tw4ld6 发表于 2024-6-8 02:05:51

癌症晚期病人能活多久？


    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">本文本是基于数据的<span style="color: black;">公众</span>科普<span style="color: black;">文案</span>，<span style="color: black;">亦</span>不<span style="color: black;">晓得</span><span style="color: black;">为何</span>？这么<span style="color: black;">数年</span>了在百度上竟然搜索不到一篇描述预判癌症晚期<span style="color: black;">病人</span><span style="color: black;">存活</span>期的文，可能是这个命题本身<span style="color: black;">必须</span><span style="color: black;">思虑</span>进去的<span style="color: black;">原因</span>太多了，或是太过沉重，<span style="color: black;">期盼</span>写出以上内容对<span style="color: black;">病人</span>家属有个方向性的<span style="color: black;">帮忙</span>。我是做临床<span style="color: black;">科研</span>的，简单说<span style="color: black;">便是</span>看癌症<span style="color: black;">病人</span>病历，把有意愿且有治疗价值的<span style="color: black;">病人</span>，安排到国家新<span style="color: black;">药品</span><span style="color: black;">科研</span>的临床免费去用新药治</p>
    <div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic2.zhimg.com/80/v2-e079e8c80a47cbe157b6a4d054749ae5_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">疗，让<span style="color: black;">病人</span><span style="color: black;">显现</span>治疗奇迹，治愈奇迹不是很<span style="color: black;">平常</span>，<span style="color: black;">都数</span>是大概率延长些生命吧。<span style="color: black;">由于</span>数据<span style="color: black;">源自</span>的问题，都是基于抗癌<span style="color: black;">没</span>效<span style="color: black;">或</span>没能有机会纳入临床的<span style="color: black;">病人</span>样本，这就<span style="color: black;">引起</span>了数据偏失败的样本比<span style="color: black;">很强</span>，<span style="color: black;">因此</span>给出的剩余<span style="color: black;">存活</span>周期数据属于平均偏短，请给我仅作参考。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">文案</span>引用数据是基于我每年大概看10000个<span style="color: black;">上下</span>的病历，并由员工跟踪没能入组临床的<span style="color: black;">病人</span>，最后<span style="color: black;">报答</span><span style="color: black;">病人</span>去世，<span style="color: black;">或</span>状态下降，再下降，最后失联，<span style="color: black;">咱们</span>判断大概率<span style="color: black;">病人</span><span style="color: black;">逝去</span>了，而入临床治疗或是活下来的，<span style="color: black;">无</span>去世<span style="color: black;">没</span>法计入统计数据，大体算是一个统计学的数据<span style="color: black;">源自</span>吧。</p>
    <div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-b7785babaf9d0504bd07a7a04cf99684_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">铺垫完毕，咱们说下主题，癌症晚期<span style="color: black;">病人</span>能活多久？</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">非强力有效<span style="color: black;">干涉</span>肺癌晚期<span style="color: black;">发掘</span>到去世8个月到1年内；肝癌巨大型3-6个月内；食管癌体能下降不严重12个月以上；乳腺癌非三阴5-8年；妇科癌症3年<span style="color: black;">上下</span>；胃癌印戎型3月内；胰腺癌6个月；前列腺癌8-10年；急性髓系白血病3-6个月……癌症有好多种，治疗方式<span style="color: black;">亦</span>有好多，所说的强力有效并不是治疗多花钱，而是<span style="color: black;">恰当</span>，能<span style="color: black;">不可</span>切的，开刀<span style="color: black;">瞧瞧</span>，切不干净就化疗，一种化疗不行换另一种<span style="color: black;">协同</span>放疗，再弄个放射性肺炎<span style="color: black;">呼气</span>受损，放射性食管炎，吃不下东西，这不是强力有效的治疗，这是抓紧花钱将癌症<span style="color: black;">病人</span>送走。