{"nowTime30":1746769527638,"lyBarModerator":null,"metaSearch":{"description":"男,46岁。病人2015年2月第一次因额叶胶质瘤手术（三级），术后做了同步放化疗，2016年复发8月第二次手术，术后三个月脑水肿越来越严重，头部去骨瓣处鼓出来很多，左边身体不能动，这两个月每月用甘露醇，速尿加激素脱水10天，虽有利尿效果，但压迫症状无改变，想咨询中医适用的治疗脑水肿的方法","keywords":"胶质瘤术后的脑水肿中医方子_洞医","title":"胶质瘤术后的脑水肿中医方子_洞医","channels":null},"identificate":{"id":"84549cea2b2c11e7a61c00163e04584d","isDel":0,"createAt":1493285585673,"createBy":"3cc2575ce14111e6a61c00163e04584d","createName":"柠檬茶","updateAt":0,"updateBy":null,"updateName":null,"userId":"3cc2575ce14111e6a61c00163e04584d","realName":"sdfg","certifiedStatus":2,"phone":"sdfgsfg","email":"sdfgsfg","hospitalId":"2fde97e0453011e69d4700163e005165","departmentId":"2058","illName":"","illId":"4055b07abadb11e6a61c00163e04584d","cardType":1,"cardImg":"http://01luntan.com/ly_img/1493285701754.png","idCardImg":"","identityType":2,"stop":0,"departmentName":"骨科","hospitalName":null},"canEdit":null,"adList":[{"id":"ba12d7c45aea11eaa47600163e0462f1","isDel":0,"createAt":1582977477879,"createBy":"sys","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"name":"【胶质瘤解密】解放军总医院精彩讲解","image":"http://www.01luntan.com/ly_img/admin-fa032a53-837b-467e-b160-dd56aaeaa43f.jpg","url":"https://item.taobao.com/item.htm?spm=a2oq0.12575281.0.0.25911debW42Sos&ft=t&id=572617349581","type":2,"webType":2,"sortNo":5,"dataRelType":1,"dataRelId":"1337"},{"id":"c4666b855aed11eaa47600163e0462f1","isDel":0,"createAt":1582978783698,"createBy":"sys","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"name":"儿童胶质瘤病友群","image":"http://www.01luntan.com/ly_img/admin-3858f059-5da0-4909-a424-7643e13285c7.png","url":"https://jq.qq.com/?_wv=1027&k=52CVy5l","type":2,"webType":2,"sortNo":4,"dataRelType":1,"dataRelId":"1337"},{"id":"fea362e65aed11eaa47600163e0462f1","isDel":0,"createAt":1582978881401,"createBy":"sys","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"name":"四级别胶质瘤病友群","image":"http://www.01luntan.com/ly_img/admin-4913ab79-2043-46fc-a414-16a42dfa7ffc.png","url":"https://jq.qq.com/?_wv=1027&k=59WG3X0","type":2,"webType":2,"sortNo":3,"dataRelType":1,"dataRelId":"1337"},{"id":"2c8d1cf55aee11eaa47600163e0462f1","isDel":0,"createAt":1582978958433,"createBy":"sys","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"name":"三级胶质瘤病友群","image":"http://www.01luntan.com/ly_img/admin-ceb2db2b-f723-45ee-9020-0696492faaab.png","url":"https://jq.qq.com/?_wv=1027&k=5Mb7kti","type":2,"webType":2,"sortNo":2,"dataRelType":1,"dataRelId":"1337"},{"id":"70cc5e055aee11eaa47600163e0462f1","isDel":0,"createAt":1582979072932,"createBy":"sys","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"name":"低级别胶质瘤病友群","image":"http://www.01luntan.com/ly_img/admin-77ff1e91-0d73-4ed5-a62b-6d0e300746ab.png","url":"https://jq.qq.com/?_wv=1027&k=51qVSBp","type":2,"webType":2,"sortNo":1,"dataRelType":1,"dataRelId":"1337"}],"lyBar":{"id":"1337","isDel":0,"createAt":1483430657181,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"胶质瘤","type":102,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":null,"cityId":null,"illId":"6a325ddbbb5f11e6a61c00163e04584d","hospitalId":null,"keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"channels\":{\"病友社区\":{\"description\":\"为病友提供:中医胶质瘤论坛_病友交流平台坛，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"中医胶质瘤论坛_病友交流平台_病友论坛\",\"title\":\"中医胶质瘤论坛_病友交流平台_病友论坛\"},\"治疗\":{\"description\":\"为您提供:病友的治疗经验等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"胶质瘤怎么治疗_胶质瘤保守治疗_胶质瘤治疗方法\",\"title\":\"胶质瘤怎么治疗_胶质瘤保守治疗_胶质瘤治疗方法\"},\"症状\":{\"description\":\"为您提供:质瘤复发的症状_胶质瘤早期症状_胶质瘤的症状有哪些等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"质瘤复发的症状_胶质瘤早期症状_胶质瘤的症状有哪些\",\"title\":\"质瘤复发的症状_胶质瘤早期症状_胶质瘤的症状有哪些\"},\"并发症\":{\"description\":\"为您提供:胶质瘤术后并发症_胶质瘤术后后遗症_胶质瘤手术后遗症等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"胶质瘤术后并发症_胶质瘤术后后遗症_胶质瘤手术后遗症\",\"title\":\"胶质瘤术后并发症_胶质瘤术后后遗症_胶质瘤手术后遗症\"},\"饮食\":{\"description\":\"为您提供:胶质瘤饮食禁忌_胶质瘤病人饮食_胶质瘤吃什么好等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"胶质瘤饮食禁忌_胶质瘤病人饮食_胶质瘤吃什么好\",\"title\":\"胶质瘤饮食禁忌_胶质瘤病人饮食_胶质瘤吃什么好\"},\"病因\":{\"description\":\"为您提供:胶质瘤怎么引起的_胶质瘤怎么形成_胶质瘤怎么得的等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"胶质瘤怎么引起的_胶质瘤怎么形成_胶质瘤怎么得的\",\"title\":\"胶质瘤怎么引起的_胶质瘤怎么形成_胶质瘤怎么得的\"},\"病友求助\":{\"description\":\"为您提供:胶质瘤有治愈的吗_胶质瘤早期能治好吗_良性胶质瘤能治好吗等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"胶质瘤有治愈的吗_胶质瘤早期能治好吗_良性胶质瘤能治好吗\",\"title\":\"胶质瘤有治愈的吗_胶质瘤早期能治好吗_良性胶质瘤能治好吗\"},\"预防\":{\"description\":\"为您提供:吃什么预防胶质瘤_怎么预防胶质瘤_如何预防胶质瘤等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"吃什么预防胶质瘤_怎么预防胶质瘤_如何预防胶质瘤\",\"title\":\"吃什么预防胶质瘤_怎么预防胶质瘤_如何预防胶质瘤\"}},\"description\":\"为您提供:脑部胶质瘤病因_脑部胶质瘤能活多久_脑胶质瘤症状早期症状_胶质瘤病友的治疗经验等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"脑部胶质瘤病因_脑部胶质瘤能活多久_脑胶质瘤症状早期症状\",\"title\":\"脑部胶质瘤病因_脑部胶质瘤能活多久_脑胶质瘤症状早期症状\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"1114","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"咋预防胶质瘤","content":"

