: black;">病人</span>能够<span style="color: black;">长时间</span>带瘤<span style="color: black;">存活</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">　　<span style="color: black;"><strong style="color: blue;"><span style="color: black;">微创介入治疗：</span></strong></span>即在数字减影下，找到肿瘤的供血血管，进行抗肿瘤中西<span style="color: black;">药品</span>灌注和栓塞，阻断肿瘤滋养血管，将肿瘤活活“饿死”。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/MYa1r2kh6Jgfdtzx5O06O8lG5Rzv1CcIgVkOXN4RfnDVlGjEYdTgB1LT729tibSynia4Ef7gGj7iaibQ0dV1JyFtuQ/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">　　<span style="color: black;"><strong style="color: blue;"><span style="color: black;">超声刀治疗：</span></strong></span>该疗法是利用超声波极强的穿透力，使焦点汇集在肿瘤组织上，瞬间使焦点处肿瘤组织升温70 ℃ -100 ℃，从而“热死”肿瘤细胞。既能准确地灭杀肿瘤，又不伤及肿瘤<span style="color: black;">周边</span>正常组织。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">　　<span style="color: black;"><strong style="color: blue;"><span style="color: black;">热疗：</span></strong></span>是一种<span style="color: black;">经过</span>肿瘤热疗仪在较<span style="color: black;">短期</span>内将深部肿瘤组织温度<span style="color: black;">上升</span>到可致其死亡的42度以上<span style="color: black;">非常</span>钟到半小时，把肿瘤“热死”的治疗<span style="color: black;">办法</span>。在对肿瘤细胞进行杀灭的<span style="color: black;">同期</span>，并不会<span style="color: black;">损害</span>肿瘤<span style="color: black;">周边</span>的正常组织。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">　　<span style="color: black;"><strong style="color: blue;"><span style="color: black;">射频消融治疗：</span></strong></span>在<span style="color: black;">彩超</span>或CT的引导下定位，将多极射频消融电极穿刺到肿瘤部位，利用射频能量使肿瘤组织细胞产生高频震荡、离子相互撞击，产生高温快速热死局部肿瘤细胞，<span style="color: black;">同期</span>阻止肿瘤<span style="color: black;">周边</span>血管继续向肿瘤供血，制止肿瘤转移。适合于不愿或<span style="color: black;">不可</span>手术、化疗、放疗和有多个病灶不适合手术的肿瘤<span style="color: black;">病人</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">　　<span style="color: black;"><strong style="color: blue;"><span style="color: black;">个体化治疗：</span></strong></span>即<span style="color: black;">精细</span>化个体治疗，即<span style="color: black;">按照</span><span style="color: black;">病人</span>的<span style="color: black;">详细</span><span style="color: black;">状况</span>，如病理类型、发病部位、耐受程度、身体心理<span style="color: black;">情况</span>、能否<span style="color: black;">协同</span>临床治疗、综合评论病情的<span style="color: black;">状况</span>下，有针对性地制定个体治疗<span style="color: black;">方法</span>，采取相应的治疗<span style="color: black;">办法</span>和<span style="color: black;">办法</span>，对病人实施整体治疗。</p>专家简介<img src="https://mmbiz.qpic.cn/mmbiz_jpg/MYa1r2kh6Jg8xibRRHek2fPuE6KibA2oCNuT98tF6ZddeaibaHZOoHwe41nPxMT3CUCjoHgw0C6W0TjG1jDWkH5pQ/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">刘汉举<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">专家</span>中医师</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">河北以岭医院肿瘤科一病区兼放疗病区<span style="color: black;">专家</span>，中华中医药学会肿瘤分会委员，世界中联络病专业委员会第二届理事会理事，河北省中西医结合肿瘤专业委员会常委，CSCO会员， ASCO会员，《中华医学实践杂志》常务编委。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">业务专长：</span></strong></span><span style="color: black;"><span style="color: black;">善于</span>运用“八字”方针疗法—综合+ 协同+ 靶向+ 微创。通络抗癌中药+肿瘤介入+免疫治疗+个体化治疗，四位一体的模式治疗。中西医结合诊疗<span style="color: black;">各样</span>恶性肿瘤，如肺癌，肝癌、食管癌、胃癌、胰腺癌、大肠癌、妇科恶性肿瘤以及癌性<span style="color: black;">病痛</span>等。</span></p>
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星☆雨 发表于 2024-9-24 10:46:45

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b1gc8v 发表于 2024-10-15 21:59:19

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b1gc8v 发表于 2024-11-7 23:57:04

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