一管血就能查出癌症？有可能！癌症“入侵”时，血液可能显现这些变化，但要注意……
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_gif/s2UmGsDJw7frXBA2lVRibL0vMoIYyArHtft7ibPbJuGDgNtALI6iaq7JGys3Bdjrr0uPWgeyH0ffiaclg8Du3SAcqA/640?wx_fmt=gif&tp=webp&wxfrom=5&wx_lazy=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“听说了吗？王大爷前两天身体不舒服，抽血<span style="color: black;">发掘</span>什么指标高了<span style="color: black;">非常多</span>，后来确诊了癌症。”</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“哎呀，王大爷多好的人啊，怎么得癌症了！”</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">“谁说不是呢？多可惜啊！<span style="color: black;">不外</span>话说回来</span><span style="color: black;">，<span style="color: black;">此刻</span>医学还真是发达了，抽血都能查出癌症了。”</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">癌症，几乎人人谈之色变，<span style="color: black;">倘若</span>不幸<span style="color: black;">出现</span>，当然是越早<span style="color: black;">发掘</span>并治疗越好。但抽血真能查出癌症吗？</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/s2UmGsDJw7fxQqCmfMGD5ZcuS7ufv2U212qDxUEw91bOgDexxyE3VpSe87euX0VIclsyg1CocVcw2h0DRZ4aDQ/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><span style="color: black;"><span style="color: black;"><strong style="color: blue;">1</strong></span></span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">抽血就能筛查癌症？</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">重点</span>是看肿瘤标志物</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">事实上，抽血筛查癌症，<span style="color: black;">重点</span>是看血液里的</span><span style="color: black;"><strong style="color: blue;">肿瘤标志物</strong></span><span style="color: black;">（与肿瘤<span style="color: black;">关联</span>的物质），当其<span style="color: black;">显著</span><span style="color: black;">上升</span>时，的确可能提示癌症的<span style="color: black;">出现</span>。</span></p><span style="color: black;"><strong style="color: blue;">1</strong></span><span style="color: black;"><strong style="color: blue;">这些肿瘤标志物<span style="color: black;">上升</span>，可能是癌症信号</strong></span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">◎癌胚抗原（CEA）：</strong></span><span style="color: black;"><span style="color: black;">上升</span>可见于结直肠癌症、胃癌、肺癌、胰腺癌、乳腺癌、卵巢癌、子宫癌等多种癌症。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">◎甲胎蛋白（AFP）：</strong></span><span style="color: black;"><span style="color: black;">上升</span>多见于<strong style="color: blue;">原发性肝癌</strong>，阳性诊断率为60%~90%。但AFP<span style="color: black;">上升</span><span style="color: black;">亦</span>可见于内胚窦癌、畸胎瘤、睾丸癌、卵巢癌、胃癌伴肝转移者。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">◎糖类抗原19-9（CA19-9）：</strong></span><span style="color: black;"><span style="color: black;">显著</span><span style="color: black;">上升</span>可见于胰腺癌、胆囊癌、胃癌、肝癌、结直肠癌等。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/s2UmGsDJw7fxQqCmfMGD5ZcuS7ufv2U23MjxZxaOYxy1VomchOZibvLYBLHxA2dpUa1WuZhslvjl3JGcicsia9mTQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">◎糖类抗原125（CA125）、人附睾蛋白4（HE4：</strong></span><span style="color: black;"><strong style="color: blue;"><strong style="color: blue;">前者</strong></strong><span style="color: black;">上升</span><span style="color: black;">重点</span>见于卵巢癌，<span style="color: black;">亦</span>可见于宫颈癌、子宫内膜癌等；<strong style="color: blue;"><strong style="color: blue;">后者</strong></strong>对卵巢癌的诊断价值最高，特异性为95%，<span style="color: black;">敏锐</span>性为72.9%。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">◎糖类抗原15-3（CA15-3）：</strong></span><span style="color: black;"><span style="color: black;">上升</span><span style="color: black;">重点</span>见于乳腺癌。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">◎糖类抗原50（CA50）：</strong></span><span style="color: black;"><span style="color: black;">上升</span>可见于肝癌、肺癌、胃癌、结直肠癌、胰腺癌、胆囊癌、肾癌、子宫癌、卵巢癌、膀胱癌、前列腺癌、淋巴瘤、黑色素瘤等。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">◎糖类抗原242（CA242）：</strong></span><span style="color: black;"><span style="color: black;">上升</span>可见于胰腺癌、胃癌、大肠癌，<span style="color: black;">亦</span>可见于肺癌、肝癌、卵巢癌。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/s2UmGsDJw7fxQqCmfMGD5ZcuS7ufv2U2MdFDCDf0IAtGLZZkUs0HenViaADIVcbx9uUVJbAGzcbICMiaBbqbS9LQ/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">◎糖类抗原72-4（CA72-4）：</strong></span><span style="color: black;"><span style="color: black;">上升</span><span style="color: black;">重点</span>见于胃癌，是诊断胃癌的最佳肿瘤标志物之一。CA72-4<span style="color: black;">上升</span><span style="color: black;">亦</span>可见于结直肠癌、胰腺癌、肝癌、肺癌、乳腺癌、卵巢癌。