论坛 › 贵州 › 癌症晚期有多痛？吃什么止痛药有效，能让病人过得舒服一点。

ikkhksvu 发表于 2024-6-24 04:34:55

癌症晚期有多痛？吃什么止痛药有效，能让病人过得舒服一点。

<strong style="color: blue;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">点击关注</span><span style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_png/b96CibCt70iaajvl7fD4ZCicMcjhXMp1v6Uk1m7u836g6YKGghObS5SlTTEUh6kiaghuwy61VveG8yxibmA0kExkGeg/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">，不<span style="color: black;">错失</span>每一次推送</span></span></strong></span></strong><img src="https://mmbiz.qpic.cn/mmbiz_png/2iat1nRibzZxaxKJlKyvCZecubttK9uibbmJ32ia0aI2JgcYW4vLHntvNRhNwPld549gK2x5gMS9bzRicDMu0wp51XA/640?wx_fmt=png&amp;from=appmsg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"><strong style="color: blue;"><span style="color: black;">▼本文作者▼</span></strong><img src="https://mmbiz.qpic.cn/mmbiz_jpg/2iat1nRibzZxaxKJlKyvCZecubttK9uibbmzlvqGhTqNcDN27aS8Lo5Ap7hFNI4iab8lNl7HPNYtlCc7J9E2aic7oXA/640?wx_fmt=jpeg&amp;from=appmsg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;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;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/2iat1nRibzZxaxKJlKyvCZecubttK9uibbmxznLaicFA0081Yo1ZTbWcYX5ZzHKWhroic5qekPiaoAbX0QJHBQClXaiaw/640?wx_fmt=jpeg&amp;from=appmsg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;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;"><strong style="color: blue;"><span style="color: black;">全方位<span style="color: black;">病痛</span></span></strong><span style="color: black;">是癌症晚期多方面<span style="color: black;">原因</span><span style="color: black;">引起</span>一种综合性<span style="color: black;">病痛</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">它痛苦、<span style="color: black;">没</span>奈、<span style="color: black;">没</span>法忍受。它是深夜的恶魔，病人<span style="color: black;">通常</span>在苦难中<span style="color: black;">必要</span>学会忍耐，<span style="color: black;">况且</span><span style="color: black;">没</span>止境，直到生命停息的那一刻······</span></p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/2iat1nRibzZxYJcPEAYosr3E1ibjgAyEKvVUB7iaRZLq7nic5C4EAkOWdRpWMoysVenzhTeFhsJaawGqtiabuLQlBpOA/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;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;"><span style="color: black;">事实上，这种<span style="color: black;">病痛</span><span style="color: black;">不仅</span><span style="color: black;">包含</span>躯体化痛苦的症状，还<span style="color: black;">包含</span>了</span><strong style="color: blue;"><span style="color: black;">心理、社会和精神<span style="color: black;">原因</span></span></strong><span style="color: black;">。</span></p>1<span style="color: black;"><strong style="color: blue;">躯体</strong></span>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">肿瘤晚期癌细胞破坏身体正常组织，被破坏的部位会发出<span style="color: black;">必须</span>修复和躲避的信息，信号传导到中枢，继而<span style="color: black;">显现</span>感觉<span style="color: black;">反常</span>。最<span style="color: black;">平常</span>，<span style="color: black;">亦</span>最难忍受的症状<span style="color: black;">便是</span><span style="color: black;">病痛</span>。</span></p>2<span style="color: black;"><strong style="color: blue;">心理</strong></span>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">当<span style="color: black;">病痛</span>造<span style="color: black;">成为了</span></span><strong style="color: blue;"><span style="color: black;">心理压力、消极信息会传导到中枢</span></strong><span style="color: black;">，</span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">病痛</span>的强度会<span style="color: black;">逐步</span>加强</strong></span><span style="color: black;">。失眠、精神萎靡，食欲<span style="color: black;">衰退</span>，对死亡的恐惧。<span style="color: black;">各样</span>不适感会加重<span style="color: black;">病痛</span>的程度、<span style="color: black;">病痛</span>的时间，<span style="color: black;">乃至</span>是<span style="color: black;">病痛</span>的性质。</span></p>3<span style="color: black;"><strong style="color: blue;">静息痛</strong></span>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">癌痛<span style="color: black;">通常</span>伴有深夜的静息痛，这种在局部的隐痛、胀痛或是电击痛，会影响病人的<span style="color: black;">睡觉</span>，辗转反侧、难忍，<span style="color: black;">没</span>法缓解。