[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fie6aPWEAAGRqecmjJxOcRRPlEdD8BCvCEFmnQ35ZVUo":8,"$fdQdU5sa678R7WOauH5qlAHuaavAOk0iZGZUCDTFXkWE":55,"$faqzJ4tiGPEJyvwBZUD1UO5ukPvSDL5Nsw7OPggqPwgY":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},67805,867568,[],"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,"肺腺癌化疗药品安全实用手册","","https://ystcdn.venuertc.com/venue/AI/fba2f69f-0960-4e56-88dc-2d3682783976.jpg","\u003Cdiv id=\"material_title\" class=\"lung-cancer-chemo-title\">\n  肺腺癌化疗药品安全实用手册\n\u003C/div>\n\n\u003Cdiv class=\"lung-cancer-chemo-section\" style=\"background: linear-gradient(100deg, #f7fafc 0%, #e5f0fb 100%);\">\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);\">🌟 简单聊聊现代化疗药品\u003C/h2>\n  \u003Cp>\n    说起来，化疗用药是肿瘤治疗里不得不接触的药物大类，包括紫杉醇、顺铂、培美曲塞等。很多患者在用这些药期间常常会疑惑：到底怎么吃、要注意什么、哪些细节关乎安全？这篇文章就围绕肺腺癌常见的化疗药品，系统解读7个必须掌握的用药要点。希望大家看完后，对这些药品的使用能做到心中有数，更放心地配合治疗。\n  \u003C/p>\n\u003C/div>\n\n\u003Cdiv class=\"lung-cancer-chemo-section\" style=\"background: linear-gradient(100deg, #f5f5fc 25%, #f2fbeb 100%);\">\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);\">💊 01. 常见化疗药品的类型与剂型\u003C/h3>\n  \u003Cul>\n    \u003Cli>\u003Cb>紫杉醇\u003C/b>（标准型及白蛋白结合型）：\u003Cbr>\n      主要属于抗微管药，多为注射剂。白蛋白结合型改善了药品的溶解性，减少部分过敏反应。\n    \u003C/li>\n    \u003Cli>\u003Cb>顺铂\u003C/b>：\u003Cbr>\n      经典铂类化疗药，通常为静脉滴注。\n    \u003C/li>\n    \u003Cli>\u003Cb>培美曲塞\u003C/b>（Pemetrexed）：\u003Cbr>\n      属于叶酸拮抗剂，多为注射剂。\n    \u003C/li>\n    \u003Cli>\u003Cb>卡铂\u003C/b>：\u003Cbr>\n      也是铂类药物，一般通过静脉注射。\n    \u003C/li>\n    \u003Cli>\u003Cb>替雷利珠单抗、卡瑞利珠单抗\u003C/b>：\u003Cbr>\n      属于免疫检查点抑制剂，主要为静脉注射。\n    \u003C/li>\n    \u003Cli>\u003Cb>贝伐珠单抗\u003C/b>：\u003Cbr>\n      靶向抗VEGF单抗，需输液给药。\n    \u003C/li>\n  \u003C/ul>\n  \u003Cdiv class=\"lung-cancer-chemo-tip\">\n    \u003Cspan class=\"lung-cancer-chemo-emoji\">🔎\u003C/span>\n    \u003Cb>正确做法：\u003C/b>\n    所有此类药均由专业护士医生操作注射，不可自行注射或更改给药方式。\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"lung-cancer-chemo-section\" style=\"background: linear-gradient(90deg, #faf6f2 0%, #fbeee7 100%);\">\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);\">⏱️ 02. 最佳服用/注射时间与方法\u003C/h3>\n  \u003Cp>\n    化疗药品基本上都安排在医院，由医生根据身体状况和治疗计划制定具体给药频率和天数。例如：\n  \u003C/p>\n  \u003Cul>\n    \u003Cli>白蛋白结合型紫杉醇：常见为每周一次、具体剂量医生会根据体重和血象决定。\u003C/li>\n    \u003Cli>顺铂或卡铂：通常21天为一周期，每周期静脉滴注一次。