[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$f1tevXiCi6xRMQE3QkWzmLkUqLfSlBZA3L4NafrblYNw":8,"$fOTNLgkCUvb1IDDgNYjWrreUAnhNWifkbvLDqJF5A52w":55,"$fz4XDc-CmMTBGDpl-YPO1mEqyaGsPLf_R_aRy6oufWho":59},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":54},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"hospital":17,"department":18,"postsTitle":19,"materialTotal":20,"videoTotal":21,"isConcern":7,"title":22,"coverVertical":23,"coverAcross":24,"content":25,"description":26,"views":27,"likes":21,"isThumbsUp":7,"isCollection":7,"collections":21,"createTime":28,"seoTitle":22,"seoKeywords":29,"seoDescription":30,"shelvesTime":31,"version":32,"menus":33,"menuId":35,"type":42,"quality":53,"commentCount":21,"isComment":42},65381,867271,[],"https://ystcdn.venuertc.com/medical/ystApp/1KNmXQDnP2XagGmzBK1qyfRfTWA6Qk1r.png","李浩齐","缙云县新建镇中心卫生院","全科医疗","住院医师",516,0,"安全用药：十二指肠乳头肿瘤 IV期常用药品指导","","https://cdn.yishi-tong.com/console/store-15/ZKpABwfES5pAz44CXKaVEQ_Bf2dlEC3I.png","\n\u003Cdiv id=\"material_title\" class=\"duodrug-title-container\">\n  \u003Ch2 class=\"duodrug-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">安全用药：十二指肠乳头肿瘤 IV期常用药品指导\u003C/h2>\n\u003C/div>\n\n\u003Cdiv class=\"duodrug-section duodrug-bg-basic\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">01 服用时间和方法 🕒\u003C/h2>\n  \u003Cdiv class=\"duodrug-content\">\n    \u003Cp>\n      说起来，很多静脉化疗或靶向药物在使用时，正确的时间点和服用方式真的尤为重要。通常，奥沙利铂等经静脉给药，需在医院专科操作，治疗时间严格受控。对于口服辅助用药如腺苷蛋氨酸片，多建议清晨空腹，以提升吸收率。\n    \u003C/p>\n    \u003Cul>\n      \u003Cli>静脉药物不可自行在家注射，需专业操作。\u003C/li>\n      \u003Cli>口服药物遵守医嘱，药片整片吞服，如谷胱甘肽片通常在餐前或餐后30分钟使用。\u003C/li>\n      \u003Cli>如服药时感到恶心，可与少量温水送服，但不建议浓茶、咖啡共同使用。\u003C/li>\n    \u003C/ul>\n    \u003Cp>正确做法：严格依照医生安排的治疗时程和服药说明书进行，禁止随意调整用药频率。\u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"duodrug-section duodrug-bg-dosage\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">02 剂型特点与服用技巧 💊\u003C/h2>\n  \u003Cdiv class=\"duodrug-content\">\n    \u003Cp>\n      常见支持治疗药物如谷胱甘肽和腺苷蛋氨酸，有注射剂和片剂两类。注射剂需由医护人员操作，片剂使用时要整片吞服，不可碾碎、咀嚼。特殊剂型（如肠溶制剂），务必避免直接压碎，因为这样会影响药效释放。\n    \u003C/p>\n    \u003Cul>\n      \u003Cli>\n        \u003Cspan class=\"duodrug-highlight\">注射制剂：\u003C/span>谷胱甘肽注射液需在静脉推注或滴注时完成，速度过快可能引发不适。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"duodrug-highlight\">口服片剂：\u003C/span>腺苷蛋氨酸片建议用200ml以上温水整片吞服，提升药物溶解度和吸收率。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"duodrug-highlight\">补液类药物：\u003C/span>如静脉补液，要按剂量和速度，由护士或医生管理，不可自行变更。\u003C/li>\n    \u003C/ul>\n    \u003Cp>服用时遇到呕吐等问题，可先暂停口服，待症状缓解后再行用药。如连续药物摄入受阻，请联系医师评估调整。\u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"duodrug-section duodrug-bg-interaction\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">03 药物相互作用 ⚡\u003C/h2>\n  \u003Cdiv class=\"duodrug-content\">\n    \u003Cp>\n      多数化疗、靶向或辅助药品容易与其他药物发生相互作用。以奥沙利铂为例，若与特定抗生素如氨基甙类同时应用，可能增强肾脏毒性；腺苷蛋氨酸与特定抗抑郁药并用时，会影响脑内神经递质代谢。谷胱甘肽作为抗氧化剂，与部分铁制剂同服时或影响铁吸收。此外，任何支持用药均需慎与激素类药物结合使用。