80多岁老人得了结直肠癌，还治么？从这些方向做决策或许有帮忙
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">近期，河南省肿瘤医院普外科张斌团队收治了多名80+岁的结直肠癌<span style="color: black;">病人</span>，经过充分<span style="color: black;">评定</span>及手术准备，这些<span style="color: black;">病人</span>均顺利<span style="color: black;">恢复</span>出院，在上周末，<span style="color: black;">咱们</span>收到82岁老奶奶在手术2周后在家的生活照，<span style="color: black;">大众</span>都由衷的替她高兴，<span style="color: black;">同期</span><span style="color: black;">亦</span>感慨老太太恢复得真不错。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/6zMJChsicYmBHHwn1mOfQZ9c9ibI3HHtKhFw66IHWoiamwQyNdXCgQveW1vhcc4KcBc8ae8y8LJgbEwzKglPv2gYg/640?wx_fmt=jpeg&from=appmsg&tp=webp&wxfrom=5&wx_lazy=1&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;">但<span style="color: black;">咱们</span><span style="color: black;">发掘</span>，在与<span style="color: black;">病人</span>家属沟通病情以及治疗策略时，大<span style="color: black;">都数</span>人都非常纠结，<span style="color: black;">亦</span>很迷茫。随着社会老龄化，肿瘤在老年人中越来越<span style="color: black;">平常</span>。结直肠癌<span style="color: black;">做为</span>较为高发的肿瘤之一，在老年人中较为<span style="color: black;">平常</span>，<span style="color: black;">然则</span>否进行治疗，尤其是在80岁高龄时，<span style="color: black;">必须</span>综合<span style="color: black;">思虑</span>多个<span style="color: black;">原因</span>。以下是几个<span style="color: black;">重要</span>点，<span style="color: black;">期盼</span><span style="color: black;">能够</span><span style="color: black;">帮忙</span>理解这一决策过程：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/6zMJChsicYmBHHwn1mOfQZ9c9ibI3HHtKhYQa1GGKTyWSicN4IkH6t2RICghiaBH0Qz44DMsFCh6AJj55JeWb9GIRQ/640?wx_fmt=jpeg&from=appmsg&tp=webp&wxfrom=5&wx_lazy=1&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;">病情<span style="color: black;">评定</span>：<span style="color: black;">首要</span><span style="color: black;">必须</span><span style="color: black;">认识</span>癌症的<span style="color: black;">详细</span><span style="color: black;">状况</span>，<span style="color: black;">包含</span>癌症的类型、分期以及<span style="color: black;">是不是</span>有扩散。这些信息是决定治疗<span style="color: black;">方法</span>的<span style="color: black;">基本</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">老年<span style="color: black;">病人</span>的整体健康<span style="color: black;">情况</span>：老年人的生理<span style="color: black;">前提</span>和<span style="color: black;">青年</span>人不同，可能存在多种慢性<span style="color: black;">疾患</span>，如心血管<span style="color: black;">疾患</span>、糖尿病等。这些健康问题都会影响治疗<span style="color: black;">选取</span>和预后。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">治疗<span style="color: black;">办法</span>的<span style="color: black;">选取</span>：<span style="color: black;">针对</span>结直肠癌，<span style="color: black;">平常</span>的治疗<span style="color: black;">办法</span><span style="color: black;">包含</span>手术、放疗、化疗等。在高龄老人中，<span style="color: black;">大夫</span>会<span style="color: black;">按照</span><span style="color: black;">病人</span>的整体<span style="color: black;">情况</span>和癌症的严重程度来<span style="color: black;">选取</span>最适合的治疗<span style="color: black;">办法</span>。例如：手术治疗：<span style="color: black;">倘若</span>老年<span style="color: black;">病人</span>身体<span style="color: black;">前提</span><span style="color: black;">准许</span>，手术可能是移除肿瘤的最直接<span style="color: black;">办法</span>，尤其是存在肿瘤<span style="color: black;">流血</span>、穿孔、梗阻的<span style="color: black;">状况</span>下。然而，手术<span style="color: black;">危害</span>随着年龄<span style="color: black;">增多</span>而<span style="color: black;">上升</span>，<span style="color: black;">必须</span><span style="color: black;">评定</span><span style="color: black;">病人</span><span style="color: black;">是不是</span>能承受手术带来的<span style="color: black;">危害</span>。放疗和化疗：这些治疗<span style="color: black;">办法</span><span style="color: black;">能够</span>用来缩小肿瘤或<span style="color: black;">掌控</span>病情的<span style="color: black;">发展</span>，但副<span style="color: black;">功效</span>可能会对老年人的生活质量产生<span style="color: black;">很强</span>影响。<span style="color: black;">大夫</span>会<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><span style="color: black;">思虑</span>适合哪种治疗<span style="color: black;">方法</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/6zMJChsicYmBHHwn1mOfQZ9c9ibI3HHtKhHMLGuw1XTkzFJ4RibAGibBYovPa851wZ8G6MZ2HJrCciaOQY6e3KBjsvw/640?wx_fmt=jpeg&from=appmsg&tp=webp&wxfrom=5&wx_lazy=1&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;">生活质量的<span style="color: black;">思虑</span>：治疗决策<span style="color: black;">不仅</span>是医学上的<span style="color: black;">选取</span>，还<span style="color: black;">触及</span><span style="color: black;">病人</span>的生活质量。<span style="color: black;">针对</span><span style="color: black;">有些</span>老年<span style="color: black;">病人</span>，可能更倾向于缓解症状和<span style="color: black;">加强</span>剩余生活的质量，而不是进行积极的治疗。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">病人</span>意愿和家庭意见：老年<span style="color: black;">病人</span>自己对治疗的意愿非常<span style="color: black;">要紧</span>，<span style="color: black;">同期</span>家庭成员的意见<span style="color: black;">亦</span>是一个不可<span style="color: black;">忽略</span>的<span style="color: black;">原因</span>。开展充分的讨论，<span style="color: black;">认识</span><span style="color: black;">病人</span>和家庭的期望，是制定治疗计划的<span style="color: black;">重要</span>部分。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">综合团队<span style="color: black;">评定</span>：<span style="color: black;">一般</span>，老年结直肠癌<span style="color: black;">病人</span>的治疗决策<span style="color: black;">必须</span>多学科团队的<span style="color: black;">评定</span>，<span style="color: black;">包含</span>肿瘤<span style="color: black;">大夫</span>、外科<span style="color: black;">大夫</span>、老年病专家、营养师等，<span style="color: black;">一起</span>决定最佳的治疗<span style="color: black;">方法</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">总之，<span style="color: black;">针对</span>80岁高龄的结直肠癌<span style="color: black;">病人</span><span style="color: black;">是不是</span>继续进行治疗，<span style="color: black;">必须</span>基于个体的<span style="color: black;">详细</span>病情、身体<span style="color: black;">情况</span>、治疗可能带来的益处与<span style="color: black;">危害</span>，以及<span style="color: black;">病人</span>及家庭的意愿和期望来综合判断。在这一过程中，<span style="color: black;">大夫</span>和<span style="color: black;">病人</span>应进行充分沟通，<span style="color: black;">保证</span>治疗决策符合<span style="color: black;">病人</span>的整体利益。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/6zMJChsicYmBHHwn1mOfQZ9c9ibI3HHtKh1kOPiatozY8uR0veLXF8vKudD4COQuRl91oUicKSc73PfZAOsQEza13g/640?wx_fmt=jpeg&from=appmsg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
“沙发”（SF，第一个回帖的人） 你的见解独到，让我受益匪浅，非常感谢。
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