全方位<span style="color: black;">病痛</span><span style="color: black;">更加是</span>在肉体<span style="color: black;">病痛</span>的<span style="color: black;">基本</span>上，加了精神<span style="color: black;">熬煎</span>和社会能力的缺失。</span></p>4<span style="color: black;"><strong style="color: blue;">内脏痛</strong></span>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">某些癌症还会伴有癌性内脏痛，这种牵涉痛<span style="color: black;">更加是</span>痛苦至极。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">癌痛时候，<span style="color: black;">通常</span>部位都不确定，<span style="color: black;">病痛</span>多样性。伴有骨骼肌、肌肉、神经的<span style="color: black;">损害</span>和精神心理学的<span style="color: black;">反常</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;"><span style="color: black;"><span style="color: black;">咱们</span>今天来讲一份经典癌痛的病例。</span></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;">仅有</span>32岁的小杰，年纪轻轻从2019年<span style="color: black;">起始</span>就<span style="color: black;">持续</span>地在医院里住院。用她自己的话说，<span style="color: black;">无</span>尽头，痛苦难耐。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">事情是<span style="color: black;">这般</span>的。2019年7月小杰不小心跌倒了，后枕部着地，脖子<span style="color: black;">病痛</span>难忍的她，被家人送到了医院，颈椎正侧片子提示，颈6椎体侵蚀性骨折，颈椎严重不稳，<span style="color: black;">思虑</span>为病理性骨折。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">本以为<span style="color: black;">便是</span>普通的外伤，结果在医院里一查，说颈椎椎体骨折的很奇怪，像病理性骨折，<span style="color: black;">那样</span>什么是病理性骨折呢？</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;">本来</span>的骨结构被侵袭性<span style="color: black;">疾患</span>所破坏，会因轻微的外力和外伤<span style="color: black;">导致</span>骨折，这叫病理性骨折。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">对小杰<span style="color: black;">来讲</span>，这不是一个好<span style="color: black;">信息</span>。病理性骨折就<span style="color: black;">寓意</span>着她颈椎椎体可能存在肿瘤侵犯。</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/2iat1nRibzZxYJcPEAYosr3E1ibjgAyEKvVazxzhAIibvDq8bhblqicHYtz5zJFAoHn3sndCJFLib8hVTlQLmoT4AHXQ/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;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;">果然，在之后的手术病理提示，她的骨头和部分淋巴结被肿瘤侵蚀。病理提示：上皮样血管内皮癌。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">在之后的岁月里，小杰很痛苦，因肿瘤从颈3-6椎体都有侵蚀，后不得不反复做手术把颈椎椎体<span style="color: black;">所有</span>切除，并做重建手术，<span style="color: black;">移植</span>金属支撑假体。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">而肿瘤并<span style="color: black;">无</span>因切除而完全结束，在之后复查中，<span style="color: black;">包含</span>颈椎的寰椎、枢椎，左侧乳突肿瘤都有所侵犯。而小杰<span style="color: black;">最后</span><span style="color: black;">无</span>逃过的是癌痛、骨痛。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">肿瘤侵犯了高颈段、颅底部、左侧乳突和脑膜。这些组织都<span style="color: black;">不可</span>再次贸然动手术，于是小杰只能默默忍受肿瘤给她带来的<span style="color: black;">各样</span>痛苦。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">夜深人静的夜晚，<span style="color: black;">病痛</span>、<span style="color: black;">没</span>奈、<span style="color: black;">没</span>尽的时间。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">而</span><strong style="color: blue;"><span style="color: black;">规范管理并有效<span style="color: black;">掌控</span>肿瘤<span style="color: black;">导致</span>的<span style="color: black;">病痛</span>，<span style="color: black;">能够</span>大大的改善<span style="color: black;">病人</span>的<span style="color: black;">存活</span>质量，延长带瘤的<span style="color: black;">存活</span>期</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;">癌痛的管理需综合、全方位、动态的兼顾各个方面，更<span style="color: black;">必须</span>关注<span style="color: black;">病人</span>的<span style="color: black;">心情</span>和<span style="color: black;">睡觉</span>。</span></p><strong style="color: blue;">0</strong><strong style="color: blue;">1</strong><strong style="color: blue;"><span style="color: black;"><span style="color: black;">病痛</span>的<span style="color: black;">评定</span></span></strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2001年，</span><strong style="color: blue;"><span style="color: black;">WHO把<span style="color: black;">病痛</span>列为了第五生命体征</span></strong><span style="color: black;">。