　　在疾病面前，我们总是很渺小，对待胶质瘤人们总是感觉无能为力，认为肿瘤疾病是不治之症，其实在日常生活中只要做好预防工作，是完全可以避免的。根据每个人的健康机体，加强自我保护意识，合理饮食，适宜体育，增进身心健康，做出针对性的工作，预防不是没有可能的，下面将为大家介绍一下，关于咋预防胶质瘤的小技巧。

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　　一、保持良好心态

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　　应有良好的心态应对压力，不要过度疲劳,需劳逸结合。可见压力是引发癌症主要原因之一，有中医认为压力导致过劳体虚从而引起免疫功能下降、内分泌失调，体内代谢紊乱，导致体内酸性物质的沉积;压力也可导致精神紧张引起气滞血淤、毒火内陷等。

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　　二、合理饮食

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　　千万不要吃过多的咸而辣的食物，不吃过热、过冷、过期及变质的食物;可在一些特殊的情况下，年老体弱或有某种疾病遗传基因者，可酌情吃一些防癌食品和含碱量高的碱性食品，以保持良好的精神状态。

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　　三、生活习惯良好

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　　需养成良好的生活习惯，戒烟限酒。对于吸烟，有相关的世界卫生组织预言，如果人们都不再吸烟，在5年之后，世界上的癌症就会减少1/3;其次是不酗酒。因为烟和酒是极酸的酸性物质，长期吸烟喝酒的人，很容易导致酸性体质。

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　　四、锻炼增强体质

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　　要加强锻炼身体，以增强体质，还要多在阳光下运动，多出汗可将体内酸性物质随汗液排出体外，避免形成酸性体质。

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　　五、作息有规律

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　　必须生活要有规律，如果生活习惯不规律的人，如：彻夜唱卡拉ok、打麻将、夜不归宿等生活无规律，那么这些不良的生活习惯;就会加重体质的酸化，容易得癌症。所以只有养成良好的生活习惯，才能保持弱碱性体质，使自己能远离各种癌症疾病。

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　　六、避免接触有害物质

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　　别食用一些被污染的食物，如：被污染的水，农作物，家禽鱼蛋，发霉的食品等，要多吃一些绿色有机食品，防止病从口入。