癌症治疗是讲究要<span style="color: black;">运用</span>最先进的科学<span style="color: black;">办法</span>，<span style="color: black;">倘若</span>是肺癌晚期，EGFR基因突变，先上几百块<span style="color: black;">一月</span>印度产的易瑞莎，特罗凯；耐药后再来9291奥希替尼这都是<span style="color: black;">按照</span>FDA的用一线用药<span style="color: black;">指点</span>，县城的患者请<span style="color: black;">重视</span>！这一翻下来可能2年就过去了，缺点是两年基本不咋用住院没法报销，<span style="color: black;">而后</span>再化疗，家庭<span style="color: black;">前提</span>好的再<span style="color: black;">思虑</span>免疫制剂O药欧狄沃，K药可瑞达的PD-1<span style="color: black;">或</span>I药英非凡，T药特善奇的PD-L1，<span style="color: black;">协同</span>下中药<span style="color: black;">护理</span>(助眠安神促吸收消化)，可能又过去一年。治疗思路决定癌症晚期<span style="color: black;">病人</span>能活多久，当然影响的<span style="color: black;">原因</span><span style="color: black;">亦</span>好多，引用国家肿瘤<span style="color: black;">药品</span>临床李进老师的一句话：“中国癌症<span style="color: black;">病人</span>的<span style="color: black;">存活</span>期还决定于治他<span style="color: black;">大夫</span>的医德高低”。主观的事情<span style="color: black;">咱们</span><span style="color: black;">欠好</span><span style="color: black;">太多</span>评判，说说客观<span style="color: black;">状况</span>，针对癌症晚期<span style="color: black;">显现</span>的容易几个标志性指标，说一下癌症晚期<span style="color: black;">病人</span>能活多久的后一半的问题：</p>
    <div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-1a0290e28b2a9f061a569255deab53d8_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">病人</span><span style="color: black;">显现</span>腔隙间积液----<span style="color: black;">一般</span>指胸腔，腹腔，盆腔和心包，这四个位置容易<span style="color: black;">出现</span>积液，癌患积液是<span style="color: black;">由于</span>肿瘤或肿瘤刺激而产生的，初期癌症<span style="color: black;">病人</span><span style="color: black;">一般</span>是不会<span style="color: black;">显现</span>积液的，而<span style="color: black;">显现</span>积液之后，就<span style="color: black;">显示</span><span style="color: black;">身体</span>环境进一步恶化，我举两个例子，都是癌症晚期的<span style="color: black;">病人</span>，一位是肺癌，产生了胸腔积液，在CT下看，<span style="color: black;">已然</span>达到肺部在液体漂浮的程度了，<span style="color: black;">病人</span><span style="color: black;">自己</span>感觉<span style="color: black;">显著</span>气短，上不来气，这是<span style="color: black;">由于</span>积液占据了肺的膨胀空间，肺不张<span style="color: black;">或</span>膨胀受限了，<span style="color: black;">无</span>气体进来自然<span style="color: black;">呼气</span>憋闷，这种<span style="color: black;">状况</span><span style="color: black;">倘若</span>放在40年以前医疗不发达的<span style="color: black;">状况</span>下，慢的话2-3个月就可能过世，快的话随时可能<span style="color: black;">由于</span><span style="color: black;">呼气</span>问题就<span style="color: black;">逝去</span>了，当然，<span style="color: black;">便是</span>放在<span style="color: black;">此刻</span><span style="color: black;">倘若</span>不<span style="color: black;">重视</span>复查，产生<span style="color: black;">呼气</span>局促的<span style="color: black;">状况</span>下，<span style="color: black;">亦</span>会要了<span style="color: black;">病人</span>的命的，<span style="color: black;">处理</span>办法<span style="color: black;">便是</span>穿刺引出胸水，<span style="color: black;">或</span>引流，前者<span style="color: black;">倘若</span>是<span style="color: black;">掌控</span>不住的，预计是3-6个月<span style="color: black;">上下</span>剩余寿命，<span style="color: black;">倘若</span><span style="color: black;">必要</span>引流<span style="color: black;">处理</span>问题，那多可能<span style="color: black;">便是</span>1-2个月的剩余寿命了。