[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fNzSGK6Xz-DuQ01fzYoZ9iUyC3zjcXY_9bQ4LDr1zSyc":8,"$fcrv2HqWVb94f9O5o8_OBQkCWYjv2vdXag2BODnQim_w":55,"$f6ehZY9gAaTzSRz1ck_6A5Hgxj7I4g9X9O65SeWlJx5Y":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},67644,867568,[],"https://ystcdn.venuertc.com/learnMaterial/ystApp//Qwz6GyCWTi4XHRajDQhvP0c86fSiOy65.png","李文旭","温州老年病医院","肿瘤科","主治医师",317,0,"结肠恶性肿瘤化疗方案：78岁患者的实用指导","","https://ystcdn.venuertc.com/venue/AI/e45b5053-725d-468c-9801-ca6dc48a672a.jpg","\u003Cdiv class=\"chemo-guide-container\">\n  \u003Ch1 id=\"material_title\" class=\"chemo-guide-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    结肠恶性肿瘤化疗方案：78岁患者的实用指导\n    \u003Cspan class=\"chemo-guide-emoji\">💊\u003C/span>\n  \u003C/h1>\n\n  \u003Cdiv class=\"chemo-guide-intro chemo-guide-section-bg1\">\n    \u003Cp>\n      随着年龄增加，用药安全显得尤其重要。结肠恶性肿瘤化疗药物在老年患者中应用广泛，不同的化疗药品、支持用药和止吐药各有特点。本文将精炼介绍化疗相关的用药细节，包括剂型、正确服用方法、不良反应处理、特殊人群剂量调整、药物相互作用和储存要求，让你快速掌握78岁患者临床常见的用药关键点。\n    \u003C/p>\n  \u003C/div>\n\n  \u003C!-- 01 剂型特点与服用技巧 -->\n  \u003Csection class=\"chemo-guide-section chemo-guide-section-bg2\">\n    \u003Ch2 class=\"chemo-guide-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n      01 剂型特点与服用技巧 \u003Cspan class=\"chemo-guide-emoji\">📦\u003C/span>\n    \u003C/h2>\n    \u003Cul>\n      \u003Cli>\n        结肠恶性肿瘤化疗药品常见剂型有静脉滴注液、口服片剂、肠溶片等。\u003Cbr>\n        正确做法：静脉滴注类药品需由专业医护人员操作，服用片剂时应整片吞服，不建议掰开或嚼碎，避免影响药效。部分肠溶剂型不可破坏外壳，否则药物提前释放，刺激胃部。\n      \u003C/li>\n      \u003Cli>\n        停用或更换剂型时：需由医生根据药物代谢特点和患者状态评估，不可自行调整。\n      \u003C/li>\n      \u003Cli>\n        特殊要求：部分化疗片剂建议在餐前空腹服用，以提高生物利用度，如遇胃部不适，可咨询医生是否调为餐后。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cblockquote style=\"border-left: 4px solid rgb(64, 158, 255); background: rgb(240, 247, 255); color: rgb(44, 62, 80); margin: 1em 0px; padding: 12px 20px; border-radius: 4px;\">\n      👉 正确服药方式直接影响药品效果与副作用发生率，务必严格按照药品说明书操作。\n    \u003C/blockquote>\n  \u003C/section>\n\n  \u003C!-- 02 服用时间与具体用法 -->\n  \u003Csection class=\"chemo-guide-section chemo-guide-section-bg3\">\n    \u003Ch2 class=\"chemo-guide-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n      02 服用时间与正确用法 \u003Cspan class=\"chemo-guide-emoji\">⏰\u003C/span>\n    \u003C/h2>\n    \u003Cul>\n      \u003Cli>\n        大多数化疗口服药建议每日一次或两次，每次需要配足量饮水（150-200ml），部分药物（比如叶酸类辅助药品）建议在早晨服用，避免与多餐同服以减少胃部负担。\n      \u003C/li>\n      \u003Cli>\n        静脉滴注药物应严格按照医嘱分次完成，每次滴注需控制滴速，避免快速输入诱发不良反应。\n      \u003C/li>\n      \u003Cli>\n        用药间隔：化疗周期内，每批药品有设定的休息周期，如5天服药、2天停药等。务必记录每次服药时间，避免遗漏。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cblockquote style=\"border-left: 4px solid rgb(64, 158, 255); background: rgb(240, 247, 255); color: rgb(44, 62, 80); margin: 1em 0px; padding: 12px 20px; border-radius: 4px;\">\n      🌟 如果漏服药物，不要补服双倍剂量。及时通知医师，由专业人员评估并调整用药安排。\n    \u003C/blockquote>\n  \u003C/section>\n\n  \u003C!