【广州中医药大学金沙洲医院国际肿瘤中心】癌症专家权威病情指导、报告单分析、问题解答。免费咨询服务：020-81116660湖南省邵阳食道癌医院哪间最好_邵阳市食道癌医院哪间最好■地址：广州市白云区金沙洲礼传东街1号(地铁6号线横沙站下车)

　　I期、II期和IIIa期非小细胞肺癌可以从外科手术中获得益处，IV期肺癌则原则上不应进行外科手术。近年来，随着微创胸外科技术的普及和有效的化疗药物以及靶向药物的应用，肺癌扩大切除手术已经不再提倡。

　　3、ct：可确定肿瘤的部位、大小，肿瘤与周围组织的关系，肿大淋巴结及是否有转移，是肺癌的诊断与分期的重要依据。

?????总之，上述任何转移灶均可为肺癌的首发征象，应警惕。"

　　4.支气管哮喘：气管和支气管对各种刺激的反应性增高，支气管炎表现为广泛的支气管痉挛和管腔狭小，临床上有阵发性呼吸困难和咳嗽的支气管炎的并发症，发作短暂或持续。

多数患者抗结核药物治疗效果满意，少量胸液一般不必抽液或仅作诊断性穿刺，胸腔穿刺不仅有助于诊断，且可解除肺及心、血管受压，改善呼吸，防止纤维蛋白沉着与胸膜增厚，使肺功能免受损伤。抽液后可减轻毒性症状，体温下降，有助于使被压迫的肺迅速复张。大量胸液者每周抽液2～3次，直至胸液完全吸收。每次抽液量不应超过1000ml，过快、过多抽液可使胸腔压力骤降，发生肺水肿或循环障碍。此种由抽胸液后迅速产生的肺复张后肺水肿，表现为剧咳、气促、咳大量泡沫状痰，双肺满布浊湿啰音，PaO2下降，X线显示肺水肿征。应立即吸氧，酌情应用糖皮质激素及利尿剂，控制入水量，严密监测病情与酸碱平衡。抽液时若发生表现为头晕、冷汗、心悸、面色苍白、脉细、四肢发凉的“胸膜反应”时，应立即停止抽液，使患者平卧，必要时皮下注射0.1%肾上腺素0.5ml，密切观察病情，注意血压，防止休克。一般情况下，抽胸液后，没必要向胸腔内注入药物。糖皮质激素可减少机体的变态反应及炎症反应，改善毒性症状，加速胸液吸收，减少胸膜粘连或胸膜增厚等后遗症。但亦有一定不良反应或导致结核播散，故应慎重掌握适应证。急性结核性渗出性胸膜炎全身毒性症状严重、胸液较多者，在抗结核药物治疗的同时，可加用糖皮质激素，通常用泼尼松或泼尼松龙25～30mg/d，分3次口服。待体温正常、全身毒性症状减轻消退、胸液明显减少时，即应逐渐关量以至停用。停药速度不宜过快，否则易出现反跳现象，一般疗程约4～6周。

治疗原则临床上普遍采用WHO所推荐的三阶梯疗法,纠正患者的错误观念,例如择菜、做饭等,根据情况做一些轻的家务劳动,患者已有肢体活动障碍甚至已瘫痪,体位变化时放慢动作。翻身时注意保持,更要告知患者及家属注意保护脊椎, 药物止痛是目前解除癌性骨痛的重要方法之一,如为颈椎,若为下肢骨转移,可戴颈托以保护颈椎;如为胸腰椎,嘱患者尽量多卧床休息,即按药效的强弱依阶梯顺序使用;尽量使用口服药;按时、联合用药;用药剂量个体化。告知患者及家属有关疼痛、疼痛的评价、使用药物及其他缓解疼痛的方法,应避免负重劳动;骨扫描显示有椎体破坏但无缺如的患湖南省邵阳食道癌医院哪间最好_邵阳市食道癌医院哪间最好者,禁从事重体力劳动; 骨扫描显示有椎体破坏并有缺如的患者,使患者积极参与自我护理。 所有骨转移患者均不宜做体位突然变化的动作。全身骨扫描显示有骨质破坏但无临床症状的患者,还应解除患者对阿片类药物成瘾或药物耐受性的恐惧,但应减轻活动强度减少活动量,可以从事一些湖南省邵阳食道癌医院哪间最好_邵阳市食道癌医院哪间最好家务劳动,

温馨提醒：广州中医药大学金沙洲医院国际肿瘤诊疗中心的首席专家胡群峰教授建议广大患者，恶性肿瘤的治疗要选择恰当的方法，治疗的越早越好，这样才能最大程度的减轻痛苦延长生命，提高生活质量。若您还有其它疑问，更多详情可以免费点击“在线咨询”或拨打专家热线020-81116660，在线专家将为您免费提供就医指导和诊疗意见。

医院官网：http://www.cancer020.com
医院电话：020-81116660
医院地址：广州市白云区金沙洲礼传东街1号
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