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目的 探讨晚期消化道肿瘤的合理处理模式。方法 对晚期消化管肿瘤 3 8例进行了回顾性研究 ,其中食管癌 6例 ,胃癌 17例 ,大肠癌 15例。均有病理学诊断。伴有消化道梗阻者 3 5例 ,伴有疼痛者 2 8例 ,伴有出血者 10例 ,肝转移及其它脏器转移 3 8例 ,黄疸 18例 ,入院时所有患者均有不同程度的营养不良。对这些患者采取了姑息治疗手段和临终关怀。结果 通过营养的供给 ,梗阻的处理 ,消炎 ,止痛 ,抗癌治疗及心理关怀活动 ,使病人减轻了症状 ,减少了痛苦 ,改善了生存质量 ,延长了生存期。结论 对晚期肿瘤患者 ,应根据每个病人的体质 ,制定有计划、合理科学的治疗方案。充分发挥我国中西医结合治疗的特色 ,在尽量不损伤免疫功能的前提下 ,使用抗癌药物 ,以达到进一步稳定病情和延长生命的目的。
Objective To investigate the reasonable treatment of advanced gastrointestinal tumors. Methods Thirty-eight cases of advanced gastrointestinal cancer were retrospectively studied, including 6 cases of esophageal cancer, 17 cases of gastric cancer and 15 cases of colorectal cancer. Have pathological diagnosis. There were 35 patients with gastrointestinal obstruction, 28 with pain, 10 with hemorrhage, 38 with liver metastasis and other organ metastases, and 18 with jaundice. All patients had varying degrees of nutrition on admission bad. Palliative care and hospice are taken for these patients. Results Through the supply of nutrition, obstruction treatment, anti-inflammatory, analgesic, anti-cancer treatment and psychological care activities, patients alleviate the symptoms, reduce pain, improve the quality of life and prolong survival. Conclusion For advanced cancer patients, we should formulate a planned and reasonable scientific treatment plan according to each patient’s physique. Give full play to the characteristics of the combination of Chinese and Western medicine treatment, try not to damage the immune function under the premise of the use of anti-cancer drugs to achieve further stability and prolong life.