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class=\"mrq_video_material\">\n  \u003Ch2 id=\"material_title\">肾功异常肿瘤患者用药调整时需要注意的三个细节\u003C/h2>\n\n  \u003Csection class=\"mrq_material_section\">\n    \u003Cdiv class=\"mrq_material_subtitle_bg\">\n      \u003Cspan class=\"mrq_material_subtitle\">肿瘤用药时肾功异常容易被忽视\u003C/span>\n    \u003C/div>\n    \u003Cp class=\"mrq_material_p\">很多肿瘤患者在化疗、靶向等治疗时，往往只关注治疗肿瘤本身，却容易忽略肾功能异常这个问题。有肾功异常的肿瘤患者，用药方案调整显得格外重要。这期我们就聊聊肾功异常肿瘤患者用药调整要注意哪些关键点。\u003C/p>\n  \u003C/section>\n\n  \u003Csection class=\"mrq_material_section\">\n    \u003C!-- 未上传病例，跳过此部分 -->\n  \u003C/section>\n\n  \u003Csection class=\"mrq_material_section\">\n    \u003Cdiv class=\"mrq_material_subtitle_bg\">\n      \u003Cspan class=\"mrq_material_subtitle\">用药前先关注这三件事 🩺\u003C/span>\n    \u003C/div>\n    \u003Cp class=\"mrq_material_p\">\u003Cb>第一，肾功能异常会影响许多药物的代谢。\u003C/b>比如有些化疗药和止痛药，原本在肾脏就会分解和排出，肾功异常后就可能在体内残留，增加副作用，甚至引发肾损伤加重。\u003Cbr>\n    \u003Cb>第二，不同药物对肾的损伤程度不一样。\u003C/b>有的药肾毒性强，比如某些抗生素、止痛药、部分化疗药，肾功异常患者必须根据肾小球滤过率（肌酐清除率）来调整剂量，部分药甚至需要暂时停用。\u003Cbr>\n    \u003Cb>第三，规律检测肾功能很重要。\u003C/b>肿瘤治疗期间，建议定期抽血查肾功能，包括肌酐、尿素氮和电解质。如果发现指标波动，不要拖，要及时和医生沟通调整用药，有些症状比如乏力、恶心，也可以和肾功异常相关，但同样见于贫血、肿瘤进展等，所以一定不能自作主张换药或停药。\u003C/p>\n  \u003C/section>\n\n  \u003Csection class=\"mrq_material_section\">\n    \u003Cdiv class=\"mrq_material_subtitle_bg\">\n      \u003Cspan class=\"mrq_material_subtitle\">肾功异常肿瘤患者日常用药注意事项\u003C/span>\n    \u003C/div>\n    \u003Cp class=\"mrq_material_p\">日常生活中，如果你或者家里人是肿瘤合并肾功异常的患者，\u003Cb>建议用药前务必咨询专业医生，按照医生的指导调整药物种类和剂量。\u003C/b>不要随便加药、换药，尤其是止痛药、抗生素、利尿药这几类需特别注意。\u003Cb>不建议自己查点资料就尝试减药或增药\u003C/b>，这样风险很大。有症状变化，比如刚用药出现皮肤瘙痒、尿量减少、恶心加重，建议尽快到医院复查肾功能和电解质。\u003C/p>\n  \u003C/section>\n\n  \u003Csection class=\"mrq_material_section\">\n    \u003Cdiv class=\"mrq_material_subtitle_bg\">\n      \u003Cspan class=\"mrq_material_subtitle\">肾功异常肿瘤患者应重视用药安全\u003C/span>\n    \u003C/div>\n    \u003Cp 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