[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$ffiQZhvh8WUcLbcLJ8W6an62V170kvvv7jgD-w587el4":8,"$fcykPB27xcYYdtTb-I3kdWTJeNUQc1zjURTmlQiiHRoI":55,"$fju9BYk94FynHbhOowStfK3t7oesIztMZwQQnbVNuH3g":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},75876,870469,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//RwhmxAqQDeFGKvLKTKLXt5NLIgF4LmJF.png","曹喆","北京协和医院","普外科","主治医师",121,0,"胰腺癌：全面了解这种致命疾病","","https://ystcdn.venuertc.com/venue/AI/66a61ef0-abb6-401a-abae-4c6fa079f03a.jpg","\u003Cdiv class=\"pancreatic-article-container\">\n  \u003Ch1 id=\"material_title\" class=\"pancreatic-title\">胰腺癌：全面了解这种致命疾病\u003C/h1>\n  \n  \u003C!-- 开头部分 -->\n  \u003Cdiv class=\"pancreatic-section\" style=\"background: linear-gradient(90deg, #f2efe8 0%, #e6f5fa 100%); background-size: cover;\">\n    \u003Cdiv class=\"pancreatic-section-title\">\n      \u003Cspan class=\"pancreatic-emoji\">💬\u003C/span> \n      \u003Cspan>走进胰腺癌：离我们并不遥远\u003C/span>\n    \u003C/div>\n    \u003Cdiv class=\"pancreatic-section-content\">\n      \u003Cp>\n        有时候我们总觉得癌症是遥远的词汇，和日常生活隔着一道看不见的墙。但最近听到身边有人突然查出胰腺癌时，还是会不由自主地一惊。其实胰腺癌并不是稀有病，只是因为它早期隐蔽，经常在人毫无察觉中悄然发生。了解这个“难以察觉的对手”，或许比想象中更值得我们花些时间和心思。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n  \n  \u003C!-- 01 胰腺癌的基本概念是什么？ -->\n  \u003Cdiv class=\"pancreatic-section\" style=\"background: linear-gradient(90deg, #f8f6f2 0%, #dbeefd 100%); background-size: cover;\">\n    \u003Cdiv class=\"pancreatic-section-title\">\n      \u003Cspan class=\"pancreatic-emoji\">🦠\u003C/span>\n      \u003Cspan>01 什么是胰腺癌？基础知识入门\u003C/span>\n    \u003C/div>\n    \u003Cdiv class=\"pancreatic-section-content\">\n      \u003Cp>\n        胰腺癌，是一种起源于胰腺的恶性肿瘤。说起来，胰腺就像人体消化和调节血糖的小工厂。它分泌消化液，也参与血糖控制。但胰腺癌早期往没有什么特别的症状，甚至有点像“隐身达人”，导致不少人发现的时候已经是疾病的中后期。\u003Cbr>\n        现代医学统计显示，全球每年胰腺癌发病人数逐年上升，其致死率也位于癌症前列。很多时候，就是因为我们对它的了解还不够，发现得也不够早。\n      \u003C/p>\n      \u003Cp>\n        正因如此，知道胰腺癌的基本情况，是保护自己和家人健康的第一步。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n  \n  \u003C!-- 02 胰腺癌的主要症状表现有哪些？ -->\n  \u003Cdiv class=\"pancreatic-section\" style=\"background: linear-gradient(90deg, #eaf8ea 0%, #f7eaf8 100%); background-size: cover;\">\n    \u003Cdiv class=\"pancreatic-section-title\">\n      \u003Cspan class=\"pancreatic-emoji\">❗\u003C/span>\n      \u003Cspan>02 身体发出的信号：胰腺癌的主要症状\u003C/span>\n    \u003C/div>\n    \u003Cdiv class=\"pancreatic-section-content\">\n      \u003Cp>\n        胰腺癌的早期，身体有时只会给出轻微的提示。比如偶尔出现的腹部不适、食欲减退或者短暂的消化不良，很多人一笑而过，觉得是肠胃小毛病。\u003Cbr>\n        但如果进入中晚期，症状会变得明显。这时候，患者可能出现持续性的腹部或腰背部疼痛，还伴有体重明显下降。有的人甚至莫名黄疸——皮肤和眼白发黄，或出现新发的糖尿病，血糖突然难以控制。\n      \u003C/p>\n      \u003Cp>\n        例如一位60岁的女性，最近十个月里，上腹隐痛，有时还放射到背部，食欲下降，人也变得特别疲惫。后来检查发现，原来是胰腺癌已经到了局部晚期。这提醒我们，长期的、不明原因的身体不适，还是要重视起来。\n      \u003C/p>\n      \u003Cp>\n        \u003Cspan class=\"pancreatic-highlight\">别忽视：\u003C/span> 如果持续腹背痛，黄疸，体重突然下降，或糖尿病控制变差，及时就医是最稳妥的选择。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n  \n  \u003C!-- 03 胰腺癌的致病机制及风险因素是什么？ -->\n  \u003Cdiv class=\"pancreatic-section\" style=\"background: linear-gradient(90deg, #f0faff 0%, #ffeaea 100%); background-size: cover;\">\n    \u003Cdiv class=\"pancreatic-section-title\">\n      \u003Cspan class=\"pancreatic-emoji\">🧬\u003C/span>\n      \u003Cspan>03 为什么会得胰腺癌？致病机制和高危因素\u003C/span>\n    \u003C/div>\n    \u003Cdiv class=\"pancreatic-section-content\">\n      \u003Cp>\n        胰腺癌并不是无缘无故发生的，多数情况下是多个风险因素一起作用的结果。\u003Cbr>\n      \u003C/p>\n      \u003Cul class=\"pancreatic-list\">\n        \u003Cli>\n          \u003Cstrong>长期吸烟\u003C/strong>：烟草里的有害物质会损伤胰腺细胞，诱发细胞异常。数据显示，吸烟者胰腺癌风险可增加约1.7倍（Iodice et al., 2008）。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>慢性胰腺炎\u003C/strong>：长期反复的炎症会让胰腺组织受损，增加癌变可能。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>肥胖和高脂饮食\u003C/strong>：这些生活方式会影响胰腺代谢，干扰正常运作。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>家族遗传\u003C/strong>：如果家族里有人得过胰腺癌，其他血亲的风险会升高（Stoffel & McKernin, 2019）。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>年龄增长\u003C/strong>：胰腺癌通常在中老年人群中更常见，随年龄上升，风险增加。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        这些机制，实质上就是正常胰腺细胞因为外界或内在因素刺激，开始异常增生、变异，逐步演变为癌症。\u003Cbr>\n        \u003Cspan class=\"pancreatic-highlight\">说到底，生活习惯真的会影响健康。\u003C/span>\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n  \n  \u003C!-- 04 胰腺癌的诊断流程是怎样的？ -->\n  \u003Cdiv class=\"pancreatic-section\" style=\"background: linear-gradient(90deg, #f4f8fa 0%, #f5faf1 100%); background-size: cover;\">\n    \u003Cdiv class=\"pancreatic-section-title\">\n      \u003Cspan class=\"pancreatic-emoji\">🔬\u003C/span>\n      \u003Cspan>04 发现胰腺癌：检查和确诊的那些事\u003C/span>\n    \u003C/div>\n    \u003Cdiv class=\"pancreatic-section-content\">\n      \u003Cp>\n        其实胰腺藏得比较深，普通体检难以发现病变。怀疑胰腺有问题时，大多需要结合影像和实验室检查。一般会有以下流程：\n      \u003C/p>\n      \u003Cul class=\"pancreatic-list\">\n        \u003Cli>\n          \u003Cstrong>影像学检查\u003C/strong>：如CT（计算机断层扫描）、MRI（磁共振成像）可以清楚地看到胰腺结构，有无肿块。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>功能和肿瘤标志物检测\u003C/strong>：比如CA19-9升高时，可提示胰腺有异常，但不是决定性依据。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>组织活检\u003C/strong>：通过超声内镜引导下细针穿刺，取出一小块组织，在显微镜下判断是否癌变。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        如果这些检查明确提示胰腺癌，医生会再进一步判断分期、有没有转移等情况。比如前文提到那位60岁的女性，就是通过上述流程发现胰腺颈部的病变，并最终病理确诊为导管腺癌。\n      \u003C/p>\n      \u003Cp>\n        \u003Cspan class=\"pancreatic-highlight\">简单来说，诊断需要影像+活检双重确认。\u003C/span>\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n  \n  \u003C!-- 05 胰腺癌的治疗方法及预后效果如何？ -->\n  \u003Cdiv class=\"pancreatic-section\" style=\"background: linear-gradient(90deg, #fef8f2 0%, #e9f9fd 100%); background-size: cover;\">\n    \u003Cdiv class=\"pancreatic-section-title\">\n      \u003Cspan class=\"pancreatic-emoji\">🩺\u003C/span>\n      \u003Cspan>05 胰腺癌怎么治？治疗方法与预后展望\u003C/span>\n    \u003C/div>\n    \u003Cdiv class=\"pancreatic-section-content\">\n      \u003Cp>\n        胰腺癌的治疗，是一个多学科协作的过程。\u003Cbr>\n        \u003Cstrong>1. 