<span style="color: black;">另一</span>一种是比较凶险的积液，心包积液，<span style="color: black;">一般</span><span style="color: black;">亦</span>是晚期<span style="color: black;">或</span>临终癌症<span style="color: black;">病人</span><span style="color: black;">显现</span>的，我见过病历中一个乳腺癌<span style="color: black;">病人</span>A，<span style="color: black;">亦</span>是憋闷心慌，短短的几周内恶化，到医院进行穿刺，刺入心包后，心包积液血水喷射出来两米远，这个<span style="color: black;">状况</span>心包液体<span style="color: black;">已然</span>严重影响心脏起搏，<span style="color: black;">病人</span><span style="color: black;">能够</span>说没<span style="color: black;">发掘</span>的<span style="color: black;">状况</span>下，一个跟头跌倒，可能就心脏骤停去世了。这种不可控心包积液，<span style="color: black;">病人</span><span style="color: black;">能够</span>说是随时有去世的<span style="color: black;">危害</span>，<span style="color: black;">一般</span>2-3月的剩余<span style="color: black;">存活</span>期，当然<span style="color: black;">倘若</span>强加<span style="color: black;">干涉</span>治疗，<span style="color: black;">咱们</span>都<span style="color: black;">能够</span>有限的延长<span style="color: black;">病人</span>的生命，这个<span style="color: black;">病人</span>A,<span style="color: black;">便是</span>内外<span style="color: black;">干涉</span><span style="color: black;">此刻</span><span style="color: black;">已然</span>10个月过去了，积液基本消失，人依然很好。总之，积液算是癌症晚期<span style="color: black;">病人</span>生命倒计时的一个信号。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">癌症肿瘤患者<span style="color: black;">显现</span>多发转移----<span style="color: black;">咱们</span>定义晚期<span style="color: black;">一般</span>是M1就定义为癌症晚期Ⅲb<span style="color: black;">或</span>Ⅳ期了，<span style="color: black;">倘若</span><span style="color: black;">病人</span><span style="color: black;">显现</span>多个转移M2<span style="color: black;">或</span>M3了，这个<span style="color: black;">状况</span>下就很凶险了，会连锁的<span style="color: black;">诱发</span>多脏器失调，<span style="color: black;">最后</span><span style="color: black;">诱发</span><span style="color: black;">病人</span>死亡。这种<span style="color: black;">状况</span>下，集中短期<span style="color: black;">显现</span>第二转移，第三转移灶，自然发展周期，不会超过3个月，<span style="color: black;">倘若</span><span style="color: black;">干涉</span>的话，看治疗<span style="color: black;">可否</span>能<span style="color: black;">掌控</span>住新发病灶<span style="color: black;">体积</span>，如果可控，能有半年的机会，脑转移<span style="color: black;">没</span>法<span style="color: black;">处理</span>的相对更快些。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">病人</span>呕血咳血----这个<span style="color: black;">状况</span>是分两个：一个是消化道肿瘤，<span style="color: black;">例如</span>癌栓<span style="color: black;">或</span>门脉高压，产生的胃底静脉曲张，这个出<span style="color: black;">此刻</span>肝癌胃癌<span style="color: black;">占多数</span>，一旦破裂，可能都<span style="color: black;">没</span>法<span style="color: black;">掌控</span>，开刀都未必来的急，况且是胃部都是肿瘤了，组织都脆了，切<span style="color: black;">亦</span>切不得，缝<span style="color: black;">亦</span>缝不得。基本<span style="color: black;">便是</span>几个小时，<span style="color: black;">或</span>天内过世，当然<span style="color: black;">亦</span>见过命硬的，硬是静脉止血药，内服白药扛过去的，<span style="color: black;">然则</span>不多。小血量可能还能行，<span style="color: black;">海量</span>呕血，基本2天内。另一个咳（呕）血，是肺癌，肺动静脉<span style="color: black;">因为</span>肿瘤侵蚀，脆化了。就像<span style="color: black;">咱们</span>见过的水管，外面风化<span style="color: black;">乃至</span>是腐蚀了，随时破裂，这种<span style="color: black;">状况</span>下，就看命数了，手术<span style="color: black;">一般</span><span style="color: black;">无</span>机会。<span style="color: black;">亦</span><span style="color: black;">便是</span>静脉止血，口服云南白药。过来就过来了，<span style="color: black;">都数</span>就送走了。