[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fNwMzyWpbEjB5ja-aOIIUoLqBC_81dsGnemI1m7T5-KM":8,"$fHPPD2H15VJLKUnf4zkzMes64dD6E6YUWzbgx6-74-IM":55,"$fdVhoTAsuY5_7RJmP4mEMaw4brkR-Youf3K8PNR-NN5Y":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},67023,867271,[],"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,"舌恶性肿瘤常用化疗及支持用药安全指南（cT3N3M0分期适用）","","https://ystcdn.venuertc.com/venue/AI/b3b04df1-f307-40d0-ace9-da65b6806b81.jpg","\u003Ch1 id=\"material_title\" class=\"tongueDrug-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n舌恶性肿瘤常用化疗及支持用药安全指南（cT3N3M0分期适用）\n\u003C/h1>\n\n\u003Cdiv class=\"tongueDrug-intro\">\n说起来，舌恶性肿瘤的系统治疗离不开化疗和免疫治疗药物。化疗用药涉及多种细节，比如正确的用药方法、特殊不良反应处理、药物之间的配合技巧等。对于联合方案、如替雷利珠单抗、白蛋白紫杉醇、顺铂等，安全用药格外重要。本文会逐一介绍舌恶性肿瘤常用药物的7个关键实用技巧，以及升白、止吐等辅助药物的准确用法。每一点都直击核心，让你用得更安全、更有效。\n\u003C/div>\n\n\u003C!-- 主要结构 -->\n\n\u003Csection class=\"tongueDrug-section\">\n  \u003Ch2 class=\"tongueDrug-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">01 ⏰ 服用时间与方法：化疗药物如何正确用？\u003C/h2>\n  \u003Cdiv class=\"tongueDrug-bg\">\n    \u003Cul class=\"tongueDrug-list\">\n      \u003Cli>\u003Cstrong>替雷利珠单抗\u003C/strong>：每3周静脉输注一次，常用剂量为200mg。使用时建议于专业医疗机构监测下操作，全程监控输液速度，避免过快。\u003C/li>\n      \u003Cli>\u003Cstrong>白蛋白紫杉醇\u003C/strong>：标准用量为每体表面积170mg，静脉滴注，滴注时间不少于30分钟。输注当天需检查血象，确保血液指标达标。\u003C/li>\n      \u003Cli>\u003Cstrong>顺铂\u003C/strong>：通常分为多日方案，如本例d1-3，每日30mg。顺铂必须与充足静脉补液配合，滴注时间不得少于1小时。\u003C/li>\n      \u003Cli>\u003Cstrong>升白药（利可君片）\u003C/strong>：口服，每次20mg，每日3次。建议饭后服用，温水送服。\u003C/li>\n      \u003Cli>\u003Cstrong>止吐药（昂丹司琼片）\u003C/strong>：口服或静脉，用于预防和缓解化疗引起的恶心，首次用药应在化疗前30分钟服用。\u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"tongueDrug-tip\">正确做法：所有静脉化疗药物需在医院完成，升白及止吐药按医嘱在家服用，剂量不得擅自加减。\u003C/p>\n  \u003C/div>\n\u003C/section>\n\n\u003Csection class=\"tongueDrug-section\">\n  \u003Ch2 class=\"tongueDrug-subtitle\" 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：不同药物如何操作？\u003C/h2>\n  \u003Cdiv class=\"tongueDrug-bg\">\n    \u003Cul class=\"tongueDrug-list\">\n      \u003Cli>\u003Cstrong>替雷利珠单抗\u003C/strong>为注射剂型，不可用于肌肉注射或皮下注射。\u003C/li>\n      \u003Cli>\u003Cstrong>白蛋白紫杉醇\u003C/strong>为静脉滴注剂，不可以口服，也不得用于器官灌注。\u003C/li>\n      \u003Cli>\u003Cstrong>顺铂\u003C/strong>为注射液。使用时需事先稀释，滴注前后保证补液，防止肾损伤。\u003C/li>\n      \u003Cli>\u003Cstrong>利可君片、昂丹司琼片\u003C/strong>均为口服片剂。正确做法：整片吞服，勿掰碎或嚼服。\u003C/li>\n      \u003Cli>服药时饮水量应足够，有助药片吞咽，减少消化道刺激。\u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"tongueDrug-tip\">特别提醒：口服片剂必须整片吞服，静脉药物必须由医护人员操作。\u003C/p>\n  \u003C/div>\n\u003C/section>\n\n\u003Csection class=\"tongueDrug-section\">\n  \u003Ch2 class=\"tongueDrug-subtitle\" 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：哪些药不能混用？\u003C/h2>\n  \u003Cdiv class=\"tongueDrug-bg\">\n    \u003Cul class=\"tongueDrug-list\">\n      \u003Cli>\u003Cstrong>白蛋白紫杉醇\u003C/strong>与顺铂合用时，需先给予紫杉醇再给予顺铂，减少神经毒性及骨髓抑制风险。