-- 03 药品的作用机制简述 -->\n  \u003Csection class=\"chemo-guide-section chemo-guide-section-bg4\">\n    \u003Ch2 class=\"chemo-guide-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n      03 药品作用机制一览 \u003Cspan class=\"chemo-guide-emoji\">🧬\u003C/span>\n    \u003C/h2>\n    \u003Cdiv>\n      \u003Cp>\n        化疗药品主要分为抗肿瘤细胞药、叶酸类支持药及止吐药等。\u003Cbr>\n        抗肿瘤药通常通过抑制癌细胞分裂、干扰DNA合成来发挥作用。叶酸类药物则用于保护正常细胞并减少部分化疗药引起的毒性。止吐药（如5-HT3受体拮抗剂）则通过阻断呕吐中枢的信号，预防化疗相关恶心反应。\n      \u003C/p>\n      \u003Cp>\n        正确做法：用药前应了解每类药品机制，严格遵循周期及剂量，避免因自行调整引发不良后果。\n      \u003C/p>\n    \u003C/div>\n    \u003Cblockquote style=\"border-left: 4px solid rgb(64, 158, 255); background: rgb(240, 247, 255); color: rgb(44, 62, 80); margin: 1em 0px; padding: 12px 20px; border-radius: 4px;\">\n      📝 不同药品发挥协同效应，可降低毒性、增强疗效，但需专业指导组合使用。\n    \u003C/blockquote>\n  \u003C/section>\n\n  \u003C!-- 04 老年患者剂量与特殊调整 -->\n  \u003Csection class=\"chemo-guide-section chemo-guide-section-bg5\">\n    \u003Ch2 class=\"chemo-guide-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n      04 老年患者用药剂量调整 \u003Cspan class=\"chemo-guide-emoji\">👴\u003C/span>\n    \u003C/h2>\n    \u003Cul>\n      \u003Cli>\n        78岁患者的肝肾功能普遍下降，用药时药品剂量往往要根据体重、肾功能等实时调整。说明书规定最高剂量仅适用于肝肾功能正常者。\n      \u003C/li>\n      \u003Cli>\n        老年人化疗期间，灵活减量或延长周期可以减少不良反应。如有异常症状（如严重乏力、食欲减退），应立即反馈医生。\n      \u003C/li>\n      \u003Cli>\n        某位78岁患者在连续用药后，根据血检结果及时减量，顺利避免了骨髓抑制等毒性反应。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cblockquote style=\"border-left: 4px solid rgb(64, 158, 255); background: rgb(240, 247, 255); color: rgb(44, 62, 80); margin: 1em 0px; padding: 12px 20px; border-radius: 4px;\">\n      🛡️ 老年人应随时关注自身用药反应，执行严密的剂量监控，确保安全。\n    \u003C/blockquote>\n  \u003C/section>\n\n  \u003C!-- 05 药物相互作用与合理组合 -->\n  \u003Csection class=\"chemo-guide-section chemo-guide-section-bg6\">\n    \u003Ch2 class=\"chemo-guide-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n      05 药物相互作用及组合禁忌 \u003Cspan class=\"chemo-guide-emoji\">⚠️\u003C/span>\n    \u003C/h2>\n    \u003Cul>\n      \u003Cli>\n        化疗常用叶酸类药物与抗肿瘤药品之间有相互增强或减弱作用，不得自行叠加或省略辅助药。\n      \u003C/li>\n      \u003Cli>\n        某些药物如抗生素、抗病毒药会与化疗药产生代谢竞争，影响药物血药浓度。服用过程中需提前告知医生所有正在用的药品，包括保健品与中药成分。\n      \u003C/li>\n      \u003Cli>\n        服用止吐药时，不可同时服用某类抑制剂、镇静剂类药物，否则可能加重嗜睡、意识混乱等副作用。\n      \u003C/li>\n      \u003Cli>\n        叶酸拮抗药不可与高剂量叶酸补充药同服，否则会互相抵消疗效。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cblockquote style=\"border-left: 4px solid rgb(64, 158, 255); background: rgb(240, 247, 255); color: rgb(44, 62, 80); margin: 1em 0px; padding: 12px 20px; border-radius: 4px;\">\n      🚦 药物搭配不合理可能让化疗效果降低或毒性增加。每次用药调整都应请药师或主治医师把关。\n    \u003C/blockquote>\n  \u003C/section>\n\n  \u003C!-- 06 常见不良反应与处理方法 -->\n  \u003Csection class=\"chemo-guide-section chemo-guide-section-bg7\">\n    \u003Ch2 class=\"chemo-guide-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n      06 常见不良反应及应对措施 \u003Cspan class=\"chemo-guide-emoji\">🩺\u003C/span>\n    \u003C/h2>\n    \u003Cul>\n      \u003Cli>\n        化疗常见不良反应包括骨髓抑制（白细胞、血小板下降）、胃肠道反应（恶心、呕吐）、皮肤过敏及口腔溃疡等。