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">◎前列腺特异抗原（PSA）、前列腺酸性磷酸酶（Pap）：</strong></span><span style="color: black;">是前列腺癌<span style="color: black;">关联</span>的肿瘤标志物，<span style="color: black;">敏锐</span>性较高，80%的阳性率为前列腺癌。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">◎神经元特异性烯醇化酶（NSE）：</strong></span><span style="color: black;"><span style="color: black;">上升</span><span style="color: black;">重点</span>见于小细胞肺癌，<span style="color: black;">亦</span>可见于神经母细胞瘤，神经内分泌细胞瘤。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">◎细胞角蛋白19片段（Cyfra21-1）：</strong></span><span style="color: black;"><span style="color: black;">上升</span><span style="color: black;">重点</span>见于非小细胞肺癌，尤其是肺鳞癌；<span style="color: black;">亦</span>可见于乳腺癌、膀胱癌、卵巢癌。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">◎鳞状上皮细胞癌抗原（SCC-Ag）：</strong></span><span style="color: black;">鳞癌的肿瘤标志物，<span style="color: black;">上升</span>可见于宫颈癌、肺鳞癌、食管癌、头颈部癌、膀胱癌。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/s2UmGsDJw7fxQqCmfMGD5ZcuS7ufv2U2TB9qSUKmX5EkTibeN7T217EtUsZk83dMRKaFFSHV4zclOzhBEvIzuZg/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><span style="color: black;"><strong style="color: blue;">2</strong></span><span style="color: black;"><strong style="color: blue;">肿瘤标志物<span style="color: black;">不可</span><span style="color: black;">做为</span>诊断依据</strong></span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">抽血查肿瘤标志物虽然简单，但不可<span style="color: black;">做为</span>诊断依据，<span style="color: black;">由于</span>其在</span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">敏锐</span>性和特异性</strong></span><span style="color: black;">方面都有不足——</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">首要</span>，</strong></span><span style="color: black;"><span style="color: black;">日前</span>还<span style="color: black;">无</span><span style="color: black;">发掘</span><span style="color: black;">拥有</span>100％特异性的肿瘤标志物，<span style="color: black;">亦</span><span style="color: black;">便是</span>说，</span><strong style="color: blue;"><span style="color: black;">肿瘤标志物数值的高低与肿瘤<span style="color: black;">关联</span>，却不等于被诊断为肿瘤</span></strong><span style="color: black;">；</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">其次，</strong></span><span style="color: black;">肿瘤标志物虽然绝大<span style="color: black;">都数</span>存在于恶性肿瘤中，但它</span><strong style="color: blue;"><span style="color: black;">会受其他<span style="color: black;">原因</span>的影响</span></strong><span style="color: black;">，如饮酒、炎症、某些<span style="color: black;">药品</span>、妊娠等。举个例子，甲胎蛋白<span style="color: black;">上升</span>可能预示肝癌，但病毒性肝炎、肝硬化、妊娠等<span style="color: black;">状况</span><span style="color: black;">亦</span></span><span style="color: black;">可能使</span><span style="color: black;">其结果偏高。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">第三，</strong></span><span style="color: black;">即使<span style="color: black;">出现</span>了肿瘤，但<span style="color: black;">倘若</span></span><strong style="color: blue;"><span style="color: black;">肿瘤较小</span></strong><span style="color: black;">，或</span><strong style="color: blue;"><span style="color: black;">肿瘤组织表面被封闭</span></strong><span style="color: black;">等，<span style="color: black;">亦</span>可能<span style="color: black;">引起</span>肿瘤标志物水平</span><strong style="color: blue;"><span style="color: black;"><span style="color: black;">上升</span>不<span style="color: black;">显著</span></span></strong><span style="color: black;">。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">因此</span>，肿瘤标志物</span><span style="color: black;"><strong style="color: blue;">主要用于肿瘤的辅助诊断</strong></span><span style="color: black;">，单靠一管血就确诊癌症，<span style="color: black;">日前</span>还难以实现。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/s2UmGsDJw7fxQqCmfMGD5ZcuS7ufv2U2OUKPicf0vicMUo9miaKV5dvzGl3VwQRs3qD5Nicgib09rs6yPrKZ5ykco9w/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><span style="color: black;"><strong style="color: blue;">3</strong></span><span style="color: black;"><strong style="color: blue;">这些<span style="color: black;">状况</span>需<span style="color: black;">警觉</span></strong></span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">不外</span>，<span style="color: black;">倘若</span>肿瘤标志物<span style="color: black;">上升</span>的<span style="color: black;">同期</span>满足以下<span style="color: black;">状况</span>，就很可能提示癌症了，<span style="color: black;">意见</span><span style="color: black;">协同</span><span style="color: black;">关联</span>影像学<span style="color: black;">检测</span>（CT、<span style="color: black;">彩超</span>、内镜等）以便确诊。