{"nowTime30":1782582570999,"lyBarModerator":null,"metaSearch":{"description":"低分化胃癌术后身体恢复不错，有什么好的治疗方案，吃什么药副作用小","keywords":"低分化胃癌吃什么药副作用小_洞医","title":"低分化胃癌吃什么药副作用小_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":[],"lyBar":{"id":"1852","isDel":0,"createAt":1483430781270,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"胃癌","type":102,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":null,"cityId":null,"illId":"36bdb3cbbadb11e6a61c00163e04584d","hospitalId":null,"keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"channels\":{\"病友社区\":{\"description\":\"为病友提供:与癌共舞 胃癌论坛_胃癌病友论坛_中晚期胃癌论坛，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"与癌共舞 胃癌论坛_胃癌病友论坛_中晚期胃癌论坛\",\"title\":\"与癌共舞 胃癌论坛_胃癌病友论坛_中晚期胃癌论坛\"},\"治疗\":{\"description\":\"为您提供:恶性胃癌能治好吗_胃癌恶性怎么治疗等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"恶性胃癌能治好吗_胃癌恶性怎么治疗\",\"title\":\"恶性胃癌能治好吗_胃癌恶性怎么治疗\"},\"症状\":{\"description\":\"为您提供:胃癌的症状有哪些症状_胃癌早期症状及表现等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"胃癌的症状有哪些症状_胃癌早期症状及表现\",\"title\":\"胃癌的症状有哪些症状_胃癌早期症状及表现\"},\"并发症\":{\"description\":\"为您提供:胃癌手术后遗症_胃癌全胃切除的后遗症等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"胃癌手术后遗症_胃癌全胃切除的后遗症\",\"title\":\"胃癌手术后遗症_胃癌全胃切除的后遗症\"},\"饮食\":{\"description\":\"为您提供:胃切除手术后的饮食_胃癌饮食指导_胃癌病人的饮食等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"胃切除手术后的饮食_胃癌饮食指导_胃癌病人的饮食\",\"title\":\"胃切除手术后的饮食_胃癌饮食指导_胃癌病人的饮食\"},\"病因\":{\"description\":\"为您提供:胃癌是什么原因引起的_引起胃癌的原因有哪些等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"胃癌是什么原因引起的_引起胃癌的原因有哪些\",\"title\":\"胃癌是什么原因引起的_引起胃癌的原因有哪些\"},\"病友求助\":{\"description\":\"为您提供:胃癌手术后能活几年_胃癌晚期能活多久等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"胃癌手术后能活几年_胃癌晚期能活多久\",\"title\":\"胃癌手术后能活几年_胃癌晚期能活多久\"},\"预防\":{\"description\":\"为您提供:胃癌可以预防吗_胃癌预防方法_如何预防胃癌?等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"胃癌可以预防吗_胃癌预防方法_如何预防胃癌?\",\"title\":\"胃癌可以预防吗_胃癌预防方法_如何预防胃癌?\"}},\"description\":\"为您提供:胃癌的早期症状是什么_恶性胃癌能治好吗_胃癌术后饮食食谱大全_胃癌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\":\"胃癌的早期症状是什么_恶性胃癌能治好吗_胃癌术后饮食食谱大全\",\"title\":\"胃癌的早期症状是什么_恶性胃癌能治好吗_胃癌术后饮食食谱大全\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"2098","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"如何预防胃癌的发生","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　现在我们的生活水平越来越好了，但是饮食上越来越不规律了，那么有时候早饭不吃，中午吃一点，晚饭就大吃特吃，那么这是非常不规律的饮食习惯，也是不健康的饮食，那么如果我们饮食不规律的话是会加重我们的胃的负担的。那么如何预防胃癌的发生怎么办呢?</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　胃癌是现在对比多见的一种疾病，对比显着的表现是厌恶吐逆，并且还伴有腹痛腹胀等等，不过这些表现不是很显着，大家常常认为仅仅细微的胃病致使的。胃癌的表现还与许多疾病的表现一样，致使许多时分大家呈现误诊的景象。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　1、吃煮得对比糯的粥，但不要吃泡饭。粥是将米彻底煮烂，米中的淀粉溶入了水中，达到了\"难分难解\"的状况，容易消化吸收。泡饭的状况不同：米是米水是水。而在吃泡饭时大家大多会和吃粥一样，不多加咀嚼就下咽，然后给胃带来较大的担负，所以常吃泡饭对比伤胃。