\u003C/li>\n    \u003Cli>培美曲塞：也是按周期静脉滴注，并需额外补充叶酸和维生素B12以减少副反应。\u003C/li>\n  \u003C/ul>\n  \u003Cdiv class=\"lung-cancer-chemo-tip\">\n    \u003Cspan class=\"lung-cancer-chemo-emoji\">⏰\u003C/span>\n    \u003Cb>需要注意：\u003C/b>\n    有的药需要配合护胃、止吐药物同步使用，比如顺铂配合地塞米松、昂丹司琼能减少胃肠道反应。\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"lung-cancer-chemo-section\" style=\"background: linear-gradient(100deg, #eaf6fb 25%, #e7fbf8 100%);\">\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);\">💡 03. 药理作用简明解读\u003C/h3>\n  \u003Cul>\n    \u003Cli>\u003Cb>紫杉醇：\u003C/b> 主要抑制细胞分裂，使癌细胞“卡”在分裂的关键阶段，起到杀伤作用。\u003C/li>\n    \u003Cli>\u003Cb>顺铂/卡铂：\u003C/b> 通过与细胞遗传物质结合，干扰癌细胞的繁殖。\u003C/li>\n    \u003Cli>\u003Cb>培美曲塞：\u003C/b> 影响叶酸代谢，阻止细胞复制。\u003C/li>\n    \u003Cli>\u003Cb>贝伐珠单抗：\u003C/b> 抑制肿瘤新生血管形成，从而减少肿瘤生长所需的供养供血。\u003C/li>\n    \u003Cli>\u003Cb>免疫检查点抑制剂类：\u003C/b> 如替雷利珠单抗，解除免疫刹车，让自身免疫细胞更积极识别杀伤癌细胞。\u003C/li>\n  \u003C/ul>\n  \u003Cdiv class=\"lung-cancer-chemo-tip\">\n    \u003Cspan class=\"lung-cancer-chemo-emoji\">🔬\u003C/span>\n    \u003Cb>正确做法：\u003C/b>\n    不同药物组合时，具体机制作用互补，也是医生制定方案的重要考虑点。\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"lung-cancer-chemo-section\" style=\"background: linear-gradient(100deg, #f6fbe7 25%, #e7f8fb 100%);\">\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);\">📦 04. 储存注意事项与开封管理\u003C/h3>\n  \u003Cul>\n    \u003Cli>注射用的化疗药必须在医院有资质的药房冷链储存，拿回家只能按医生指示携带预调药液，避免置于高温或长期暴露光线下。\u003C/li>\n    \u003Cli>部分辅助药物（如口服止吐药、美托洛尔）干燥、避光、常温保存即可。\u003C/li>\n  \u003C/ul>\n  \u003Cdiv class=\"lung-cancer-chemo-tip\">\n    \u003Cspan class=\"lung-cancer-chemo-emoji\">🧊\u003C/span>\n    \u003Cb>需要注意：\u003C/b>\n    药品一旦出现沉淀、变色、瓶体破损，不可再用。过期化疗药品必须按医疗废弃物交由医院处理。\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"lung-cancer-chemo-section\" style=\"background: linear-gradient(100deg, #ffe6f0 25%, #e7fbf9 100%);\">\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);\">🧑‍⚕️ 05. 特殊人群与用药调整\u003C/h3>\n  \u003Cul>\n    \u003Cli>\n      \u003Cb>老年患者：\u003C/b> 化疗药物如顺铂、紫杉醇等，因肝肾功能减弱，医生通常酌情减量并密切监控血常规。\n    \u003C/li>\n    \u003Cli>\n      \u003Cb>肝肾功能不全者：\u003C/b> 铂类药物排泄依赖肾脏，肾功能障碍时必须提醒医生评估剂量。\n    \u003C/li>\n    \u003Cli>\n      \u003Cb>孕妇和哺乳期：\u003C/b> 绝大多数化疗药物妊娠哺乳禁用，存在明确致畸和毒性作用。如出现特殊情况，只能由专科医生评估后决定。\n    \u003C/li>\n  \u003C/ul>\n  \u003Cdiv class=\"lung-cancer-chemo-tip\">\n    \u003Cspan class=\"lung-cancer-chemo-emoji\">⚠️\u003C/span>\n    \u003Cb>特别提醒：\u003C/b>\n    所有用药调整必须经医生评估，严禁自行更改剂量。