手术治疗\u003C/strong>如果发现得早，而且肿瘤局限在胰腺内，有机会切除手术，能大延长生存期。\u003Cbr>\n        \u003Cstrong>2. 化疗和放疗\u003C/strong> 如果已局部进展或合并转移，手术机会变小，多数需要化疗、放疗等综合方案，比如脂质体伊立替康、奥沙利铂等药物；有些患者还会参与新药临床试验，为后续创造转化手术机会（Conroy et al., 2018）。\n      \u003C/p>\n      \u003Cp>\n        \u003Cstrong>3. 支持治疗\u003C/strong>\n        比如止吐、维持营养、血糖管理等，也很重要，能提升生活质量。\n      \u003C/p>\n      \u003Cp>\n        \u003Cspan class=\"pancreatic-highlight\">预后方面\u003C/span>，如果能早期发现并综合治疗，不少患者可以延长生存期。最新数据显示，早期切除后的五年生存率接近40%（Rawla et al., 2019）。不过总体看，晚期胰腺癌的预后仍然比较严峻，这也是我们要重视早筛、早发现的原因。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n  \n  \u003C!-- 06 如何在日常生活中预防和关注胰腺健康？ -->\n  \u003Cdiv class=\"pancreatic-section\" style=\"background: linear-gradient(90deg, #f8f9fa 0%, #fefaf1 100%); background-size: cover;\">\n    \u003Cdiv class=\"pancreatic-section-title\">\n      \u003Cspan class=\"pancreatic-emoji\">🍎\u003C/span>\n      \u003Cspan>06 保护胰腺健康，日常预防怎么做？\u003C/span>\n    \u003C/div>\n    \u003Cdiv class=\"pancreatic-section-content\">\n      \u003Cp>\n        胰腺健康，其实可以靠日常饮食和生活习惯慢养出来。\n      \u003C/p>\n      \u003Cul class=\"pancreatic-list\">\n        \u003Cli>\n          \u003Cspan class=\"pancreatic-highlight\">蔬果\u003C/span> + 含有丰富抗氧化物，有助胰腺细胞更新。建议每餐搭配不同颜色的新鲜蔬菜和水果，每天两大盘为宜。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"pancreatic-highlight\">全谷物\u003C/span> + 有助平稳血糖和减少胰腺负担，比如糙米、全麦面包，每天换着花样吃。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"pancreatic-highlight\">优质蛋白\u003C/span> + 促进组织修复，比如鱼肉、豆制品、鸡胸肉，每日三餐都应搭配。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"pancreatic-highlight\">适度运动\u003C/span> + 加强代谢，帮助身体维持健康体重。推荐每周不少于150分钟中等强度运动，比如快走或者游泳。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"pancreatic-highlight\">定期体检\u003C/span> + 40岁以后可考虑每2年做一次腹部检查，如腹部B超、肿瘤标志物检测，尤其是有胰腺疾病家族史的朋友。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        \u003Cspan class=\"pancreatic-highlight\">实际行动：\u003C/span> 多吃些新鲜蔬菜、水果和全谷物，不用给自己太大压力，慢形成习惯最有效。如果有家族史或长期消化道不适，主动和医生沟通筛查计划，是明智的选择。\n      \u003C/p>\n      \u003Cp>\n        日子虽平淡，但用心呵护健康，总是不会错的。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n  \n  \u003C!-- 文献引用 -->\n  \u003Cdiv class=\"pancreatic-section pancreatic-reference-section\" style=\"background: linear-gradient(90deg, #eaf0f6 0%, #e6efe7 100%); background-size: cover;\">\n    \u003Cdiv class=\"pancreatic-section-title\">\n      \u003Cspan class=\"pancreatic-emoji\">📚\u003C/span>\n      \u003Cspan>主要参考文献\u003C/span>\n    \u003C/div>\n    \u003Cul class=\"pancreatic-ref-list\">\n      \u003Cli>\n        Iodice, S., Gandini, S., Maisonneuve, P., & Lowenfels, A. B. (2008). Tobacco and the risk of pancreatic cancer: a review and meta-analysis. European Journal of Cancer, 44(16), 2477-2484.\n      \u003C/li>\n      \u003Cli>\n        Stoffel, E. M., & McKernin, S. E. (2019). Genetic testing for hereditary pancreatic cancer: Recommendations from the National Comprehensive Cancer Network. Journal of the National Comprehensive Cancer Network, 17(9), 1047-1052.