甲状腺癌会影响寿命吗?
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">甲状腺癌会影响寿命吗?</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">许多甲状腺癌<span style="color: black;">病人</span>经常会问:</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“<span style="color: black;">大夫</span>,我得了甲状腺癌还能活多久?” </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">寿命,是所有甲状腺癌<span style="color: black;">病人</span>最关心的问题之一,会<span style="color: black;">显著</span>影响<span style="color: black;">病人</span>的<span style="color: black;">心理</span>和治疗积极性。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因此呢</span>,非常有必要来回答这一灵魂拷问。</p><img src="https://mmbiz.qpic.cn/mmbiz_png/q5BYfE2MzqXd32ich1XWN49APtcLx8Kf6U7qvgMegIgOicqRh2Qibf1j5tNKKTWWod8vUdQxzuoTcsib3uwFGZSJCg/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">甲状腺癌对寿命的影响</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">和病理类型、分期<span style="color: black;">相关</span></strong></p>甲状腺癌<span style="color: black;">平常</span>的病理类型<span style="color: black;">包含</span>甲状腺乳头状癌、滤泡癌、髓样癌和未分化癌。其中,乳头状癌和滤泡癌是分化型甲状腺癌,在甲状腺恶性肿瘤<span style="color: black;">病人</span>总数中占比90%以上,预后相对较好,而<strong style="color: blue;">乳头状癌是预后最好的甲状腺癌类型,10年<span style="color: black;">存活</span>率达到90%<span style="color: black;">上下</span></strong>。<strong style="color: blue;">甲状</strong><strong style="color: blue;">腺髓样癌</strong>在甲状腺癌中相对较少,约占5%,预后相对较差,<strong style="color: blue;">10年<span style="color: black;">存活</span>率大约55%<span style="color: black;">上下</span></strong>。<strong style="color: blue;">甲状腺未分化癌</strong>比较少见,占甲状腺癌的1%~2%,恶性程度很高,容易<span style="color: black;">导致</span>死亡,<strong style="color: blue;">平均<span style="color: black;">存活</span>期仅为3~6个月,1年<span style="color: black;">存活</span>率约为5%~15%</strong>。<span style="color: black;">另外</span>,<strong style="color: blue;">甲状腺癌的预后<span style="color: black;">亦</span>与<span style="color: black;">病人</span>的分期<span style="color: black;">相关</span>,<span style="color: black;">初期</span><span style="color: black;">病人</span>预后<span style="color: black;">常常</span>较晚期<span style="color: black;">病人</span>相对较好</strong>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">,虽然大<span style="color: black;">都数</span>甲状腺癌<span style="color: black;">发展</span>缓慢,初诊时都是<span style="color: black;">初期</span>,但<span style="color: black;">倘若</span><span style="color: black;">忽略</span><span style="color: black;">疾患</span>,耽误治疗,<span style="color: black;">显现</span><span style="color: black;">疾患</span><span style="color: black;">发展</span>,<span style="color: black;">亦</span>可能对寿命有所影响。</p>由此可见,<strong style="color: blue;">绝大<span style="color: black;">都数</span>的甲状腺癌分期较早,预后比较好,对寿命影响较小。</strong>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">少许</span>甲状腺癌治疗效果比较差,可能会严重影响寿命。</p><img src="https://mmbiz.qpic.cn/mmbiz_png/q5BYfE2MzqXd32ich1XWN49APtcLx8Kf6OsvGa5LLv4ZqXCTm9ic93VTHsrTCGtrlibjf0ONu39WwpkxbicSvI2n8g/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">甲状腺癌的临床治愈≠治愈</strong></p><span style="color: black;">病人</span>在医院里有时候能听到<span style="color: black;">大夫</span>说:“<strong style="color: blue;">经过治疗,甲状腺癌<span style="color: black;">思虑</span><span style="color: black;">已然</span>临床治愈了。</strong>”<span style="color: black;">大众</span>听完就会以为临床治愈和<span style="color: black;">平常</span>生活中的“治愈”是一个概念,<span style="color: black;">而后</span>自然以为这句话<span style="color: black;">表率</span>百分之百不会复发转移。<span style="color: black;">并不</span>然!严格<span style="color: black;">道理</span>上<span style="color: black;">来讲</span>,临床治愈并不等于完全不复发转移。这就<span style="color: black;">必须</span>解释什么叫做 “临床治愈”了!这个概念<span style="color: black;">一般</span>用来描述部分难以彻底根治的慢性<span style="color: black;">疾患</span>在治疗后,病情<span style="color: black;">长期</span><span style="color: black;">没</span>发展、恶化、复发,不频繁<span style="color: black;">显现</span>症状干扰<span style="color: black;">病人</span>的正常生活,基本不影响<span style="color: black;">病人</span>的寿命。<strong style="color: blue;">对大部分的分化型甲状腺癌<span style="color: black;">病人</span><span style="color: black;">来讲</span>,<span style="color: black;">经过</span><span style="color: black;">初期</span>诊断,<span style="color: black;">即时</span>治疗、规范化术后管理、<span style="color: black;">定时</span>随访,能减少复发转移<span style="color: black;">危害</span>,避免<span style="color: black;">导致</span>生命威胁,实现“临床治愈”。</strong><img src="https://mmbiz.qpic.cn/mmbiz_png/q5BYfE2MzqXd32ich1XWN49APtcLx8Kf688ElTeMEj7ScGA4C8C4dOTzvyY84EibaRdEjUicjib6n7EpqmSbBV1vqQ/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">有结节,都<span style="color: black;">必要</span>切除吗?</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺筛查还是适用“三早原则”:</p><strong style="color: blue;"><span style="color: black;">早<span style="color: black;">发掘</span>、早诊断、早治疗!</span></strong><span style="color: black;">发掘</span>结节<span style="color: black;">不消</span>太担心,<span style="color: black;">能够</span>找专业甲状腺专家,<span style="color: black;">评定</span>结节的良恶性。