\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"lung-cancer-chemo-section\" style=\"background: linear-gradient(100deg, #f6ffe6 25%, #fbe7e7 100%);\">\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);\">❗ 06. 常见药物相互作用\u003C/h3>\n  \u003Cul>\n    \u003Cli>\n      \u003Cb>顺铂、卡铂：\u003C/b> 同时与氨基糖苷类抗生素（如庆大霉素）联用可增加肾脏损伤风险，不建议合用。\n    \u003C/li>\n    \u003Cli>\n      \u003Cb>紫杉醇：\u003C/b> 与某些血管扩张药或降压药（如维拉帕米）合用时，代谢可能变化，需间隔服用，注意监测血压。\n    \u003C/li>\n    \u003Cli>\n      \u003Cb>培美曲塞：\u003C/b> 服用NSAIDs（常用消炎止痛药）时，特别是肾功能减退者需谨慎，因影响排泄。\n    \u003C/li>\n    \u003Cli>\n      \u003Cb>贝伐珠单抗：\u003C/b> 避免与抗凝药（如华法林）合用，否则可能增加出血倾向。\n    \u003C/li>\n  \u003C/ul>\n  \u003Cdiv class=\"lung-cancer-chemo-tip\">\n    \u003Cspan class=\"lung-cancer-chemo-emoji\">🗂️\u003C/span>\n    \u003Cb>正确做法：\u003C/b>\n    用药期间主动告知医生所有正在服用及近期服用的药物（包括维生素或中草药），避免不明联用。\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"lung-cancer-chemo-section\" style=\"background: linear-gradient(100deg, #f7ebfb 25%, #fff8e2 100%);\">\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);\">🚩 07. 药物不良反应与处理方法\u003C/h3>\n  \u003Cul>\n    \u003Cli>\n      \u003Cb>紫杉醇：\u003C/b> 可能导致脱发、过敏反应（皮疹、呼吸困难）。药物输注前需预防性用抗过敏药。\n    \u003C/li>\n    \u003Cli>\n      \u003Cb>顺铂：\u003C/b> 较常见的有恶心呕吐、肾毒性。用药前中后监测肾功能和补液可降低风险。\n    \u003C/li>\n    \u003Cli>\n      \u003Cb>贝伐珠单抗：\u003C/b> 罕见但需警惕高血压、蛋白尿或出血。\n    \u003C/li>\n    \u003Cli>\n      \u003Cb>免疫抑制剂：\u003C/b> 包括替雷利珠单抗，偶有免疫性相关副作用（如皮疹、肝功能异常）。\n    \u003C/li>\n  \u003C/ul>\n  \u003Cdiv class=\"lung-cancer-chemo-tip\">\n    \u003Cspan class=\"lung-cancer-chemo-emoji\">🌱\u003C/span>\n    \u003Cb>特别提醒：\u003C/b>\n    发现严重不良反应（如持续高烧、明显出血、皮肤急剧变化等）需立即告知医护人员，不建议自行判断处理。\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"lung-cancer-chemo-section\" style=\"background: linear-gradient(100deg, #eafbe9 25%, #e6edff 100%);\">\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);\">📖 08. 临床实际用药案例\u003C/h3>\n  \u003Cul>\n    \u003Cli>有位55岁患者接受多次静脉注射化疗，期间因出现骨髓抑制，医生及时调整了紫杉醇、顺铂的剂量，未出现严重并发症。\u003C/li>\n    \u003Cli>使用培美曲塞期间，配合补叶酸和维生素B12避免了常见的血象异常。\u003C/li>\n    \u003Cli>贝伐珠单抗注射时，患者严格遵医嘱定期查蛋白尿和监测血压，有效预防了高血压和肾损伤。\u003C/li>\n  \u003C/ul>\n\u003C/div>\n\n\u003Cdiv class=\"lung-cancer-chemo-section\" style=\"background: linear-gradient(115deg, #f5fdeb 0%, #f0eaff 100%);\">\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);\">📝 09. 