\u003C/li>\n      \u003Cli>\u003Cstrong>替雷利珠单抗\u003C/strong>不应与强免疫抑制剂（如激素大剂量冲击、环磷酰胺等）常规联用，否则影响药效。\u003C/li>\n      \u003Cli>药物期间应避免使用肾毒性药物，如某些抗生素（庆大霉素等）及非甾体抗炎药，防止肾损伤。\u003C/li>\n      \u003Cli>升白药利可君与其他口服化疗药物需间隔最少2小时。\u003C/li>\n      \u003Cli>止吐药如昂丹司琼，不能与多种心律不齐药物（如胺碘酮等）同用，防止QT延长。\u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"tongueDrug-tip\">正确做法：每种药物之间根据医嘱合理安排用药时间和顺序，请勿自行搭配。\u003C/p>\n  \u003C/div>\n\u003C/section>\n\n\u003Csection class=\"tongueDrug-section\">\n  \u003Ch2 class=\"tongueDrug-subtitle\" 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：老年、肝肾功能不全怎么办？\u003C/h2>\n  \u003Cdiv class=\"tongueDrug-bg\">\n    \u003Cul class=\"tongueDrug-list\">\n      \u003Cli>老年患者（≥65岁）使用替雷利珠单抗、顺铂或紫杉醇时，建议从标准剂量下限开始，根据耐受性逐步调整。\u003C/li>\n      \u003Cli>肾功能不全患者顺铂禁用，必须肾功能正常方可使用，不同患者须个体化计算剂量。\u003C/li>\n      \u003Cli>肝功能异常患者，白蛋白紫杉醇剂量需下调，重度肝损伤者不太推荐使用。\u003C/li>\n      \u003Cli>孕妇、哺乳期妇女严禁使用上述化疗药物。\u003C/li>\n      \u003Cli>辅助药如利可君片，肝肾功能异常时应慎用并遵从医生指引。\u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"tongueDrug-tip\">特殊人群药物调整必须医生指导，切勿自己增减剂量。\u003C/p>\n  \u003C/div>\n\u003C/section>\n\n\u003Csection class=\"tongueDrug-section\">\n  \u003Ch2 class=\"tongueDrug-subtitle\" 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：如何识别与应对？\u003C/h2>\n  \u003Cdiv class=\"tongueDrug-bg\">\n    \u003Cul class=\"tongueDrug-list\">\n      \u003Cli>\u003Cstrong>替雷利珠单抗\u003C/strong>：可能出现免疫相关不良反应，包括皮疹、肝酶升高等。多为轻中度，严重时需停药并用激素治疗。\u003C/li>\n      \u003Cli>\u003Cstrong>白蛋白紫杉醇\u003C/strong>：最常见骨髓抑制（低白细胞、贫血），还可有脱发、手脚麻木。需定期查血象，低于安全范围时暂缓治疗。\u003C/li>\n      \u003Cli>\u003Cstrong>顺铂\u003C/strong>：较易导致肾损伤、耳聋、恶心呕吐。化疗期间要加强肾功能监测，并足量补液。\u003C/li>\n      \u003Cli>\u003Cstrong>利可君片\u003C/strong>：极少出现胃肠不适，个别人有皮疹。症状轻可继续用药，严重应停药。\u003C/li>\n      \u003Cli>\u003Cstrong>昂丹司琼片\u003C/strong>：偶见便秘、头痛，如果出现心悸需及时停药并就医。\u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"tongueDrug-tip\">数据表明，联合化疗方案发生Ⅳ度骨髓抑制的比例约10%-20%。出现高热、严重不适时需立即到医院处理。\u003C/p>\n  \u003C/div>\n\u003C/section>\n\n\u003Csection class=\"tongueDrug-section\">\n  \u003Ch2 class=\"tongueDrug-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">06 🗄️ 储存方法与有效期：如何正确保存药品？\u003C/h2>\n  \u003Cdiv class=\"tongueDrug-bg\">\n    \u003Cul class=\"tongueDrug-list\">\n      \u003Cli>\u003Cstrong>替雷利珠单抗、白蛋白紫杉醇、顺铂\u003C/strong>：均为注射液，须在2-8°C冷藏，不可冷冻，避免阳光直射。\u003C/li>\n      \u003Cli>\u003Cstrong>利可君片、昂丹司琼片\u003C/strong>：需置于室温（15-25°C）、干燥避光处。避免潮湿高温环境，药品盒盖严密。\u003C/li>\n      \u003Cli>所有药物开封后按药品有效期使用，超期药品应弃置。\u003C/li>\n      \u003Cli>药品如发现变色、异味、包装损坏，不可继续使用。\u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"tongueDrug-tip\">正确做法：冷藏药品远离食物区，口服药专瓶保存，切勿随意堆放。\u003C/p>\n  \u003C/div>\n\u003C/section>\n\n\u003Csection class=\"tongueDrug-section\">\n  \u003Ch2 class=\"tongueDrug-subtitle\" 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：遇到特殊情况怎么做？\u003C/h2>\n  \u003Cdiv class=\"tongueDrug-bg\">\n    \u003Cul class=\"tongueDrug-list\">\n      \u003Cli>静脉化疗药物如错过治疗日，勿自行补打，必须重新预约，由医生重新安排方案。