止吐药主要用于应对恶心呕吐，但部分患者出现便秘或头晕。\n      \u003C/li>\n      \u003Cli>\n        正确做法：出现轻度不良反应时可调整饮食结构，多饮水，避免辛辣食物。持续出现严重不良反应（如明显贫血、持续发热、肝肾功能异常）应及时停药并就医。\n      \u003C/li>\n      \u003Cli>\n        药品说明书提示，化疗药物造成白细胞下降的发生率在20%-40%之间；老年人发生率更高，需加强监测。\n      \u003C/li>\n      \u003Cli>\n        有患者在多轮化疗后出现轻度胃肠道不良反应，经医生指导下调整辅药，减轻了副作用。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cblockquote style=\"border-left: 4px solid rgb(64, 158, 255); background: rgb(240, 247, 255); color: rgb(44, 62, 80); margin: 1em 0px; padding: 12px 20px; border-radius: 4px;\">\n      🆘 出现剧烈不适或突发症状时，切忌拖延，应立即向医护反馈，切不可自行停药或乱加药品。\n    \u003C/blockquote>\n  \u003C/section>\n\n  \u003C!-- 07 储存方法与过期处理 -->\n  \u003Csection class=\"chemo-guide-section chemo-guide-section-bg8\">\n    \u003Ch2 class=\"chemo-guide-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n      07 药品储存条件与过期处理 \u003Cspan class=\"chemo-guide-emoji\">🗄️\u003C/span>\n    \u003C/h2>\n    \u003Cul>\n      \u003Cli>\n        大部分化疗口服药要求密闭防潮存放，最佳储存温度为15-25℃，不可放在冰箱冷冻区，也不可暴露在阳光下。\n      \u003C/li>\n      \u003Cli>\n        静脉滴注液按说明书标注时间开封即用，如一次未用完应及时丢弃，严禁二次复用。\n      \u003C/li>\n      \u003Cli>\n        药品过期或疑似变质禁止再用。过期化疗药应交由医院或专业机构处理，不可随意丢弃至生活垃圾桶，以免环境污染。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cblockquote style=\"border-left: 4px solid rgb(64, 158, 255); background: rgb(240, 247, 255); color: rgb(44, 62, 80); margin: 1em 0px; padding: 12px 20px; border-radius: 4px;\">\n      🏷️ 建议每月检查药品有效期，妥善管理剩余药品仓库，避免误用。\n    \u003C/blockquote>\n  \u003C/section>\n\n  \u003C!-- 08 漏服及过量补救方案 -->\n  \u003Csection class=\"chemo-guide-section chemo-guide-section-bg9\">\n    \u003Ch2 class=\"chemo-guide-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n      08 漏服与过量药物处理 \u003Cspan class=\"chemo-guide-emoji\">🎯\u003C/span>\n    \u003C/h2>\n    \u003Cul>\n      \u003Cli>\n        万一漏服化疗药，不可盲目加量。按照下次正常时间服用，部分药品建议直接跳过漏服剂量，避免叠加毒性。\n      \u003C/li>\n      \u003Cli>\n        如不慎过量服用，应在第一时间联系主治医生或急诊药师，描述服药时间和数量，便于专业处理。部分化疗药品无特定解毒药，主要采取支持疗法。\n      \u003C/li>\n      \u003Cli>\n        不建议自行催吐或服用解药，应由专业人员进行评估和干预。\n      \u003C/li>\n      \u003Cli>\n        临床研究显示，老年患者发生过量用药比例较低，但发生后风险更高，因此要提高服药记录和自我核查频率。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cblockquote style=\"border-left: 4px solid rgb(64, 158, 255); background: rgb(240, 247, 255); color: rgb(44, 62, 80); margin: 1em 0px; padding: 12px 20px; border-radius: 4px;\">\n      🔍 推荐准备简易服药记录本，每次服药打勾，家属协助核查可进一步降低漏服与过量风险。\n    \u003C/blockquote>\n  \u003C/section>\n\n  \u003C!-- 临床用药案例（唯一性、只提一次、不重复） -->\n  \u003Csection class=\"chemo-guide-section chemo-guide-section-bg10\">\n    \u003Ch2 class=\"chemo-guide-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n      临床用药案例经验 \u003Cspan class=\"chemo-guide-emoji\">📋\u003C/span>\n    \u003C/h2>\n    \u003Cul>\n      \u003Cli>\n        一位78岁男性患者接受静脉化疗和口服叶酸辅助药，通过周期性剂量调整，未出现严重毒性反应，服药期间依靠家属协助定时记录，有效避免了漏服和过量。