必要时,可进行甲状腺细针穿刺,这是鉴别甲状腺结节良恶性最<span style="color: black;">靠谱</span>的<span style="color: black;">办法</span>。<span style="color: black;">倘若</span>结节为良性,每年<span style="color: black;">定时</span>进行甲状腺<span style="color: black;">彩超</span>检查,<span style="color: black;">即时</span><span style="color: black;">认识</span>结节的变化<span style="color: black;">就可</span>。大部分<span style="color: black;">状况</span>下,良性甲状腺结节对人体并<span style="color: black;">没</span><span style="color: black;">害处</span>,<span style="color: black;">无</span>必要切除。中山一院吕伟明教授认为,<span style="color: black;">发掘</span>甲状腺结节,<span style="color: black;">“<span style="color: black;">仅有</span>三种<span style="color: black;">状况</span><span style="color: black;">必须</span>手术<span style="color: black;">干涉</span>”</span>。一是,<span style="color: black;">可疑</span>甲状腺结节有癌变的可能性。二是,良性甲状腺结节,合并有继发的甲亢。三是,良性甲状腺结节合并有不适,如<span style="color: black;">甲状腺肿大,压到气管,<span style="color: black;">导致</span><span style="color: black;">显现</span><span style="color: black;">呼气</span>困难、声音嘶哑、吞咽困难等症状,或影响外观</span>。吕伟明教授提醒,<span style="color: black;">大众</span><span style="color: black;">不可</span><span style="color: black;">由于</span>担心查出问题,而不做甲状腺<span style="color: black;">彩超</span>。<strong style="color: blue;">“<span style="color: black;">定时</span>体格<span style="color: black;">检测</span>还是<span style="color: black;">必须</span>的,<span style="color: black;">发掘</span>而不惧怕它,<span style="color: black;">定时</span><span style="color: black;">跟踪</span>,听听专业<span style="color: black;">医生</span>的意见,正确面对甲状腺乳头状癌才是最<span style="color: black;">重点</span>的。”</strong>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">平常</span>误区和解疑</strong></p>有些关于甲状腺癌的<span style="color: black;">平常</span>误区和疑问,<span style="color: black;">咱们</span><span style="color: black;">亦</span>听听中山一院张赟建<span style="color: black;">专家</span>的<span style="color: black;">意见</span>。<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">Q</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">长时间</span>吃碘盐或<span style="color: black;">爱好</span>吃海鲜会<span style="color: black;">增多</span>甲状腺癌<span style="color: black;">危害</span>吗?</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">A</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">正常食用含碘盐和海鲜不<span style="color: black;">增多</span>甲状腺癌<span style="color: black;">危害</span>,<span style="color: black;">针对</span>内陆缺碘地区还有助于降低甲状腺癌发病<span style="color: black;">危害</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">Q</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">得了甲状腺癌还能吃含碘盐或海鲜吗?</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">A</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺癌术后<span style="color: black;">病人</span>在腺体被全切的前提下,<span style="color: black;">吃下</span>含碘的<span style="color: black;">食品</span>则再难以<span style="color: black;">经过</span>甲状腺细胞产生甲状腺素,<span style="color: black;">因此呢</span>对甲状腺癌<span style="color: black;">没</span>影响。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺癌<span style="color: black;">病人</span>腺体<span style="color: black;">保存</span>部分的时候仍能<span style="color: black;">经过</span>摄入碘而产生甲状腺素,但<span style="color: black;">因为</span><span style="color: black;">所有</span><span style="color: black;">病人</span>都在接受左旋甲状腺素片进行内分泌治疗,<span style="color: black;">病人</span>的TSH水平<span style="color: black;">处在</span>较低水平,甲状腺细胞<span style="color: black;">亦</span>难以开放离子通道摄入碘,<span style="color: black;">因此呢</span><span style="color: black;">亦</span>是<span style="color: black;">无</span>影响。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span>有计划进行碘131治疗的<span style="color: black;">病人</span>则<span style="color: black;">必须</span><span style="color: black;">按照</span>主管<span style="color: black;">大夫</span>进行暂时性戒碘<span style="color: black;">膳食</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">Q</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">是不是</span>所有甲状腺癌都应该手术?</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">A</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">低<span style="color: black;">危害</span>甲状腺癌<span style="color: black;">能够</span>密切随访而不<span style="color: black;">必须</span>马上手术。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">Q</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺结节会变成癌吗?</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">A</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在<span style="color: black;">没</span>症状、超声影像学可见、细胞学确诊良性的甲状腺结节,5年随访<span style="color: black;">没</span><span style="color: black;">显著</span>增大的前提下转变为甲状腺癌的几率极少。