<span style="color: black;">亦</span><span style="color: black;">便是</span>说它同体温、<span style="color: black;">呼气</span>、心跳、脉搏<span style="color: black;">同样</span><span style="color: black;">要紧</span>。对<span style="color: black;">病痛</span>进行<span style="color: black;">基本</span>的<span style="color: black;">评定</span>是癌痛治疗的<span style="color: black;">重要</span>。应该遵循“量化、全面、动态、常规”的原则。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">最<span style="color: black;">平常</span>的<span style="color: black;">办法</span>是在一张白纸上画一条长10cm的直线。左侧端为“<span style="color: black;">没</span>痛”0分，右侧端为“剧痛”10分。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">让病人<span style="color: black;">按照</span>自己的感受来在直线上在相应部位做标记。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">从而<span style="color: black;">表率</span><span style="color: black;">病人</span><span style="color: black;">病痛</span>的程度。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/2iat1nRibzZxYJcPEAYosr3E1ibjgAyEKvV4uwIogRHow8iaZibElMsZRx33WUFxsHGGIw0BjPIVIibPspQXEDianEJKg/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;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;"><span style="color: black;"><span style="color: black;">亦</span><span style="color: black;">能够</span><span style="color: black;">经过</span>面部表情量表来<span style="color: black;">评定</span>，让<span style="color: black;">病人</span>从微笑、<span style="color: black;">哀思</span>、哭泣6个脸谱做<span style="color: black;">选取</span>。对儿童、老人、丧失语言表达能力的人<span style="color: black;">来讲</span>比较友好和直观。</span></p><strong style="color: blue;">02</strong><span style="color: black;"><strong style="color: blue;"><span style="color: black;">癌痛的<span style="color: black;">药品</span>治疗</span></strong></span>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">WHO曾经早在1982年就<span style="color: black;">颁布</span>了癌痛的“<span style="color: black;">药品</span>三阶梯止痛”<span style="color: black;">方法</span>，规范的应用能缓解大部分的<span style="color: black;">病痛</span>。</span></p><span style="color: black;">1</span><span style="color: black;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">第1</span>阶梯为轻度<span style="color: black;">病痛</span></span></strong></span><span style="color: black;"><span style="color: black;">重点</span>应用非甾体类抗炎<span style="color: black;">药品</span>，<span style="color: black;">例如</span>布洛芬、塞来昔布等。辅助予以抗焦虑，抗抑郁、抗惊厥，镇静<span style="color: black;">助眠</span>，止吐等对症<span style="color: black;">药品</span>。</span><span style="color: black;">2</span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">第二阶梯为中度<span style="color: black;">病痛</span></span></strong></span><span style="color: black;">应用弱阿片类<span style="color: black;">药品</span>，<span style="color: black;">例如</span>曲马多。</span><span style="color: black;">3</span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">第三阶梯为重度<span style="color: black;">病痛</span></span></strong></span><span style="color: black;">应用强效阿片类<span style="color: black;">药品</span>进行治疗，吗啡片、氨酚氢考酮、芬太尼贴剂、杜冷丁等。</span>
    <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;">同期</span>应该遵循以下要点：</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">1、首选口服<span style="color: black;">药品</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2、按时给药。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">3、按阶梯给药。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">4、个体化给药。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">5、<span style="color: black;">重视</span><span style="color: black;">详细</span>细节和<span style="color: black;">注意</span><span style="color: black;">病人</span>给药后的副反应。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">6、注重<span style="color: black;">病人</span>的心理健康、<span style="color: black;">心情</span>和<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;"><span style="color: black;">7、可尝试予以微创介入治疗，<span style="color: black;">包含</span><span style="color: black;">病人</span>自控<span style="color: black;">止疼</span>、神经阻滞、射频热凝和脊髓电刺激等。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/2iat1nRibzZxYJcPEAYosr3E1ibjgAyEKvVDOYS6TvGrjB5pqb1ghiaev0659PS8icpldwVA3oadxopkpeibeEQCnWQA/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;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;"><span style="color: black;">肿瘤<span style="color: black;">关联</span>性全方位<span style="color: black;">病痛</span>是一个悲剧的存在。