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">①</strong></span><span style="color: black;">单次检测结果<span style="color: black;">上升</span><span style="color: black;">显著</span>，高出正常值上限两倍以上，<span style="color: black;">乃至</span>高出数十倍；</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">②</strong></span><span style="color: black;">多个指向同一器官或组织的指标<span style="color: black;">同期</span><span style="color: black;">上升</span>；</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">③</strong></span><span style="color: black;">反复<span style="color: black;">检测</span>，结果<span style="color: black;">连续</span>进行性<span style="color: black;">上升</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_png/s2UmGsDJw7fxQqCmfMGD5ZcuS7ufv2U2fTzoia6Ouny6fV0GCDOtakme29xqalHQvNfURtwpmRv5iajnk4gucu0Q/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p><span style="color: black;"><span style="color: black;"><strong style="color: blue;">2</strong></span></span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">癌症入侵时</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">血常规<span style="color: black;">亦</span>可能<span style="color: black;">显现</span>3处<span style="color: black;">反常</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">除了肿瘤标志物，血常规的某些<span style="color: black;">反常</span><span style="color: black;">亦</span>可能与肿瘤<span style="color: black;">关联</span>，<span style="color: black;">必定</span>要<span style="color: black;">导致</span><span style="color: black;">注意</span>。</span></p><span style="color: black;"><strong style="color: blue;">1</strong></span><span style="color: black;"><strong style="color: blue;">红细胞水平<span style="color: black;">反常</span></strong></span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">癌细胞生长增殖快，这个过程<span style="color: black;">必须</span><span style="color: black;">海量</span>的营养，正常细胞的营养<span style="color: black;">亦</span>可能被“掠夺”，从而<span style="color: black;">能够</span><span style="color: black;">导致</span></span><span style="color: black;"><strong style="color: blue;">红细胞减少</strong></span><span style="color: black;">。<span style="color: black;">倘若</span>癌细胞侵犯到骨髓，还可能<span style="color: black;">导致</span></span><span style="color: black;"><strong style="color: blue;">红细胞生成不足</strong></span><span style="color: black;">，进一步<span style="color: black;">引起</span>红细胞数量急剧下降。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">正常<span style="color: black;">状况</span>下，</span><span style="color: black;"><strong style="color: blue;">红细胞的参考范围为：</strong></span><span style="color: black;">男性（4.3-5.8）×10<span style="color: black;"><span style="color: black;">12</span></span>/L，女性（3.8-5.1）×10<span style="color: black;"><span style="color: black;">12</span></span>/L。</span><strong style="color: blue;"><span style="color: black;"><span style="color: black;">倘若</span>红细胞数量<span style="color: black;">显著</span>降低，且<span style="color: black;">伴同</span>不明<span style="color: black;">原由</span>的体重下降、<span style="color: black;">头昏</span>乏力等</span></strong><span style="color: black;">，<span style="color: black;">必定</span>要进一步<span style="color: black;">检测</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/s2UmGsDJw7fxQqCmfMGD5ZcuS7ufv2U25ibvWaWDMBgaMTuoGiblDDP8D1r2z1bclbcQjeV7xptNvqPe8wU45aNQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><span style="color: black;"><strong style="color: blue;">2</strong></span><span style="color: black;"><strong style="color: blue;">白细胞水平<span style="color: black;">反常</span></strong></span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">白细胞是免疫系统的<span style="color: black;">要紧</span><span style="color: black;">构成</span>部分，<span style="color: black;">通常</span><span style="color: black;">状况</span>下，人<span style="color: black;">身体</span>白细胞总数和种类白细胞百分含量是相对稳定的。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">而癌症<span style="color: black;">出现</span>时，</span><span style="color: black;"><strong style="color: blue;">癌细胞会侵犯人体正常组织，</strong></span><span style="color: black;"><strong style="color: blue;">诱发感染、炎症</strong></span><span style="color: black;">等，<strong style="color: blue;"><strong style="color: blue;">此时白细胞数量就会<span style="color: black;">上升</span></strong></strong>。