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　2、挑选易消化的食物，细嚼慢咽，食物通过充沛咀嚼后再下咽。咱们的牙齿即是为了把食物切碎嚼烂的，而胃里没有牙齿，所以假如吃东西时饥不择食不细加咀嚼，就会把大块的食物送到胃中，增加胃的担负。久而久之，胃将不堪重负。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　3、多挑选天然新鲜的食物，防止过于粗糙的食物。少吃加工食物，多食用新鲜蔬菜水果这些富含维生素的食物，可以下降疾病风险。加工食物一般富含许多调味料、盐、糖、添加剂等，对健康无益。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　4、饮食规则，三餐定时定量，不过饥过饱，均衡养分。许多人的胃病都是吃出来的，是长时间饮食不规则、食物不合理形成的，不良饮食习惯会致使多种消化道疾病。要想身体健康，好好就餐、规则饮食十分要害。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　如果咱们意外患上了胃癌，吃东西就更有局限性了，许多东西只能眼巴巴的看着，自个却不能够吃，那种感受十分苦楚，所以咱们一定要做好胃癌的防止作业，只要这么咱们才能够提前离别胃癌，健健康康的日子。</p>\n<p>&nbsp;</p>","barId":"1852","topicTypeId":null,"topicThemeId":"1036","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":2},{"id":"4065","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"胃癌术后饮食应当如何调整","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　胃癌疾病是肿瘤疾病的一种，该疾病发生后，通常需要进行手术，这是目前治疗效果较好的一种，对患者的康复有很大的帮助。但由于身体的部分功能还不完善，因此日常的饮食需要改善。那么，胃癌术后饮食应当如何调整?我们来一起了解下。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(1)在进行手术后，胃癌患者不能向正常人一样进行饮食，至少也需要半年的时间才能恢复正常。所以术后患者出院，少食多餐是饮食上的原则。每天进餐5～8次，每次摄入食物75～100克。初期量少次数多，以后逐步到量多次数少。从流质、半流质到软食。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(2)在饮食上，胃癌患者应该进行细嚼慢咽，不要咬咬就咽下去，而是让食物在口腔内用牙齿嚼烂，用舌头将食物和唾液拌和，这样容易消化，以口腔代替胃的部分消化功能，减轻了胃的负担。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(3)对术后的胃癌患者而言，日常的饮食是有很大要求的，通常，进食的饮食应清淡、高维生素、高蛋白质，富于营养，易消化。如面条、各种粥、牛奶、豆浆、藕粉、鱼、虾仁、瘦肉糜等。经常多吃新鲜水果、蔬菜。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(4)胃癌患者在术后的生活中可适当补充一些铁剂，主要的原因就是患者的胃切除后，胃酸减少或缺乏而影响铁的吸收，导致缺铁性贫血。可食硫酸亚铁、动物肝脏、菠菜等。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(5)胃癌患者无论是在术后还是在日常生活中，在饮食上一定要严格进食油炸、辛辣、刺激性如咖啡、浓茶及过凉饮料等食品的摄入，过热、过甜的食物也要限制。食物的温度最好在40~50。禁止烟酒。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(6)胃癌患者在术后的康复期的2～3周时，有些病情恢复较好的患者可能进甜食(如牛奶加糖)后出现心慌、出汗、头昏、恶心、呕吐、上腹部不舒服等症状，一般持续15～30分钟可自行缓解，被称之为&ldquo;倾倒综合征&rdquo;。为防止出现这种情况，要控制每餐食物总量和进食速度，进食后躺下休息15～30分钟。</p>\n<p>&nbsp;</p>","barId":"1852","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":2},{"id":"9892","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"常见的胃癌的致病因素具体有哪些","content":"<p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><br/></p><p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><img src=\"http://01luntan.com/ly_img/uimgs/1514344999215.jpg\" title=\"常见的胃癌的致病因素具体有哪些\" alt=\"常见的胃癌的致病因素具体有哪些\" width=\"600\" height=\"372\"/></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">生活中有不少人喜欢吃腌制食品，不止如此，还经常抽烟喝酒，殊不知这些都是常见的</span><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">胃癌的致病因素</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">，很可能让胃癌找上您</span>!</span><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">胃癌的致病因素</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">还有很多，下面专家来为大家详细介绍下，希望能帮助大家做好防范，积极捍卫自己健康</span>!