小量呕咳血到去世半年内，<span style="color: black;">出现</span>中量1-2月，<span style="color: black;">海量</span>随时就上路了。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">没</span>法<span style="color: black;">处理</span>的肠梗阻----直肠类泌尿类妇科癌症晚期<span style="color: black;">病人</span>容易<span style="color: black;">出现</span>侵袭肠道<span style="color: black;">出现</span>肠梗阻，<span style="color: black;">由于</span>晚期<span style="color: black;">没</span>法或不<span style="color: black;">意见</span>开刀<span style="color: black;">处理</span>，<span style="color: black;">病人</span>容易<span style="color: black;">显现</span><span style="color: black;">没</span>法排便，<span style="color: black;">亦</span>就<span style="color: black;">没</span>法<span style="color: black;">摄食</span>，这种<span style="color: black;">状况</span>下<span style="color: black;">倘若</span><span style="color: black;">处理</span>不了，1个月内<span style="color: black;">病人</span>就不行了。这种类似的<span style="color: black;">状况</span>还有食管癌食管梗阻，胃癌胃梗阻，相对就很好外科<span style="color: black;">处理</span>。剩余<span style="color: black;">存活</span>期就不是问题。<span style="color: black;">没</span>法排尿<span style="color: black;">亦</span>算这种<span style="color: black;">没</span>法进出的临终<span style="color: black;">状况</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">转氨酶、总胆红素大倍数超标，血象电解质<span style="color: black;">错乱</span>----这种<span style="color: black;">状况</span>是典型的消耗性的临床表现。很容易<span style="color: black;">忽然</span>间，脏器衰竭<span style="color: black;">病人</span>就去世了。<span style="color: black;">显现</span>指标飙升，应该在1个月内，<span style="color: black;">乃至</span>1-2周内，此<span style="color: black;">状况</span>多出<span style="color: black;">此刻</span>肝癌上，或转移肝癌上。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">重度的贫血----90g/L<span style="color: black;">便是</span>临界线，再低就影响代谢营养<span style="color: black;">呼气</span>和用药了，肿瘤是消耗性<span style="color: black;">疾患</span>，<span style="color: black;">做为</span>营养供给的运载体血红蛋白下降到60g/L<span style="color: black;">便是</span>一个危险信号，<span style="color: black;">不外</span>这个信号，有时候对女性<span style="color: black;">病人</span>不太准。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">下肢或头部<span style="color: black;">忽然</span>浮肿----肾功严重受损，<span style="color: black;">针对</span>癌症<span style="color: black;">病人</span>，<span style="color: black;">首要</span>要保肾，除保肾药所有的<span style="color: black;">药品</span>都要停掉，降低肾脏<span style="color: black;">包袱</span>，<span style="color: black;">倘若</span><span style="color: black;">没</span>法翻盘，尤其是<span style="color: black;">已然</span>卧床的<span style="color: black;">病人</span><span style="color: black;">便是</span>几天内。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">最<span style="color: black;">显著</span>的一种<span style="color: black;">便是</span>卧床----<span style="color: black;">乃至</span>是<span style="color: black;">晕倒</span>状态的<span style="color: black;">病人</span>，<span style="color: black;">已然</span>到弥留状态了，想必<span style="color: black;">大众</span><span style="color: black;">亦</span>懂的，<span style="color: black;">1星期</span>到<span style="color: black;">一月</span><span style="color: black;">平常</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">总之癌症是一种消耗性<span style="color: black;">疾患</span>，预计<span style="color: black;">存活</span>期跟治疗<span style="color: black;">相关</span>，<span style="color: black;">亦</span>跟病程中的<span style="color: black;">膳食</span>和心理状态<span style="color: black;">相关</span>，跟<span style="color: black;">病人</span>先天体质<span style="color: black;">亦</span>有很大关系，当然<span style="color: black;">以上</span>的<span style="color: black;">状况</span><span style="color: black;">倘若</span>有两种<span style="color: black;">或</span>多种，那就<span style="color: black;">欠好</span>判断了，<span style="color: black;">因此</span><span style="color: black;">病人</span>家属判断<span style="color: black;">病人</span>的剩余<span style="color: black;">存活</span>期，<span style="color: black;">亦</span><span style="color: black;">便是</span>晚期癌症<span style="color: black;">病人</span>能活多久这个问题要综合来<span style="color: black;">思虑</span>。</p>
    <div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic2.zhimg.com/80/v2-b6cd4c0b59e3e7bdb65b4dcb459a66a5_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>参加新<span style="color: black;">药品</span>临床<span style="color: black;">科研</span>“Study”，3周期，9周期肿瘤缩小的PETCT影像学对比<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">打个<span style="color: black;">宣传</span>，<span style="color: black;">实质</span>是一条晚期活下去的<span style="color: black;">办法</span>，<span style="color: black;">倘若</span>晚期癌症<span style="color: black;">病人</span>体能尚可的<span style="color: black;">状况</span>下，想试一下国内新<span style="color: black;">药品</span>临床免费治疗降低经济压力，延长些<span style="color: black;">病人</span>生命，<span style="color: black;">微X</span>搜索：“<span style="color: black;">没</span>忧试药”公众号，联系我的团队，或许能帮到<span style="color: black;">病人</span><span style="color: black;">得到</span>一个免费且相当不错治疗机会。</p>
    <div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-cc0ed50d87d324ab6fc12f8737c3b94b_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">最后很真诚地跟各位<span style="color: black;">病人</span>家属说一句，我<span style="color: black;">亦</span>曾经几次是<span style="color: black;">病人</span>家属，与其<span style="color: black;">咱们</span>纠结于<span style="color: black;">咱们</span>的亲人<span style="color: black;">逝去</span>倒计时，不如当下就走进厨房，做点老人爱吃的东西，尽些心意，或是跟老人说说话，老人走了<span style="color: black;">一生</span>了，肯定心里有些事情想说给<span style="color: black;">咱们</span>听，算是他一种回忆，<span style="color: black;">亦</span>是一种传承。</p>
    <div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-31dd34e134d65daa32e5655bc49c8390_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">做为</span>一个不烧香的佛教徒，我想面对生死，<span style="color: black;">咱们</span>家属尽力做自己能做的事情就好；<span style="color: black;">针对</span><span style="color: black;">病人</span>的痛苦，<span style="color: black;">尽可能</span>不要全移情到<span style="color: black;">病人</span>家属身上，<span style="color: black;">咱们</span>好好活着<span style="color: black;">便是</span>对老人的最大慰藉；<span style="color: black;">针对</span>挽留不住的人，<span style="color: black;">咱们</span>就当作<span style="color: black;">她们</span>去了更高维度的世界，肉体只是一个精神的载体，<span style="color: black;">咱们</span>把逝者的精神留住，放在心里，不管<span style="color: black;">她们</span>是去了天堂，还是更高的维度，<span style="color: black;">她们</span>只是在<span style="color: black;">咱们</span><span style="color: black;">没</span>法理解的另一个环境中继续在看着<span style="color: black;">咱们</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">没</span>忧试药 闫星宇 于庚子岁末</p>




流星的美 发表于 2024-8-23 16:42:05

你的见解真是独到，让我受益良多。

听听海 发表于 2024-9-10 02:31:14

你的言辞如同繁星闪烁，点亮了我心中的夜空。

j8typz 发表于 2024-10-4 04:55:17

我深感你的理解与共鸣，愿对话长流。

nqkk58 发表于 2024-10-17 07:41:52

你的话语真是温暖如春，让我心生感激。
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