一旦白细胞的数值超过10×10<span style="color: black;"><span style="color: black;">12</span></span>/L，且伴有化脓、发热等症状就<span style="color: black;">必须</span><span style="color: black;">即时</span><span style="color: black;">看病</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/s2UmGsDJw7fxQqCmfMGD5ZcuS7ufv2U2G4lCDUIXZvWsX7n6Q7D7RPYRxtpUMQibgWibCxUmeUSESRgFqcEg5eYw/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><span style="color: black;"><strong style="color: blue;">3</strong></span><span style="color: black;"><strong style="color: blue;">单核细胞、中性粒细胞水平<span style="color: black;">反常</span></strong></span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">单核细胞、中性粒细胞是白细胞大类中的一种，会随着身体的免疫反应变化而变化。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">当某些癌症<span style="color: black;">诱发</span>炎症、感染等时，机体会产生免疫反应，<span style="color: black;">从而</span>使单核细胞、中性粒细胞含量<span style="color: black;">升高</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">通常</span>，人<span style="color: black;">身体</span>中性粒细胞、单核细胞的正常参考范围分别为（1.5~8）×10<span style="color: black;"><span style="color: black;">9</span></span>/L、（0.12-0.8）×10<span style="color: black;"><span style="color: black;">9</span></span>/L，若超标且伴有其他炎症表现，<span style="color: black;">意见</span>进一步<span style="color: black;">看病</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/s2UmGsDJw7fxQqCmfMGD5ZcuS7ufv2U2eFxeWiau7qjfDZt13OmDAbTrhPSfCsBzCFeJD0f7pVKArKgSrglNyfg/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><span style="color: black;"><span style="color: black;"><strong style="color: blue;">3</strong></span></span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">抽血前做好5件事</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">结果更准确</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;"><span style="color: black;">针对</span>癌症筛查，肿瘤标志物和血常规虽然都只是辅助手段，但<span style="color: black;">保准</span>结果准确仍然<span style="color: black;">非常</span>有必要。<span style="color: black;">因此呢</span>，<span style="color: black;">意见</span>抽血前</span></span><span style="color: black;">务必做好以下几件事：</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">①<span style="color: black;">膳食</span>清淡：</strong></span><span style="color: black;"><span style="color: black;">检测</span>前三天要<span style="color: black;">重视</span><span style="color: black;">膳食</span>，宜清淡，不要吃<span style="color: black;">太多</span>油腻、<span style="color: black;">很难</span>消化的<span style="color: black;">食品</span>；不饮酒；不吃保健品。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">②充分<span style="color: black;">休憩</span>：</strong></span><span style="color: black;"><span style="color: black;">检测</span>前一天要<span style="color: black;">重视</span><span style="color: black;">休憩</span>，避免剧烈运动和<span style="color: black;">心情</span>激动，<span style="color: black;">保准</span>充足<span style="color: black;">睡觉</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/s2UmGsDJw7fxQqCmfMGD5ZcuS7ufv2U2vg8ib4jEia5DBBqLtRUHS8jyKnic6e84p8Z6vjfYtSicW2Xh18GiaHxooAQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">③保持空腹：</strong></span><span style="color: black;">抽血前应禁食8~10小时，但不超过16小时。<span style="color: black;">倘若</span>实在口渴，可少量饮水，但不要超过200ml，且不可喝茶水、牛奶等饮品。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">④<span style="color: black;">恰当</span>用药：</strong></span><span style="color: black;">不要<span style="color: black;">吃下</span>会影响<span style="color: black;">检测</span>结果的<span style="color: black;">药品</span>，</span><span style="color: black;">如：甲硝唑、阿司匹林、甲氨蝶呤、苯妥英钠等。但高血压、冠心病等慢病<span style="color: black;">病人</span>切勿擅自停药。<strong style="color: blue;">正在服药者，最好提前<span style="color: black;">仔细</span>咨询<span style="color: black;">大夫</span>，决定<span style="color: black;">是不是</span>正常用药。</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><strong style="color: blue;">⑤<span style="color: black;">重视</span>抽血时间：</strong></strong></span><span style="color: black;">最好在早上7:30~10:00，采血前宜静息<span style="color: black;">最少</span>5分钟。