</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">那么，常见的</span><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">胃癌的致病因素</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">有哪些</span>?</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">一、</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">环境因素：环境污染，工业废气、化肥、农药、某些食品添加剂等过多的接触可能造成胃粘膜的慢性刺激，导致其功能出现紊乱、充血、水肿、糜烂等，增加胃粘膜发生癌变的机会。</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">二、</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">饮食因素：不良的饮食习惯，经常吃具有刺激性的食物可引起胃粘膜受到慢性刺激，使其功能发生紊乱、充血等，引起胃粘膜癌变。此外，已经霉变、油炸、盐腌、熏制的食品中均含有一些致癌的物质，此类物质可增加胃癌发生的几率。</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">三、</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">自身患有胃部疾病：胃癌的发生与慢性萎缩性胃炎，萎缩性胃炎的癌变率为</span>6％-10％，特别是伴有胃粘膜异型增生以及肠上皮化生的患者有密切的关系。胃癌的发病还与胃溃疡、尤其是经久不愈的溃疡有一定的关系。</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">四、</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">与胃息肉、胃部手术后、胃部细菌感染等有关。据相关报道显示，萎缩性胃炎发生癌变的几率为</span>6％-10％，胃溃疡发生癌变的几率为1.96％，胃息肉发生癌变的几率约为5％。还有报道表明，恶性贫血的患者比一般人患胃癌的机会要高5倍。</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">温馨提示：以上就是专家为您介绍的常见的胃癌的致病因素，希望能帮助到您。胃癌多是由于不良的生活及饮食习惯等因素引发的，年轻人患胃癌的在生活中也并不少见。因此，对于能避免的因素我们应尽量避免，比如纠正自己的不良饮食习惯，不抽烟喝酒等，积极预防胃癌的发生</span>!</span></p><p><br/></p>","barId":"1852","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":2},{"id":"1880","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"胃癌术后左侧卵巢不规则环形明显强化灶","content":"<p><span style=\"color: #333333; font-family: 'Hiragino Sans GB', Helvetica, 'microsoft yahei', simsun, arial; font-size: 14px; line-height: 32px; background-color: #fcfcfc;\">女,45岁。胃癌术后一年半。左侧卵巢不规则环形明显强化灶。</span><span style=\"color: #333333; font-family: 'Hiragino Sans GB', Helvetica, 'microsoft yahei', simsun, arial; font-size: 14px; line-height: 32px; background-color: #fcfcfc;\">这情况要怎么样检查，是复发吗，很迷茫。求</span></p>","barId":"1852","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":2},{"id":"2994","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"混合性腺神经内分泌癌的治疗是以神经内分泌癌进行治疗吗？","content":"<p><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">男,70岁。父亲，70岁，患有高血压、糖尿病10年有余。三周前因近三个月吃饭经常噎住、打嗝、偶有胃部闷胀感就医。进行了食道造影、胸部CT、胃镜、腹部增强CT，显示胃贲门ca，胃周及腹膜后淋巴结肿大。新安国际医院第一次病理切片诊断［贲门］腺癌伴坏死，后经嘉兴市第一医院对病理切片及蜡块重新诊断为混合性腺神经内分泌癌（中—低分化腺癌及低分化神经内分泌癌），（免疫组化见病理报告图片）。经第一医院多学科会诊认为腺癌是神经内分泌癌的分化成分，治疗以神经内分泌癌为主，且不适合手术，宜先进行放化疗。化疗上，排除化疗禁忌，1.20托泊苷针0.15 d1—3+奈达铂针4mg d1—2；30mg d3化疗一疗程，替代方案顺铂。</span><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">化疗方案是否合理？还有其他可行性方案吗？</span></p>","barId":"1852","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":3},{"id":"1645","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"胃癌早期信号","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　明显消瘦。