化疗药品的漏服/漏用与过量处理\u003C/h3>\n  \u003Cul>\n    \u003Cli>\n      \u003Cb>注射类化疗药：\u003C/b> 漏用通常延后1-2天，由医生重新制定补药时间，切勿自行补药。\n    \u003C/li>\n    \u003Cli>\n      \u003Cb>口服辅助药物：\u003C/b> 如存在漏服，一般补一次即可，勿重复加量，连续漏服则需请教医生。\n    \u003C/li>\n    \u003Cli>\n      \u003Cb>过量使用：\u003C/b> 化疗药物过量风险极高，如出现明显不适立即就医，不建议私自观察处理。\n    \u003C/li>\n  \u003C/ul>\n  \u003Cdiv class=\"lung-cancer-chemo-tip\">\n    \u003Cspan class=\"lung-cancer-chemo-emoji\">🚑\u003C/span>\n    \u003Cb>正确做法：\u003C/b>\n    认真记录用药时间，出现用药差错，及时与医护人员沟通。\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"lung-cancer-chemo-section\" style=\"background: linear-gradient(90deg, #e7fff6 0%, #eefaeb 100%);\">\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);\">📌 10. 总结与关键提示\u003C/h3>\n  \u003Cp>\n    化疗药物用法复杂，每一个细节都决定着治疗的安全性和有效性。🛡️ 牢记化疗药物只能由专业人员按照医生指导操作，每次用药都要与医生、护士保持充分沟通。\u003Cbr>\n    👉 \u003Cb>两个不可忘记的注意事项：\u003C/b>\n  \u003C/p>\n  \u003Col>\n    \u003Cli>不要私自更改剂量和用法，有任何不适及时就医。\u003C/li>\n    \u003Cli>所有药品都要规范储存，过期变质坚决不能使用。\u003C/li>\n  \u003C/ol>\n  \u003Cp>\n    最后，合理配合专业团队，不要自行决策——这样才能让化疗药品在治疗过程中发挥最大的安全与效用。如果有疑问，一定要尽早咨询药师和医生。\n  \u003C/p>\n\u003C/div>\n\n\u003Cdiv class=\"lung-cancer-chemo-section\" style=\"background: linear-gradient(90deg, #f7faff 0%, #ffe8ea 100%);\">\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);\">🔖 主要参考文献\u003C/h3>\n  \u003Col class=\"lung-cancer-chemo-ref-list\">\n    \u003Cli>\n      National Comprehensive Cancer Network (NCCN). NCCN Clinical Practice Guidelines in Oncology: Non-Small Cell Lung Cancer. Version 3.2024.\n    \u003C/li>\n    \u003Cli>\n      Cortes JE, Pazdur R. Docetaxel, a novel antineoplastic agent with the potential to enhance cancer chemotherapy: a comprehensive review. \u003Ci>Cancer\u003C/i>, 1995, 75(12): 3020–3036.\n    \u003C/li>\n    \u003Cli>\n      Maemondo M, Inoue A, Kobayashi K, et al. Gefitinib or Chemotherapy for Non–Small-Cell Lung Cancer with Mutated EGFR. \u003Ci>N Engl J Med\u003C/i>. 2010;362:2380-2388.\n    \u003C/li>\n    \u003Cli>\n      Sandler A, Gray R, Perry MC, et al. Paclitaxel–Carboplatin Alone or with Bevacizumab for Non–Small-Cell Lung Cancer. \u003Ci>N Engl J Med\u003C/i>. 2006;355:2542-2550.