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","barId":"1337","topicTypeId":null,"topicThemeId":"1035","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":4},{"id":"11359","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"专家告诉您胶质瘤患者如何进行心理调整","content":"

\"专家告诉您胶质瘤患者如何进行心理调整\"

 

经常听到许多人在知道自己患的是胶质瘤的时候，往往都有天塌地陷、万念俱灰的感觉。虽然胶质瘤是一种难以根治的神经系统肿瘤，但并不是一点办法都没有的，现在经过规范化的个体化综合治疗，胶质瘤的治疗效果已经得到了显著改善，与其他系统恶性肿瘤相比，胶质瘤的预后还是比较好的，特别是低级别胶质瘤。找良医网发布此篇文章目的就是告诫患者一定要心态平和，对于疾病，不能在自身的心理因素上先倒下！

 

我们都应该清醒地认识到：胶质瘤只不过是人类进化过程中都有可能发生的无数种疾病之中的一种，它与高血压和糖尿病等一样，随着人类社会的发展、生活水平的提高会变得越来越常见。

 

我们常常担心像今天这样所谓的发展，其实暗藏着巨大的危机，因为我们生存的环境变得越来越恶劣，这不仅包括食品蔬菜质量的下降，即使是生命赖以生存的空气和水源也在遭受越来越重的污染，地球上的多种生物每天都在消失，每天也都有人因战争、地震、海啸、飓风和车祸等各种灾难而失去生命，作为一个普通人要是不生病那就成怪事了。

 

既然每个人都会生病，那么长了胶质瘤也就没什么值得大惊小怪的了。医护人员中都有这样的案例，就是搞医的人如果患了肿瘤，他的生存期一般要短于不懂医的人，这是为什么哪？就是因为他们始终考虑的是这种肿瘤不好的预后，而看不到好的希望，不良的心理状态降低了自己的抵抗力，加速了疾病的进展。所以，我想提醒广大的胶质瘤患者要坦然面对胶质瘤，既然在身体上我们已经处了下风，在心理上就要占上风，如果身体还没有不行，精神却垮掉了，那么对于治疗疾病是非常不利的。

 

找良医网温馨提示：实际上，不只是胶质瘤患者，就是患有其它疾病的患者也同样具有紧张、焦虑和恐惧等心理问题，这些都是正常的心理反应，但我们应该学会去排解这些问题。拥有健康的心理，接受正确的治疗，加上亲人和朋友的无私帮助，我们相信会对病情有帮助的。

","barId":"1337","topicTypeId":null,"topicThemeId":"1034","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":4},{"id":"2904","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"二级少突胶质瘤有必要做术后放疗吗","content":"

女,51岁。头晕的情况有2年左右了，一年前去医院拍ct也没看出来问题只是说血脂稠，吃着给血脂降稠的药没事断了药两天就会出现头晕，半个月之前晚上起来去方便晕倒在地，随后做了磁共振怀疑肿瘤，做了手术摘除了病灶到今天14天了终于可以开口说话了，目前的情况是右侧肢体没力，能听懂刚刚会说话了 说的慢不清楚，小便控制的不好，(提一下，手术中的冰冻切片病理是胶质增生，大病理是二级少突胶质瘤)我想问问这都是正常现象吗？都会慢慢恢复吗？

","barId":"1337","topicTypeId":null,"topicThemeId":"1033","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":5},{"id":"1693","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"左侧颞枕叶胶质瘤手术头痛","content":"

现在左侧头痛，头痛表情痛苦。且右手右脚使不上劲，能听明白我们跟他说的话，有些词会突然的表达不出来。 
我妈妈这种伴有积水，适合什么治疗办法？需要我们怎么协助。现在人在住院，期待能给些资料的建议。

","barId":"1337","topicTypeId":null,"topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":4},{"id":"1697","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"胶质瘤有哪些典型症状","content":"

　　神经胶质瘤的病程依其病理类型和所在部位长短不一，自出现症状至就诊时间一般多为数周至数月，少数可达数年。恶性程度高的和后颅窝肿瘤病史多较短，较良性的肿瘤或位于所谓静区的肿瘤病史多较长。肿瘤如有出血或囊肿形成、症状发展进程可加快，有的甚至可类似脑血管病的发展过程。

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　　症状主要有两方面的表现。一是颅内压增高和其他一般症状，如头痛、呕吐、视力减退、复视、癫痫发作和精神症状等。另一是脑组织受肿瘤的压迫、浸润、破坏所产生的局部症状，造成神经功能缺失。

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　　头痛大多由于颅内压增高所致，肿瘤增长颅内压逐渐增高，压迫、牵扯颅内疼痛敏感结构如血管、硬膜和某些颅神经而产生头痛。大多为跳痛、胀痛，部位多在额颞部或枕部，一侧大脑半球浅在的肿瘤，头痛可主要在患侧、头痛开始为间歇性，多发生于清晨、随着肿瘤的发展，头痛逐渐加重，持续时间延长。