凡年龄在40岁以上的胃溃疡病人，短期内有食欲减退、厌肉食、恶心、呕吐、吐隔宿食或暗红色食物、营养状态不佳、明显消瘦、疲乏无力等症状，且药物治疗效果变差，这可能是恶变的信号。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　信号一：疼痛性质的改变。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　溃疡病的特点是规律性疼痛。胃溃疡为饱餐痛，疼痛在饭后半小时至2小时出现，至下次进餐前疼痛已消失。十二指肠溃疡是饥饿痛亦称空腹痛，疼痛多在饭后3～4小时出现，持续至下一次进餐前，进食后疼痛可减轻或完全消失，有的病人可出现夜间痛。如果溃疡发生在距十二指肠相近的胃幽门部，则疼痛节律性与十二指肠溃疡相同。一旦胃溃疡疼痛性质发生了改变成为持续性疼痛或者有所减轻，此时应警惕癌变的可能，应及早去医院检查。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　信号二：明显消瘦。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　凡年龄在40岁以上的胃溃疡病人，短期内有食欲减退、厌肉食、恶心、呕吐、吐隔宿食或暗红色食物、营养状态不佳、明显消瘦、疲乏无力等症状，且药物治疗效果变差，这可能是恶变的信号。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　信号三：出现固定的包块。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　一部分胃溃疡病人在其心窝部可摸到包块、质硬、表面不光滑，而且包块迅速增大，按压疼痛。随包块的增大，呕吐也随之加重，此种情况大都是发生了恶变。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　信号四：无法解释的黑便。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　一般黑便可见于进食大量猪、羊、鸡等动物血之后，也见于服某种药物之后。如果溃疡病人出现了无法解释的黑便，或者化验大便持续有血，需特别注意，应进一步查清，这往往是恶变的先兆症状。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　上述情况只要具备其一者，就应立即去医院就诊，进行有关方面的检查。希望这些知识能够引起大家的重视，另外还一定要养成定期检查身体的习惯。</p>\n<p>&nbsp;</p>","barId":"1852","topicTypeId":null,"topicThemeId":"1029","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":2},{"id":"4204","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"爱吃烧烤当心胃癌缠上你 4个坏习惯需改掉","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　俗话说&ldquo;十人九胃&rdquo;，胃不舒服，胃酸，胃胀已经成了现代人的通病。但说起胃癌，很多人还是觉得离自己很远。浙江金华一大学生小文，几乎每天晚自习后都要去&ldquo;搓一顿&rdquo;，有时还会把烧烤当成主食。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　饮食习惯、环境污染致胃癌高发</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　全国肿瘤登记中心发布的年报显示，胃癌发病主要集中在我国西部以及东南沿海各省，如上海、江苏、青海、甘肃等。男性的胃癌发病率远高于女性，特别是中年男性，多患有胃息肉、胃溃疡、慢性萎缩性胃炎等疾病，如久治不愈就很有可能发展成胃癌。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　数据显示，近5年来，我国每年新发胃癌40万例，发病率占全世界的42%左右；预计到2015年，我国胃癌的发病率还将以每年1.6%的幅度攀升。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　专家认为，中国人胃癌发病率高，跟国人的独特饮食习惯有关，比如中国人爱吃烤羊肉串、火锅，嗜辣，喜食腌制食品等，而口味太重的食品会刺激消化道，引起器官病变；国人喝酒多也是一个原因，白酒喝多不仅伤肝，对整个消化道都会有不良影响。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　此外，国人胃癌发病率近年来猛增，与环境污染也有很大关系。被污染的水和食物会刺激消化道，对胃造成伤害。此外，农药残留、滥用药物等同样会导致消化系统癌症增多。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　哪些不良习惯最易引发胃癌</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　1、常喝很热的浓茶者</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　经常饮用高温（80摄氏度以上）浓茶水，不但易烫伤食道，形成食道慢性溃疡，茶中的鞣质由于在损伤部位沉积，更易刺激受伤食道上皮细胞，促使慢性溃疡经久不愈，导致癌变。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　2、经常熬夜者</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　癌细胞是在正常细胞裂变过程中发生突变而形成的。夜间是细胞发生裂变最旺盛的时期，如果夜晚睡眠不足、人体抗病能力降低，就很难控制细胞发生变异而形成癌细胞。熬夜者为提神常吸烟喝咖啡，也易使更多的致癌物侵入人体。