\n      \u003C/li>\n      \u003Cli>\n        Conroy, T., Hammel, P., Hebbar, M., Ben Abdelghani, M., Wei, A. C., Raoul, J. L., ... & Ducreux, M. (2018). FOLFIRINOX or gemcitabine as adjuvant therapy for pancreatic cancer. New England Journal of Medicine, 379(25), 2395-2406.\n      \u003C/li>\n      \u003Cli>\n        Rawla, P., Sunkara, T., Gaduputi, V. (2019). Epidemiology of Pancreatic Cancer: Global Trends, Etiology and Risk Factors. World Journal of Oncology, 10(1), 10-27.\n      \u003C/li>\n    \u003C/ul>\n  \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n.pancreatic-article-container {\n  max-width: 800px;\n  margin: 36px auto;\n  font-family: \"PingFang SC\", \"Microsoft YaHei\", Arial, sans-serif;\n  color: #2e323b;\n  background: #fcfb;\n  letter-spacing: 0.03em;\n  box-shadow: 0px 8px 16px rgba(65, 70, 90, 0.06);\n  border-radius: 18px;\n  padding: 24px 18px 36px 18px;\n}\n.pancreatic-title {\n  font-size: 2.6em;\n  font-weight: 700;\n  color: #176777;\n  text-align: center;\n  margin-bottom: 34px;\n  margin-top: 6px;\n  line-height: 1.16;\n  letter-spacing: 0.06em;\n}\n.pancreatic-section {\n  border-radius: 12px;\n  margin-bottom: 36px;\n  padding: 34px 28px 28px 28px;\n  border-bottom: 3px solid #e1e2e6;\n  background-repeat: no-repeat;\n  background-position: center;\n  box-shadow: 0px 4px 10px rgba(186, 190, 195, 0.08);\n}\n.pancreatic-section-title {\n  font-size: 1.5em;\n  font-weight: 600;\n  margin-bottom: 18px;\n  color: #338588;\n  display: flex;\n  align-items: center;\n}\n.pancreatic-emoji {\n  font-size: 1.35em;\n  margin-right: 10px;\n  margin-bottom: 2px;\n}\n.pancreatic-section-content {\n  font-size: 1.09em;\n  line-height: 1.95;\n  color: #2b313d;\n  margin-left: 4px;\n}\n.pancreatic-highlight {\n  color: #eb7c3f;\n  font-weight: bold;\n}\n.pancreatic-list {\n  margin: 0 0 18px 0.6em;\n  padding-left: 1.6em;\n  color: #334053;\n  font-size: 1.06em;\n}\n.pancreatic-list li {\n  margin-bottom: 11px;\n  position: relative;\n  list-style: disc;\n}\n.pancreatic-ref-list {\n  font-size: 1em;\n  color: #1d2b38;\n  margin: 0 0 6px 10px;\n  padding-left: 1.7em;\n}\n.pancreatic-ref-list li {\n  margin-bottom: 8px;\n  line-height: 1.6;\n  list-style: outside decimal;\n}\n@media only screen and (max-width: 620px) {\n  .pancreatic-article-container {\n    padding: 8px 2vw 19px 2vw !important;\n    border-radius: 9px;\n  }\n  .pancreatic-section {\n    padding: 18px 6px 14px 10px !important;\n    border-bottom-width: 2px;\n  }\n  .pancreatic-title {\n    font-size: 1.45em !important;\n  }\n  .pancreatic-section-title {\n    font-size: 1.05em !important;\n  }\n}\n\u003C/style>","\u003Cdiv class=\"pancreatic-article-container\">\n  \u003Ch1 id=\"material_title\" class=\"pancreatic-title\">胰腺癌：全面",549,"2025-12-09 01:12:32","胰腺癌, 胰腺癌症状, 胰腺癌治疗, 胰腺健康, 癌症预防, 早期发现胰腺癌, 如何预防胰腺癌, 胰腺炎症","深入了解胰腺癌的危害、症状、治疗及预防方法，为您和家人的健康保驾护航。重视早期筛查，及时就医！","2025-12-16 15:13:50",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},[],[]]