\n    \u003C/li>\n    \u003Cli>\n      Scagliotti GV, Parikh P, von Pawel J, et al. Phase III study comparing cisplatin plus gemcitabine with cisplatin plus pemetrexed in chemotherapy-naive patients with advanced-stage non–small-cell lung cancer. \u003Ci>J Clin Oncol\u003C/i>. 2008;26(21):3543-51.\n    \u003C/li>\n  \u003C/ol>\n\u003C/div>\n\n\u003Cstyle>\n.lung-cancer-chemo-title {\n  font-size: 2.2em;\n  font-weight: bold;\n  text-align: center;\n  color: #24547f;\n  margin: 36px 0 30px 0;\n  letter-spacing: 2px;\n  padding: 32px 16px 20px 16px;\n  border-radius: 16px;\n  background: linear-gradient(100deg, #f5fafd 45%, #e7f3fc 100%);\n  box-shadow: 0px 3px 14px 0px #e3eefd;\n}\n\n.lung-cancer-chemo-section {\n  margin: 26px auto 30px auto;\n  padding: 32px 30px 26px 30px;\n  border-radius: 20px;\n  box-shadow: 0px 2px 8px #f0f5f5;\n  max-width: 820px;\n  font-size: 1.1em;\n}\n\n.lung-cancer-chemo-section > h2, \n.lung-cancer-chemo-section > h3 {\n  margin-top: 0;\n  margin-bottom: 26px;\n  color: #2f3f6b;\n  font-weight: bold;\n  font-size: 1.35em;\n  letter-spacing: 1px;\n}\n\n.lung-cancer-chemo-tip {\n  background: #f8fdff;\n  color: #385a70;\n  border-left: 6px solid #77bbe7;\n  padding: 12px 18px;\n  border-radius: 12px;\n  margin-top: 18px;\n  margin-bottom: 6px;\n  font-size: 1.07em;\n  line-height: 1.6em;\n}\n\n.lung-cancer-chemo-emoji {\n  font-size: 1.2em;\n  vertical-align: middle;\n  margin-right: 0.5em;\n}\n\n.lung-cancer-chemo-section ul {\n  margin: 12px 0 10px 26px;\n  padding: 0;\n}\n\n.lung-cancer-chemo-section li {\n  margin-bottom: 12px;\n  line-height: 1.75em;\n}\n\n.lung-cancer-chemo-section ol {\n  margin: 10px 0 10px 30px;\n  padding: 0;\n}\n\n.lung-cancer-chemo-ref-list {\n  font-size: 1.06em;\n  color: #6a7582;\n  background: #f3f5fb;\n  border-radius: 10px;\n  padding: 18px 24px;\n}\n\n@media (max-width: 620px) {\n  .lung-cancer-chemo-title {\n    font-size: 1.4em;\n    padding: 14px 8px 10px 8px;\n    border-radius: 9px;\n  }\n  .lung-cancer-chemo-section {\n    padding: 14px 8px 12px 8px;\n    font-size: 1em;\n  }\n}\n\u003C/style>\n","\u003Cdiv id=\"material_title\" class=\"lung-cancer-chemo-title\">\n  肺腺癌化疗药品安全实用手册\n\u003C/div>\n\n\u003Cdiv class=\"lung-c",377,"2025-10-13 17:29:09","肺腺癌, 化疗药品, 紫杉醇, 顺铂, 药物使用知识, 胶囊, 治疗方案, 不良反应","掌握肺腺癌化疗药品的使用要点，确保安全有效。涵盖紫杉醇、顺铂等药物，同时提供最佳用药指南与不良反应处理方案。","2025-11-06 11:08:53",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},[],[]]