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　3、憋大小便的人</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　患膀胱癌的风险与尿液滞留的时间成正比。尿液中含有一种致癌物质能侵犯膀胱肌肉纤维，使其癌变。大便中有害物更多，硫化氢、粪臭素和其他致癌物，若经常刺激肠粘膜，也会导致癌变。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　4、偏吃肉食者</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　专家发现，每天以猪、牛、羊等畜肉为主食的人，患肠癌的比例比那些每月只吃几次少量肉食者高2.5倍；患胰腺癌的危险性也随食入肉量的增加而增加。</p>\n<p>&nbsp;</p>","barId":"1852","topicTypeId":null,"topicThemeId":"1028","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":2},{"id":"9867","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"老年胃癌是怎么引起的","content":"<p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><br/></p><p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><img src=\"http://01luntan.com/ly_img/uimgs/1514290475853.jpg\" title=\"老年胃癌是怎么引起的\" alt=\"老年胃癌是怎么引起的\" width=\"600\" height=\"372\"/></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">胃癌发病</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\">过程较长且复杂。目前没有任何一种单一因素被证明是人类胃癌的直接病因。因此，</span><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">胃癌发生</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\">与多种因素有关。饮食因素是研究中的重点，一些调查表明，高盐、高香料食品、烹调中产生的多环芳烃化合物、亚硝基化合物、真菌毒素、一些谷物与食品添加剂等有致癌作用。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">1、</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">亚硝基化合物亚硝基化合物</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">是一大类化学致癌物，其中非挥发性亚硝酸胺类化合物如</span>N-甲基N-硝基N-亚硝基胍(MNNG)，N-乙基N-亚硝基胍(ENNG)能诱发大鼠、狗胃腺癌，并且可观察到胃黏膜肠化、异型性增生等癌前病变。天然存在的亚硝基化合物是极微量的。其主要来源是体内内源性合成的亚硝基化合物。在胃液pH较低条件下亦可合成亚硝基化合物，当胃黏膜病变发生如胃腺体萎缩、壁细胞减少、胃液pH值升高时，胃内细菌可加速硝酸盐还原为亚硝基化合物。由此可见，人类胃黏膜可在正常或损伤条件下直接受到亚硝基化合物的攻击。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">2、</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">多环芳烃化合物致癌物</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">可污染食品或在加工过程中形成，如冰岛为胃癌高发国，居民多以渔业、牧业为生，有食用熏鱼、熏羊肉的习惯。分析熏鱼、熏羊肉的样品发现这些食品有大量致癌物质，包括</span>3、4-苯胼芘在内的多环芳烃化合物的污染。大量动物实验表明实验动物喂给熏制食品也得到致癌结果。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">3、</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">饮食因素</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">我国的胃癌病例配对研究结果表明，高盐饮食、腌制食品、油炸食品、三餐不定时、进食速度快、进食过饱、喜食烫食等，增加胃癌发病率的危险性。摄入高浓度食盐可使胃黏膜屏障损伤，造成黏膜细胞水肿、腺体丢失。在给入致癌性亚硝基化合物的同时给入高盐可增加胃癌诱发率，诱发时间也较短，有促进胃癌发生的作用。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">4、</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">幽门螺杆菌</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">幽门螺杆菌感染与胃癌有关，基于以下原因：在正常胃黏膜中很少能分离到幽门螺杆菌，而随胃黏膜病变加重，幽门螺杆菌感染率增高。目前认为幽门螺杆菌并非胃癌直接致癌物，而是通过胃黏膜的损伤，促进病变发展的条件因素使胃癌危险性增高。幽门螺杆菌可释放多种细胞毒和炎症因子并参与局部免疫。在测定胃癌病人患病以前的血清发现其幽门螺杆菌抗体阳性率明显高于对照组，为胃癌的危险因素。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span 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