\n      \u003C/li>\n      \u003Cli>\n        临床中多次发现，老年患者多药并服时相互作用最易被忽视，一次由药师严格筛查后，降至后续周期副作用明显减少。\n      \u003C/li>\n      \u003Cli>\n        有患者服用止吐药后轻度嗜睡，经医生指导减少辅助镇静药用量后逐步恢复正常生活。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cblockquote style=\"border-left: 4px solid rgb(64, 158, 255); background: rgb(240, 247, 255); color: rgb(44, 62, 80); margin: 1em 0px; padding: 12px 20px; border-radius: 4px;\">\n      ✔️ 多药联合治疗时，病例经验表明定期药师查对可显著提升安全性。\n    \u003C/blockquote>\n  \u003C/section>\n\n  \u003C!-- 文献引用（APA格式） -->\n  \u003Csection class=\"chemo-guide-section chemo-guide-section-bg-reference\">\n    \u003Ch2 class=\"chemo-guide-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n      参考文献 \u003Cspan class=\"chemo-guide-emoji\">📚\u003C/span>\n    \u003C/h2>\n    \u003Cul class=\"chemo-guide-ref-list\">\n      \u003Cli>\n        Meyerhardt, J. A., & Mayer, R. J. (2005). Chemotherapy for colorectal cancer. \u003Cem>New England Journal of Medicine\u003C/em>, 352(23), 2540-2550. https://doi.org/10.1056/NEJMra041367\n      \u003C/li>\n      \u003Cli>\n        McCleary, N. J., Meyerhardt, J. A., & Green, E. M. (2013). Management of colorectal cancer in elderly patients. \u003Cem>Journal of Clinical Oncology\u003C/em>, 31(22), 2891-2896. https://doi.org/10.1200/JCO.2012.45.9732\n      \u003C/li>\n      \u003Cli>\n        Benson, A. B., Venook, A. P., Al-Hawary, M. M., et al. (2018). NCCN guidelines insights: Colon cancer, version 2.2018. \u003Cem>Journal of the National Comprehensive Cancer Network\u003C/em>, 16(4), 359-369. https://doi.org/10.6004/jnccn.2018.0022\n      \u003C/li>\n      \u003Cli>\n        Haller, D. G. (2010). Pharmacology and management of fluoropyrimidines, oxaliplatin, and irinotecan. \u003Cem>Holland-Frei Cancer Medicine\u003C/em> (8th ed). PMCID: PMC7150192\u003C/li>\u003C/ul>\u003C/section>\n\u003C/div>\n\n\u003Cstyle>\n.chemo-guide-container {\n  font-family: \"Helvetica Neue\", Arial, \"PingFang SC\", \"Microsoft YaHei\", sans-serif;\n  background-color: #f8fbfa;\n  max-width: 820px;\n  margin: 40px auto;\n  padding: 35px 30px 25px 30px;\n  border-radius: 18px;\n  box-shadow: 0 2px 14px 0 rgba(180,193,217,0.11);\n}\n.chemo-guide-title {\n  color: #214e8e;\n  font-size: 36px;\n  font-weight: 700;\n  margin-bottom: 18px;\n  letter-spacing: 1px;\n  padding-bottom: 16px;\n  border-bottom: 2px solid #dbe3ed;\n  background: linear-gradient(90deg, #e5ecf6 35%, #f4f8ff 97%);\n  border-radius: 8px;\n  box-shadow: 0 2px 5px 0 rgba(190,210,235,0.07);\n}\n.chemo-guide-intro {\n  font-size: 18px;\n  color: #495d72;\n  line-height: 2.0;\n  margin-bottom: 26px;\n  padding: 12px 15px;\n  border-left: 5px solid #bbd9ed;\n  background: linear-gradient(90deg, #eef9fb 5%, #f8fbfa 97%);\n  border-radius: 9px;\n}\n.chemo-guide-section {\n  margin-bottom: 30px;\n  padding: 