</p><span style="color: black;">源自</span>:中山一院乳腺中心<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">专家介绍:吕伟明</p><img src="https://mmbiz.qpic.cn/mmbiz_png/q5BYfE2MzqXd32ich1XWN49APtcLx8Kf6hywyqtk8vnpgGvcLyOhIpOXzIuyLNgjjt1y21xPsaUicARxNLf5Mhibg/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">中山大学<span style="color: black;">附庸</span><span style="color: black;">第1</span>医院乳腺甲状腺外科 </strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">专家</span>医师、教授、博士生导师</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">学术任职:</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">中国抗癌协会<span style="color: black;">恢复</span>会乳甲分会副<span style="color: black;">专家</span>委员</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">中国医疗保健国际交流促进会临床实用技术分会常委</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">中国整形美容协会<span style="color: black;">精细</span>与数字医学分会乳房整形专业委员会常委</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">中国<span style="color: black;">科研</span>型医院学会甲状腺<span style="color: black;">疾患</span>专业委员会委员</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">中国<span style="color: black;">科研</span>型医院学会乳腺专业委员会委员</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">中国医学装备协会甲状腺分会委员</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">广东省抗癌协会甲状腺分会分副<span style="color: black;">专家</span>委员</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">广东省胸部<span style="color: black;">疾患</span>学会乳腺病防治专业委员会副<span style="color: black;">专家</span>委员</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">广东省医师协会分会神经监测学组副<span style="color: black;">专家</span>委员</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">广东省胸部<span style="color: black;">疾患</span>学会乳腺病防治专业委员会副<span style="color: black;">专家</span>委员</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">广东省医师协会分会甲状腺分会手术学组副组长</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">广东省医师协会甲状腺分会常委</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">广东省临床医学学会甲状腺分会常委</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">科研</span>方向:</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺癌淋巴结转移机制;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺癌术中神经监测技术的改进;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">乳腺癌术后乳房重建。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">医学<span style="color: black;">善于</span>:</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">善于</span>甲状腺癌和乳腺癌的<span style="color: black;">初期</span><span style="color: black;">发掘</span>和诊断、甲状腺癌根治术、甲状腺癌中央组淋巴结清扫和乳腺癌的各类根治、保乳以及保乳整形手术,在乳腺癌化疗、内分泌治疗、生物治疗和甲状腺的综合治疗方面<span style="color: black;">累积</span>了丰富的临床经验。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">专家介绍:张赟建</p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/q5BYfE2MzqXd32ich1XWN49APtcLx8Kf6omhicbyiafKq7nEsBuCDMdV9qhQ5jcy9R0T3UkVaNRoRVictpDdENgsKA/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">中山大学<span style="color: black;">附庸</span><span style="color: black;">第1</span>医院乳腺甲状腺外科 </strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">副<span style="color: black;">专家</span>医师、博士生导师</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">学术任职:</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">广东省健康管理学会肿瘤防治专业委员会常委</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">广东省抗癌协会乳腺癌专业委员会委员</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">广东省健康管理学会乳腺病学专业委员会委员</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">广东省整形美容协会整形美容外科分会委员</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">广东省医师协会乳腺专科医师分会外科手术学组委员</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">美国外科学医师协会会员</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">AME《Gland Surgery》杂志 Section Editor</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">SAGE 系列SCI刊物审稿人(reviewer)</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">获奖<span style="color: black;">状况</span>:</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2018“指尖上的艺术”乳腺癌手术视频大赛南中国决赛获优胜奖;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2018 国内甲状腺C&C南中国赛区手术视频大赛并获三等奖。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">医学<span style="color: black;">善于</span>:</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">主攻各类甲状腺和乳腺<span style="color: black;">疾患</span>诊治。<span style="color: black;">善于</span>超声定位下乳腺肿物活检,乳腺癌假体或皮瓣重建技术,乳腺癌保乳根治术(联合术中放疗),乳腺癌改良根治术,甲状腺全切术,甲状腺癌根治术,甲状腺术中神经监测技术,腔镜辅助下甲状腺部分切除术等,<span style="color: black;">针对</span>颈部肿瘤和乳腺肿瘤的综合治疗<span style="color: black;">拥有</span>丰富的临床经验。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;"><strong style="color: blue;">离<span style="color: black;">青年</span>人<span style="color: black;">近期</span>的癌症,四个字</strong></a></p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/q5BYfE2MzqXePNOxYZFknibfibV1cUloQeibm0xqJ9gqUprrK7reFuntxWbXFKXTQpQiaRGV32XcuyH4Xxyy0Y2bPg/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">长按识别二维码关注<span style="color: black;">咱们</span></strong></p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">靖心健康客服热线:</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">400-859-2588</p>
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