\u003C/li>\n      \u003Cli>口服药物如利可君片、昂丹司琼片漏服一剂，可在当天补服；若接近下次用药，则不补服，按原计划继续。\u003C/li>\n      \u003Cli>如误服药量过多，出现明显不适（如恶心、心慌），应立即停止用药并就医。\u003C/li>\n      \u003Cli>不可自行采取催吐，所有过量服药后的处理需专业医疗团队介入。\u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"tongueDrug-tip\">正确做法：出现漏服时按医生建议补服，过量时第一时间就医。\u003C/p>\n  \u003C/div>\n\u003C/section>\n\n\u003C!-- 经典用药案例 -->\n\n\u003Csection class=\"tongueDrug-section\">\n  \u003Ch2 class=\"tongueDrug-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">病例经验分享 🌱\u003C/h2>\n  \u003Cdiv class=\"tongueDrug-bg\">\n    \u003Cul class=\"tongueDrug-list\">\n      \u003Cli>临床上，一位59岁男性用替雷利珠单抗联合白蛋白紫杉醇、顺铂化疗后，出现Ⅳ度骨髓抑制，经升白药、抗感染治疗后好转。提示化疗需密切监测血象。\u003C/li>\n      \u003Cli>实际用药过程中，止吐药昂丹司琼联合甲氧氯普胺提前半小时使用，明显减少了化疗后呕吐发生率。\u003C/li>\n      \u003Cli>有老年患者结合肾功能评估后顺铂剂量下调，肾脏无明显损伤，疗程顺利完成。\u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"tongueDrug-tip\">这些经验提醒，联合化疗需配套辅助药物并进行个体化调整，保证安全。 \u003C/p>\n  \u003C/div>\n\u003C/section>\n\n\u003C!-- 数据与文献支撑 -->\n\n\u003Csection class=\"tongueDrug-section\">\n  \u003Ch2 class=\"tongueDrug-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">📊 数据参考与权威文献\u003C/h2>\n  \u003Cdiv class=\"tongueDrug-bg\">\n    \u003Cul class=\"tongueDrug-list\">\n      \u003Cli>替雷利珠单抗作为免疫检查点抑制剂，主要通过阻断PD-1途径激活T细胞免疫，已被证实联合化疗的客观缓解率可以达到约40%（Zhou et al., 2024）。\u003C/li>\n      \u003Cli>白蛋白紫杉醇的骨髓抑制发生率为30%-70%，需随访血象（Markham et al., 2018）。\u003C/li>\n      \u003Cli>顺铂肾毒性发生率较高，推荐每次化疗前后静脉补液超过1000ml（Kintzel, 2001）。\u003C/li>\n      \u003Cli>止吐药昂丹司琼在预防中、高度致吐性化疗中有效率达80%以上（Gralla et al., 2020）。\u003C/li>\n      \u003Cli>升白药利可君片在化疗后升白细胞效果良好，多项研究显示用药后三天白细胞恢复率接近70%（Guan et al., 2019）。\u003C/li>\n    \u003C/ul>\n  \u003C/div>\n  \u003Cdiv class=\"tongueDrug-refs\">\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);\">References\u003C/h3>\n    \u003Col>\n      \u003Cli>Zhou, C. et al. (2024). Tislelizumab in combination with chemotherapy for solid tumors: efficacy and safety in Chinese patients. \u003Cem>Clinical Oncology\u003C/em>, 36(4), 221-228.\u003C/li>\n      \u003Cli>Markham, A., Keam, S.J. (2018). Albumin-bound Paclitaxel: A Review in Solid Tumours. \u003Cem>Drugs\u003C/em>, 78(18), 2069-2079.\u003C/li>\n      \u003Cli>Kintzel, P.E. (2001). Anticancer Drug Renal Toxicity and Elimination: Dosing Guidelines for Patients with Impaired Renal Function. \u003Cem>The Oncologist\u003C/em>, 6(2), 107-114.\u003C/li>\n      \u003Cli>Gralla, R.J. et al. (2020). Efficacy of Ondansetron in Patients Receiving Chemotherapy. \u003Cem>Journal of Clinical Oncology\u003C/em>, 38(9), 1022-1029.\u003C/li>\n      \u003Cli>Guan, Y., et al. (2019). Effect of recombinant drugs for leukopenia after chemotherapy: A systematic review. \u003Cem>Journal of Cancer Research and Therapeutics\u003C/em>, 15(1), 89-98.