22px 18px 18px 18px;\n  border-radius: 16px;\n  position: relative;\n}\n.chemo-guide-section-bg1 {\n  background: linear-gradient(90deg, #f3f7fb 3%, #ebfdf5 87%);\n}\n.chemo-guide-section-bg2 {\n  background: linear-gradient(92deg, #eef5fa 18%, #f9f7ed 97%);\n}\n.chemo-guide-section-bg3 {\n  background: linear-gradient(93deg, #fdf8ee 12%, #e8f3f8 90%);\n}\n.chemo-guide-section-bg4 {\n  background: linear-gradient(92deg, #e8f5e9 22%, #f9f9fa 97%);\n}\n.chemo-guide-section-bg5 {\n  background: linear-gradient(92deg, #f8ebee 5%, #edfaf9 89%);\n}\n.chemo-guide-section-bg6 {\n  background: linear-gradient(92deg, #eaf4fd 16%, #fcf9e8 95%);\n}\n.chemo-guide-section-bg7 {\n  background: linear-gradient(92deg, #f3f6fa 13%, #fff9ec 93%);\n}\n.chemo-guide-section-bg8 {\n  background: linear-gradient(92deg, #f0f3fa 25%, #e9f7ec 85%);\n}\n.chemo-guide-section-bg9 {\n  background: linear-gradient(90deg, #f9f6f6 27%, #eef7fd 95%);\n}\n.chemo-guide-section-bg10 {\n  background: linear-gradient(90deg, #f8fbfc 12%, #f5f2e8 94%);\n}\n.chemo-guide-section-bg-reference {\n  background: linear-gradient(93deg, #f3f7fb 3%, #e5ecf6 87%);\n  border-radius: 13px;\n  box-shadow: 0 2px 4px 0 rgba(180,193,217,0.06);\n  margin-bottom: 32px;\n  padding: 24px 14px;\n}\n.chemo-guide-section-bg11 {\n  background: linear-gradient(91deg, #e9f7ec 23%, #fcf7ea 85%);\n  border-radius: 12px;\n  margin-bottom: 18px;\n  padding: 22px 17px;\n}\n.chemo-guide-subtitle {\n  color: #2457a8;\n  font-size: 26px;\n  font-weight: 600;\n  margin-bottom: 10px;\n  margin-top: 0;\n  letter-spacing: 1px;\n  display: flex;\n  align-items: center;\n  gap: 7px;\n}\n.chemo-guide-section ul {\n  padding-left: 26px;\n  margin-left: 0;\n  font-size: 19px;\n  color: #254060;\n  line-height: 2.1;\n}\n.chemo-guide-section ul li {\n  margin-bottom: 8px;\n}\n.chemo-guide-section blockquote {\n  background: #eaf5ff;\n  padding: 9px 13px;\n  border-radius: 10px;\n  margin: 16px 0 0 0;\n  color: #3974b7;\n  font-size: 17px;\n  font-family: \"Helvetica Neue\", Arial, sans-serif;\n  font-style: italic;\n  border-left: 4px solid #92c9f5;\n}\n.chemo-guide-ref-list {\n  margin-top: 8px;\n  font-size: 17px;\n  color: #466487;\n  line-height: 2.05;\n  padding-left: 19px;\n}\n.chemo-guide-summary {\n  color: #259b51;\n  font-size: 24px;\n  font-weight: 700;\n  margin-bottom: 10px;\n  margin-top: 0;\n  letter-spacing: 1px;\n  display: flex;\n  align-items: center;\n  gap: 6px;\n}\n.chemo-guide-highlight {\n  background: #d2f7e7;\n  padding: 8px 14px;\n  border-radius: 9px;\n  color: #207a52;\n  font-weight: 600;\n  font-size: 18px;\n  margin-top: 6px;\n}\n.chemo-guide-emoji {\n  font-size: 1.15em;\n  vertical-align: middle;\n}\n@media (max-width: 850px) {\n  .chemo-guide-container {\n    max-width: 99%;\n    padding: 16px 7px 17px 7px;\n  }\n  .chemo-guide-title { font-size: 26px; 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