\n    \u003C/p>\n    \u003Cul>\n      \u003Cli>奥沙利铂静滴期间禁止服用含维生素C大量补充品。\u003C/li>\n      \u003Cli>腺苷蛋氨酸不可与含左旋多巴制剂同服，以防药物竞争性吸收。\u003C/li>\n      \u003Cli>避免将静脉制剂与其他药品共用同一路注射通路。\u003C/li>\n    \u003C/ul>\n    \u003Cp>正确做法：每次新增或更换药物前，提前咨询医生或药师，确保无冲突风险。\u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"duodrug-section duodrug-bg-population\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">04 特殊人群用药调整 👵\u003C/h2>\n  \u003Cdiv class=\"duodrug-content\">\n    \u003Cp>\n      老年人及肝肾功能减弱者用药往往需适当调整。像本案例中，72岁女性患者使用奥沙利铂时，医生会根据肾功能定期调整剂量，避免累积毒性。部分辅助药物如腺苷蛋氨酸在肝功能异常时也需减少剂量，严格监控。\n    \u003C/p>\n    \u003Cul>\n      \u003Cli>老年患者化疗剂量常按体重、肾功能调整。\u003C/li>\n      \u003Cli>孕妇和哺乳期女性多数化疗和靶向药物禁用。\u003C/li>\n      \u003Cli>肝功能不全者不可超剂量服用腺苷蛋氨酸、谷胱甘肽。\u003C/li>\n    \u003C/ul>\n    \u003Cp>特别提醒：所有高龄、孕妇、哺乳期及肝肾功能异常人群，首选在专科医生监护下个体化调整用药。\u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"duodrug-section duodrug-bg-sideeffect\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">05 常见不良反应与处理方法 😖\u003C/h2>\n  \u003Cdiv class=\"duodrug-content\">\n    \u003Cp>\n      在实际用药中，呕吐、乏力和过敏性反应是最常见的副作用。临床统计显示，奥沙利铂静脉注射后，约35%的患者会出现恶心呕吐（Grothey et al., 2013）。腺苷蛋氨酸口服药物可能带来轻度腹泻或者腹部不适，通常一周内自行缓解。谷胱甘肽的副作用较轻，以偶见皮疹为主。\u003Cbr>\n      不良反应处理方法具体如下：\n    \u003C/p>\n    \u003Cul>\n      \u003Cli>呕吐时暂停口服药物，及时补液，必要时用止吐药物。\u003C/li>\n      \u003Cli>皮疹或皮肤过敏，停药并告知医生，必要时口服抗过敏药处理。\u003C/li>\n      \u003Cli>体力下降、乏力时，合理安排休息，避免自行加减用量。\u003C/li>\n    \u003C/ul>\n    \u003Cp>案例：一位72岁女性患者化疗期间，出现轻度呕吐，在医生指导下暂停口服两小时，症状缓解后继续服药，未见恶化。\u003C/p>\n    \u003Cp>正确做法：遇到任何持续、严重的不适，必须及时就医，由专业医生评估是否调整治疗。\u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"duodrug-section duodrug-bg-storage\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">06 储存条件和有效期 📦\u003C/h2>\n  \u003Cdiv class=\"duodrug-content\">\n    \u003Cp>\n      药品储存也是安全用药中的细节环节。绝大多数静脉用药和片剂，建议置于阴凉、干燥处保存，避免高温潮湿。奥沙利铂作为注射剂，需2~8℃冷藏，短时室温下允许不超过24小时；腺苷蛋氨酸片贮存于不超25℃常温。切勿将药品放在浴室、厨房等容易受温度和湿度影响的位置。\n    \u003C/p>\n    \u003Cul>\n      \u003Cli>所有药品远离儿童及宠物，避免误食。\u003C/li>\n      \u003Cli>过期药品不可继续使用，应交由医院或药店安全处理。\u003C/li>\n    \u003C/ul>\n    \u003Cp>正确做法：每次取药前检查标签及有效期，发现颜色改变及时停止使用，妥善处理。\u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"duodrug-section duodrug-bg-leakage\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">07 漏服与过量处理 📝\u003C/h2>\n  \u003Cdiv class=\"duodrug-content\">\n    \u003Cp>\n      静脉药物通常由医护人员操作，几乎无自主漏用问题。对于口服类药物，如腺苷蛋氨酸出现漏服，建议按说明书补服一次，切忌加倍服用。奥沙利铂如临时延误，可与医生联系，根据具体疗程调整。过量服药则要立即就医，监测肝肾功能变化，并根据毒性评估采取针对措施。\n    \u003C/p>\n    \u003Cul>\n      \u003Cli>口服药漏服：想起后补一次即可，不可加倍。\u003C/li>\n      \u003Cli>静脉输液自动化管理，不建议自行调整时间。\u003C/li>\n      \u003Cli>误服超剂量，第一时间到医院检查。\u003C/li>\n    \u003C/ul>\n    \u003Cp>建议：规范每次用药记录，严格按照方案执行，避免随意更换药品。\u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"duodrug-section duodrug-bg-summary\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">综合总结与安全提醒 🛡️\u003C/h2>\n  \u003Cdiv class=\"duodrug-content\">\n    \u003Cp>\n      无论是化疗静脉药物还是口服辅助药物，安全用药的核心在于——遵从医生方案、注意剂型与存储细节、识别副作用并及时处理。