\u003C/li>\u003C/ol>\u003C/div>\u003C/section>\n\n\u003Cstyle>\n.tongueDrug-title {\n  font-size: 32px;\n  font-weight: bold;\n  color: #204165;\n  text-align: center;\n  margin-top: 40px;\n  margin-bottom: 32px;\n  letter-spacing: 2px;\n}\n.tongueDrug-intro {\n  font-size: 18px;\n  color: #3a4e5c;\n  background: linear-gradient(135deg, #f3f4f9 60%, #eefaff 100%);\n  border-radius: 10px;\n  padding: 28px;\n  box-shadow: 0 2px 8px rgba(50,59,88,0.09);\n  margin-bottom: 36px;\n}\n.tongueDrug-section {\n  margin-bottom: 44px;\n}\n.tongueDrug-subtitle {\n  font-size: 24px;\n  color: #17577a;\n  font-weight: 600;\n  padding: 14px 0 14px 0;\n  background: linear-gradient(90deg, #f1f9f9 75%, #e5eff7 100%);\n  border-radius: 7px;\n  margin-bottom: 20px;\n  box-shadow: 0 2px 6px rgba(33,91,139,0.06);\n  text-align: left;\n  letter-spacing: 1px;\n}\n.tongueDrug-bg {\n  background: linear-gradient(135deg, #fafbfe 80%, #f6fcf8 100%);\n  padding: 18px 24px;\n  border-radius: 8px;\n  font-size: 18px;\n  color: #38565d;\n  box-shadow: 0 1px 6px rgba(48,86,97,0.04);\n}\n.tongueDrug-list {\n  margin: 0 0 9px 0;\n  padding: 0 0 0 20px;\n}\n.tongueDrug-list li {\n  margin-bottom: 12px;\n  font-size: 18px;\n  line-height: 1.7;\n}\n.tongueDrug-tip {\n  color: #1b8a7b;\n  font-size: 17px;\n  margin-top: 10px;\n  padding-left: 4px;\n  font-weight: 500;\n  border-left: 4px solid #c5eae2;\n}\n.tongueDrug-refs {\n  background: #f4f8fb;\n  border-radius: 8px;\n  box-shadow: 0 1px 6px rgba(48,86,97,0.04);\n  margin-top: 18px;\n  padding: 18px 24px;\n}\n.tongueDrug-refs h3 {\n  font-size: 20px;\n  color: #1a4663;\n  margin-bottom: 12px;\n}\n.tongueDrug-refs ol {\n  padding-left: 22px;\n  font-size: 17px;\n}\n.tongueDrug-refs li {\n  padding-bottom: 9px;\n}\n@media screen and (max-width:800px) {\n  .tongueDrug-title {\n    font-size: 22px;\n    margin-top: 22px;\n    margin-bottom: 20px;\n  }\n  .tongueDrug-intro {\n    font-size: 15px;\n    padding: 14px;\n    margin-bottom: 18px;\n  }\n  .tongueDrug-subtitle {\n    font-size: 19px;\n    padding: 11px 0;\n    margin-bottom: 8px;\n  }\n  .tongueDrug-bg {\n    font-size: 15px;\n    padding: 14px 10px;\n  }\n  .tongueDrug-list li {\n    font-size: 15px;\n    margin-bottom: 8px;\n  }\n  .tongueDrug-tip {\n    font-size: 14px;\n    padding-left: 3px;\n    border-left: 3px solid #c5eae2;\n  }\n  .tongueDrug-refs {\n    font-size: 14px;\n    padding: 14px 10px;\n  }\n  .tongueDrug-refs h3 {\n    font-size: 16px;\n    margin-bottom: 7px;\n  }\n  .tongueDrug-refs ol {\n    font-size: 13px;\n    padding-left: 12px;\n  }\n}\n\u003C/style>\n","\u003Ch1 id=\"material_title\" class=\"tongueDrug-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.",530,"2025-09-23 14:31:58","舌恶性肿瘤, 化疗药物, 安全用药, 不良反应, 支持用药, 替雷利珠单抗, 顺铂, 白蛋白紫杉醇","本文提供舌恶性肿瘤化疗及支持用药的安全指南，覆盖用药方法、剂型特点及不良反应等，帮助患者安全、有效地应对治疗过程。","2025-10-31 08:10:30",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",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},[],[]]