而现今的<span style="color: black;">药品</span>医疗技术<span style="color: black;">能够</span>大大减轻病人的痛苦指数。<span style="color: black;">同期</span><span style="color: black;">创立</span>多学科会诊机制，<span style="color: black;">包含</span>内科、外科、肿瘤科、<span style="color: black;">病痛</span>科、心理科、<span style="color: black;">恢复</span>科等<span style="color: black;">一起</span>参与。</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;">能够</span>全方位、多层次的制定治疗<span style="color: black;">方法</span>，实现最大程度的改善和减轻病人的<span style="color: black;">病痛</span>，<span style="color: black;">加强</span><span style="color: black;">存活</span>期的<span style="color: black;">同期</span>，制定个体化的<span style="color: black;">存活</span><span style="color: black;">方法</span>。</span></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;">写在最后</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">小杰在应用止痛药后，夜间<span style="color: black;">能够</span>睡着了，这对她<span style="color: black;">来讲</span>是弥足<span style="color: black;">宝贵</span>的<span style="color: black;">休憩</span>时间。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">而后<span style="color: black;">每日</span>醒来，她仍<span style="color: black;">必须</span>和病魔战斗，<span style="color: black;">咱们</span>只能祝福她能过好每一天，<span style="color: black;">再也不</span><span style="color: black;">病痛</span>的每一天。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_gif/2iat1nRibzZxbZ8Kh2YJq9WVzwmKAGpM1vicVvicTyTxgL3rntWRHibas67DXdgzV7LG2XCLoL499Fm7icXibTIOWG04g/640?wx_fmt=gif&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1" style="width: 50%; margin-bottom: 20px;"><span style="color: black;"><strong style="color: blue;">作者介绍</strong></span>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/2iat1nRibzZxalVAicSMoibaHMr4AO9xe4ibTwJdxKGIQKE7rjHORDia5kBDgeffGoHu5xRtxtiaqC0uqkLlBkicgGiccYg/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;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;"><strong style="color: blue;"><span style="color: black;">武玉军</span></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;">海军第九〇五医院</span></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;">神经内科&nbsp;主治医师</span></strong></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;">简介：</span></strong></span><span style="color: black;">硕士<span style="color: black;">科研</span>生，毕业于泰山医学院影像医学与介入放射学，现任海军第九〇五医院神经内科主治医师，从事神经内科临床工作10年，缺血性脑卒<span style="color: black;">中间商</span>入诊疗工作8年。</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;"><strong style="color: blue;"><span style="color: black;">善于</span>：</strong></span><span style="color: black;"><span style="color: black;">繁杂</span>脑血管病的诊断和治疗，对重症病人的<span style="color: black;">救治</span>及<span style="color: black;">恢复</span><span style="color: black;">亦</span>有独到的见解。</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;"><span style="color: black;">章悦 主治医师</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;">复旦大学<span style="color: black;">附庸</span>华山医院神经内科</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;">简介：</span></strong></span><strong style="color: blue;"><span style="color: black;">章悦</span></strong><span style="color: black;">，男，1981.07出生，1999年考入复旦大学医学院（原上海医科大学）七年制，2006年神经病学专业硕士毕业进入复旦大学<span style="color: black;">附庸</span>华山医院神经内科工作，2011年晋升为主治医师，2014年复旦大学上海医学院神经病学博士毕业。</span></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;">专业方向：</span></strong><span style="color: black;">癫痫，神经遗传病及神经内科各类疑难杂症。<span style="color: black;">日前</span>为华山医院神经科主治医师。</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_gif/Ljib4So7yuWgKibjWD6TLsU1s2m4YkauFrDsn7icYibXW8YrgxJKdiagXCjElNH3HhrOJRh97eHeZ9T4J4NI3G5mFMw/640?wx_fmt=gif&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1" style="width: 50%; margin-bottom: 20px;"></p>

听听海 发表于 2024-9-1 13:41:02

你的话语如春风拂面，温暖了我的心房，真的很感谢。

流星的美 发表于 2024-9-9 23:52:09

你的见解独到，让我受益匪浅，期待更多交流。

情迷布拉格 发表于 2024-9-10 15:52:53

你的话语如春风拂面，温暖了我的心房，真的很感谢。

qzmjef 发表于 前天 16:33

一看到楼主的气势，我就觉得楼主同在社区里灌水。

查看完整版本: 癌症晚期有多痛？吃什么止痛药有效，能让病人过得舒服一点。