黄疸高了不能进行化疗,确实高胆红素血症改变了吉西他滨、表阿霉素、伊立替康和紫杉醇等化疗药物的代谢。胆红素越高肝脏毒性越大,药物毒性可导致肝坏死、脂肪变、纤维化和胆汁淤积。肝内血管的损伤包括静脉血栓或肝窦阻塞综合征(sinusoidal obstruction sy...
I 型狭窄 技术成功率 90%;并发症15-20%;大多数生存率>3个月 II 或III型狭窄 技术成功率 20-40%;并发症高达55%;生存率4-6周 IV型基本上是PTCD禁忌症...
胆管炎发生并不常见,除非这以前进行过内镜下胆道操作或合并胆石症。事实上PTCD术后胆管炎的发生率更高了,特别是内外引流的情况。...
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肺癌是癌症死亡的主要原因(1)。 手术切除一直是治疗少数诊断为原发性肺癌和选定的肺转移性疾病患者的主要手段。 (2,3)。 然而,并非所有早期NSCLC和肺转移酶患者都是手术切除的适应症,很多患者由于肺功能差或肿瘤多灶性分布而放弃手术。 目前,热消融是...
CT-guided Lung Biopsy Technique : Track Embolization Pre-intervention Acquisition Guide Needle Placement / Biopsy Mixing of the hemostat gelatin powder with 6 cc normal saline Back-loading of mixture into 1 cc syringe At the conclusion of...
Lung Cancer : Diagnostic Techniques Limitations Te chnique Sen si ti v ity (SN) Speci f icity (SP) False P o si ti v e (FP) False Nega t i v e (FN) LimitingFactor Complication(s ) Sputum Cytology 66% 99% 8% 10% Rigorous samplingneeded Vari...
Primary Lung Cancer - Leading cause of cancer-related death in USA 159,480 estimated deaths in 2013 - Second most commonly diagnosed cancer 228,190 estimated new cases in 2013 Lung Metastases - Second most common site of metastasis - 25-30...
Percutaneous ablation of lung tumors is a minimally invasive therapy for patients with primary or metastatic cancer Not surgical candidates Standard therapy fails...
Prior to the procedure, the potential side effects are explained to the patient including possible post-ablation syndrome, in which an inflammatory response may result in fever, malaise, and anorexia which may persist for several days (29)....
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RF Ablation Results: Comparative Therapies High-risk stage 1 and 2 NSCLC Modalit...
Post-ablation Care Through Discharge Post-procedural nurse and physician assessm...