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\u003Cb>PD-L1表达水平\u003C/b>。PD-L1是肿瘤细胞表面的一种蛋白，用来判断能不能用免疫药物。一般来说，PD-L1表达得越高，免疫治疗效果往往能更好。免疫治疗方案也会因此做出调整，有的会联合化疗，有的单独使用。\u003Cbr>\u003Cbr>\n      ③ \u003Cb>既往治疗史和全身状况\u003C/b>。如果患者之前已经用过某些药物没效果，下一步该换哪类药，医生会结合身体其他脏器情况、有没有基础疾病和自身免疫情况来权衡。还有，有些人因为特殊并发症，某些药可能用不了。晚期肺癌在这个环节上需要与医生慢慢讨论清楚。\n    \u003C/div>\n  \u003C/div>\n  \n  \u003Cdiv class=\"cz_lung-block\">\n    \u003Cdiv class=\"cz_lung-subtitle\">\n      \u003Cspan>📝 面对治疗抉择，这几件事建议做到\u003C/span>\n    \u003C/div>\n    \u003Cdiv class=\"cz_lung-content\">\n      建议各位晚期肺癌的朋友和家属注意两件事：\u003Cbr>\u003Cbr>\n      \u003Cb>第一，做全套基因检测和PD-L1评估\u003C/b>。别因为担心花时间或经济压力，省掉这一步。基因和蛋白分型是决定后续治疗路径的基础。如果条件允许，把肿瘤组织的常见可靶向位点检测一遍，免疫治疗也要了解自身适不适合。\u003Cbr>\u003Cbr>\n      \u003Cb>第二，和肿瘤科医生充分沟通既往治疗经历和身体状况\u003C/b>。之前用过什么药反应如何，有没有出现副作用，都要详细告诉医生，这样后续靶向免疫治疗才能个体化。\u003Cbr>\u003Cbr>\n      \u003Cb>不建议\u003C/b>：盲目听信网络推销或“通用方案”，更不能任性停药、擅自换药。如果遇到副反应不适，要及时告知医生，而不是自己调整药量。\n    \u003C/div>\n  \u003C/div>\n  \n  \u003Cdiv class=\"cz_lung-block\">\n    \u003Cdiv 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