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　　呕吐系由于延髓呕吐中枢或迷走神经受刺激所致，可先无恶心，是喷射性。在儿童可由于颅缝分离头痛不显着，且因后颅窝肿瘤多见，故呕吐较突出。

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　　颅内压增高可产生视乳头水肿，且久致视神经继发萎缩，视力下降。肿瘤压迫视神经者产生原发性视神经萎缩，亦致视力下降。外展神经易受压挤牵扯，常致麻痹，产生复视。

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　　一部分肿瘤病人有癫痫症状，并可为早期症状。癫痫始于成年后者一般为症状性，大多为脑瘤所致。药物不易控制或发作性质有改变者，都应考虑有脑瘤存在。肿瘤邻近皮层者易发生癫痫，深在者则少见。局限性癫痫有定位意义。

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　　有些肿瘤特别是位于额叶者可逐渐出现精神症状，如性格改变、淡漠、言语及活动减少，注意力不集中，记忆力减退，对事物不关心，不知整洁等。

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　　局部症状则依肿瘤所在部位产生相应的症状，进行性加重。特别是恶性胶质瘤，生长较快，对脑组织浸润破坏，周围脑水肿亦显着，局部症状较明显，发展亦快。在脑室内肿瘤或位于静区的肿瘤早期可无局部症状。而在脑干等重要功能部位的肿瘤早期即出现局部症状，经过相当长时间才出现颅内压增高症状。某些发展较慢的肿瘤，由于代偿作用，亦常至晚期才出现颅内压增高症状。

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　视交叉胶质瘤(gliomas of the optic chiasm)发生率较低，占颅内胶质瘤的0.4%。可发生于任何年龄，但症状多开始于青年。性别差异不大。此部肿瘤因常累及下丘脑，手术全切的可能性不大。只能做部分切除或仅做活体组织检查。

　　临床表现

　　视力视野改变：所有病人都有改变，两眼视力减退程度不同。视野改变也不规则，可有双颞侧偏盲、一眼失明另一眼颞侧偏盲或同名性偏盲等改变。眼底多数有原发性视神经萎缩。部分病人有斜视、眼震等。

　　头痛：多数病人常有头痛，位于额、颞部。有的病人还伴有呕吐。

　　内分泌紊乱：一般出现较晚，部发病人有垂体前叶功能低下等症状，加闭经、性欲减退、性器官发育不全、第二性征不显著。部分病人有多饮、多尿、性早熟、极度消瘦、生长发育障碍等情况。有的还有肥胖、嗜睡、发烧等下丘脑部症状。

　　其他：个别病人可有半身运动及感觉障碍、嗅觉缺失、颅内压增高等症状。

　　辅助检查

　　x线检查

　　平片上蝶鞍可有球形或盆形扩大，蝶鞍前、后床突、鞍背、鞍结节破坏等表现。脑血管造影可见鞍上占位性病变表现。气脑造影可见交叉池、终板池消失，脚间池可有部分闭锁。双额角底部上突，三脑室前部升高或后移。部分病人可有脑积水样改变。


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\"脑干胶质瘤是怎么引起的\"

(一)发病原因


肿瘤的性质几乎皆为脑干胶质瘤，以形脑干胶质瘤和多形胶质母细胞瘤最多见，部分可为神经节胶质瘤和室管膜瘤。位于脑干上段主要是低度恶性星形细胞瘤而脑干下段则以胶质母细胞瘤居多。

 

(二) 发病机制

 

1. 纤维型是常见类型。肿瘤中有神经胶质纤维，这是与原浆型的主要区别，肿瘤质地较韧，弥漫纤维型的切面呈白色，与脑白质不易区别。邻近皮质常被肿瘤浸润，色泽变深，与白质的分界模糊，肿瘤中心可有囊性变。局灶纤维型的边界光整，主要见于小脑，常有囊性变。在镜下间质中有神经胶质纤维，交叉分布于瘤细胞之间，瘤细胞为纤维型星形细胞。

 

2.原浆型是最少见的一种类型。切面呈半透明均匀胶冻样，深部侵入白质，边界不清，常有变性，形成囊肿。在镜下，肿瘤由原浆型星形细胞构成。


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男,46岁。病人2015年2月第一次因额叶胶质瘤手术（三级），术后做了同步放化疗，2016年复发8月第二次手术，术后三个月脑水肿越来越严重，头部去骨瓣处鼓出来很多，左边身体不能动，这两个月每月用甘露醇，速尿加激素脱水10天，虽有利尿效果，但压迫症状无改变，想咨询中医适用的治疗脑水肿的方法

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