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/s2UmGsDJw7fxQqCmfMGD5ZcuS7ufv2U2kt2ibjhezKAia086P2qYJUjmiaylLG4ic6Zy3dC0tjovP97VEgibWo4OkOA/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">下周四晚21点，视频号直播</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">世卫组织国际癌症<span style="color: black;">科研</span><span style="color: black;">公司</span>的数据<span style="color: black;">表示</span>，2020年<span style="color: black;">全世界</span>乳腺癌新发病例首次超过肺癌，<span style="color: black;">作为</span><span style="color: black;">全世界</span><span style="color: black;">第1</span>大癌症。我国乳腺癌发病率<span style="color: black;">亦</span><span style="color: black;">持续</span>攀升。身为普通人，<span style="color: black;">咱们</span>该</span><span style="color: black;"><span style="color: black;">怎样</span><span style="color: black;">保护</span>乳腺健康？</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">下周四晚21:00</span></strong></span><span style="color: black;">，</span><span style="color: black;">“我是大<span style="color: black;">大夫</span>官微-视频号”邀请专家进行直播《关于乳腺的<span style="color: black;">哪些</span>事儿》，还有实时互动，解答你的<span style="color: black;">关联</span>困惑！</span><strong style="color: blue;"><span style="color: black;">快点击下方卡片中的“</span></strong><span style="color: black;"><strong style="color: blue;"><span style="color: black;">预约</span></strong></span><strong style="color: blue;"><span style="color: black;">”</span></strong><strong style="color: blue;"><span style="color: black;">，开启直播提醒吧~</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">倘若</span>您想<span style="color: black;">即时</span>收到<span style="color: black;">更加多</span>健康知识</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">简单三步，把大<span style="color: black;">大夫</span>公众号设为星标吧~</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">☟☟☟</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/s2UmGsDJw7ejXvhvheYYbnEx6y9slbhbktDk7hWHRDEaTLVsEhkUSwG8DXiaow9eekNdBPhNhAfj55YYkEUQ3JA/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">更加多</span>知识</strong></span></p><strong style="color: blue;"><img src="https://mmbiz.qpic.cn/mmbiz_png/s2UmGsDJw7e40OsXAice2fLbEtk8s1WctqmVibDl4EJVkTXEZicIbrBaXzQhN9PkeL7zjQ5icScyfwicv1Oa7MevYRg/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></strong>
<h1 style="color: black; text-align: left; margin-bottom: 10px;"><a style="color: black;"><span style="color: black;"><strong style="color: blue;">电饭锅里这个“<span style="color: black;">隐匿</span><span style="color: black;">危害</span>”，快回家<span style="color: black;">检测</span>一下！还有4种<span style="color: black;">运用</span>习惯，中招的人赶紧改！</strong></span></a></h1><strong style="color: blue;"><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;"></strong>
<h1 style="color: black; text-align: left; margin-bottom: 10px;"><a style="color: black;"><span style="color: black;"><strong style="color: blue;">一个习惯，可能让身体变得滂臭，<span style="color: black;">非常多</span>人都有！这4种异味<span style="color: black;">亦</span>要<span style="color: black;">小心</span>，或是大病上身！</strong></span></a></h1><span style="color: black;"><strong style="color: blue;"><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;"></strong></span>
<h1 style="color: black; text-align: left; margin-bottom: 10px;"><a style="color: black;"><span style="color: black;"><strong style="color: blue;">“以为是上火，结果却是癌！”肾癌最偏爱的3类人，<span style="color: black;">期盼</span>你一个都不占</strong></span></a></h1><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;">
<h1 style="color: black; text-align: left; margin-bottom: 10px;"><a style="color: black;"><span style="color: black;"><strong style="color: blue;">公园里这种“硬核健身”太危险，赶紧停！家里4个小东西，<span style="color: black;">处理</span>腰背<span style="color: black;">病痛</span></strong></span></a></h1><strong style="color: blue;"><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;"></strong>
<h1 style="color: black; text-align: left; margin-bottom: 10px;"><a style="color: black;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">每日</span>仅仅运动10分钟，血管里就能<span style="color: black;">出现</span>这些变化…3个“微运动”，比走路还简单</strong></span></a></h1>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">部分<span style="color: black;">照片</span><span style="color: black;">源自</span>于网络</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;"></p><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">看<span style="color: black;">文案</span>有收获，就点个赞吧~</span></strong></span>
你的努力一定会被看见，相信自己，加油。 楼主的文章深得我心，表示由衷的感谢！
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