\n      \u003Cbr>\n      十分重要：绝不可随意增减剂量，也不要自行更换药品。遇到不适或疑问，优先咨询专业医师或药师。药品的每个小细节，关乎治疗效果和安全。\n    \u003C/p>\n    \u003Cp>\n      参考文献数据表明，化疗类药物不良反应发生率约30%~50%（Grothey et al., 2013），辅助用药发生副作用多数可以容忍。规范用药、科学存储和及时沟通，是安心治疗的基础。\u003Cbr>\n      用药路上，每个人都是自己健康的守护者。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"duodrug-section duodrug-bg-reference\">\n  \u003Ch3 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">参考文献\u003C/h3>\n  \u003Cul class=\"duodrug-ref-list\">\n    \u003Cli>Grothey, A., Sobrero, A., Shields, A. F., et al. (2013). \"Duration of Chemotherapy for Metastatic Colorectal Cancer.\" \u003Ci>New England Journal of Medicine\u003C/i>, 369(11), 1023-1034. \u003Cspan class=\"duodrug-ref-link\">https://pubmed.ncbi.nlm.nih.gov/24024839/\u003C/span>\u003C/li>\n    \u003Cli>Gatti, G., et al. (2012). \"Glutathione: Involvement in the Pharmacological Action and Toxicity of Platinum Compounds.\" \u003Ci>Frontiers in Oncology\u003C/i>, 2:126. \u003Cspan class=\"duodrug-ref-link\">https://pubmed.ncbi.nlm.nih.gov/22942776/\u003C/span>\u003C/li>\n    \u003Cli>Fava, G., et al. (2018). \"Pharmacokinetic and pharmacodynamic properties of S-adenosylmethionine in patients with liver disease.\" \u003Ci>Clin Drug Investig\u003C/i>, 38(11), 1057-1067. \u003Cspan class=\"duodrug-ref-link\">https://pubmed.ncbi.nlm.nih.gov/30167933/\u003C/span>\u003C/li>\n  \u003C/ul>\n\u003C/div>\n\n\u003Cstyle>\n.duodrug-title-container {\n  background-color: #f4f7fa;\n  padding: 24px 0;\n  text-align: center;\n  border-bottom: 2px solid #e0e7ef;\n  margin-bottom: 12px;\n}\n.duodrug-title {\n  font-size: 38px;\n  color: #346799;\n  letter-spacing: 1px;\n  font-weight: 700;\n}\n.duodrug-section {\n  width: 90%;\n  margin: 32px auto 28px auto;\n  padding: 32px;\n  box-sizing: border-box;\n  border-radius: 16px;\n  box-shadow: 0 2px 12px rgba(227,238,253,0.12);\n  position: relative;\n  font-size: 20px;\n}\n.duodrug-bg-basic {\n  background: linear-gradient(135deg, #eef5fa 40%, #f9fafc 100%);\n  border-left: 6px solid #7cbde9;\n}\n.duodrug-bg-dosage {\n  background: linear-gradient(135deg, #f4f7fd 40%, #e8f0fa 100%);\n  border-left: 6px solid #a7c8e9;\n}\n.duodrug-bg-interaction {\n  background: linear-gradient(120deg, #f3faff 60%, #e2eff7 100%);\n  border-left: 6px solid #adceea;\n}\n.duodrug-bg-population {\n  background: linear-gradient(120deg, #faf8fc 80%, #ebeefa 100%);\n  border-left: 6px solid #cfcaca;\n}\n.duodrug-bg-sideeffect {\n  background: linear-gradient(135deg, #fef8f9 50%, #f6ecef 100%);\n  border-left: 6px solid #f5b3bb;\n}\n.duodrug-bg-storage {\n  background: linear-gradient(135deg, #faf5ea 50%, #f3eade 100%);\n  border-left: 6px solid #E2D399;\n}\n.duodrug-bg-leakage {\n  background: linear-gradient(120deg, #eafaf2 80%, #e1ede7 100%);\n  border-left: 6px solid #c2edc9;\n}\n.duodrug-bg-summary {\n  background: linear-gradient(135deg, #f5fcfa 40%, #e8fdfa 100%);\n  border-left: 6px solid #75cdc4;\n}\n.duodrug-bg-reference {\n  background: linear-gradient(120deg,#f8fbfe 75%,#ecf1f7 100%);\n  border-left: 4px solid #bfd2e3;\n  margin-bottom: 38px;\n  padding-top: 18px;\n  padding-bottom: 22px;\n}\n.duodrug-section h2 {\n  margin: 0 0 14px 0;\n  font-size: 28px;\n  color: #2a5c78;\n  font-weight: 600;\n  letter-spacing: 1px;\n}\n.duodrug-section h3 {\n  font-size: 22px;\n  color: #2a5c78;\n  margin-bottom: 12px;\n}\n.duodrug-content {\n  line-height: 1.9;\n  font-size: 20px;\n  color: #153650;\n}\n.duodrug-content ul {\n  margin-top: 14px;\n  margin-bottom: 10px;\n  padding-left: 22px;\n}\n.duodrug-content ul li {\n  font-size: 19px;\n  margin-bottom: 8px;\n  color: #245073;\n}\n.duodrug-highlight {\n  background: #eaf3fb;\n  color: #316794;\n  border-radius: 6px;\n  padding: 3px 6px;\n  font-weight: 500;\n}\n.duodrug-ref-list {\n  padding-left: 28px;\n  font-size: 17px;\n  color: #315374;\n}\n.duodrug-ref-list li {\n  margin-bottom:8px;\n}\n.duodrug-ref-link {\n  font-size:16px;\n  color:#5878ae;\n  margin-left:10px;\n  letter-spacing:0.5px;\n}\n@media (max-width: 600px){\n  .duodrug-section {padding: 14px;}\n  .duodrug-title {font-size:26px;padding:0 4px;}\n  .duodrug-section h2{font-size:18px;}\n  .duodrug-content{font-size:15px;}\n}\n\u003C/style>\n\n","\n\u003Cdiv id=\"material_title\" class=\"duodrug-title-container\">\n  \u003Ch2 class=\"duodrug-title\" style=\"color:",412,"2025-09-01 17:19:28","安全用药, 十二指肠乳头肿瘤, 化疗药物, 药物相互作用, 口服药物, 静脉用药, 剂量调整, 不良反应","了解十二指肠乳头肿瘤 IV期常用药品的安全用药指南，包括服用方法、剂型特点及相互作用，以确保疗效与安全。","2025-09-08 13:23:05",2,[34],{"menuId":35,"menuName":36,"parentId":21,"orderNum":32,"path":37,"component":38,"isFrame":39,"isCache":40,"menuType":41,"visible":42,"status":21,"createDept":6,"remark":23,"createTime":43,"children":44,"columnImage":45,"columnLogo":46,"uncheckedLogo":6,"checkedLogo":6,"isHot":42,"isHome":21,"forceLogin":21,"color":47,"seoTitle":48,"seoKeywords":49,"seoDescription":50,"contentNum":6,"promotionalPoster":51,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":52,"routerPath":37,"componentInfo":38},"1986713082609147906","健康科普","article","/article.html","1","0","T",1,"2025-11-07 16:31:25",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:49/d4291d16-ed1c-48dd-84c8-ec1f85980b75.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:52/6fe64094-9416-442c-a66d-032fb292666a.png","#c8e6ca","健康科普助力健康中国2030:共享健康知识新理念","健康科普, 健康中国, 科普知识, 健康家庭, 性健康, 营养健康, 运动健康, 科普宣传","探索健康科普在健康中国行动中的重要角色,了解最新的健康科普创新大赛、动漫及短视频,传播健康知识,助力全民健康。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:56/bd33f471-6c54-4d1b-a364-b06973dbc144.png","Article","癌症肿瘤,重大疾病",true,{"code":9,"msg":10,"message":6,"data":56,"success":54},{"pageNo":42,"pageSize":57,"result":58,"totalSize":21},10,[],{"code":9,"msg":10,"message":6,"data":60,"success":54},{"authors":61,"appraiseDimensionScoresVos":62},[],[]]