实用肿瘤学杂志 ›› 2020, Vol. 34 ›› Issue (2): 107-110.doi: 10.11904/j.issn.1002-3070.2020.02.004

• 新冠肺炎专题 • 上一篇    下一篇

肝胆胰恶性肿瘤患者在新型冠状病毒肺炎疫情期间及疫情过后的诊治思考与建议

杨磊, 苏丹 综述, 娄长杰 审校   

  1. 哈尔滨医科大学附属肿瘤医院消化内科二病房(哈尔滨 150081)
  • 收稿日期:2020-03-09 发布日期:2020-04-27
  • 通讯作者: 娄长杰,E-mail:9337768@qq.com
  • 作者简介:杨磊,女,(1995-),硕士研究生,从事消化系统肿瘤的研究。

Diagnosis and treatment of patients with hepatobiliary and pancreatic malignant tumor during and after the epidemic of corona virus disease 2019

YANG Lei, SU Dan, LOU Changjie   

  1. Department of Gastrointestinal Medical Oncology,Harbin Medical University Cancer Hospital,Harbin 150081,China
  • Received:2020-03-09 Published:2020-04-27

摘要: 自2019年12月底以来,新型冠状病毒肺炎(简称“新冠肺炎”)呈全球性蔓延趋势,给人类健康带来了极大的生命安全威胁。恶性肿瘤患者免疫功能低下,属于高危易感人群,一旦感染病情进展迅速。肝胆胰系统肿瘤侵袭性强、进展迅猛、预后极差、死亡率高。在严峻的疫情背景下给医患双方带来了双重的挑战,如何合理化的管控肝胆胰恶性肿瘤患者显得尤为重要。对于病情较重、有黄疸或合并胆道感染的患者应采取积极的治疗措施;而对于病情稳定、体力状态好或术后辅助治疗的患者,可以采取降低治疗强度、缩短治疗时间、延缓甚至推迟治疗的方式,具体病例临床医生应根据具体情况选择个体化治疗决策。

关键词: 新型冠状病毒肺炎, 肝胆胰腺肿瘤, 患者管理

Abstract: Since the end of December 2019,corona virus disease 2019(COVID-19)has been spreading globally,bringing great threat to human health.The patients with malignant tumors have low immune function and belong to the high risk susceptible population.Once infected,the disease progresses rapidly.Hepatocellular and pancreatic system tumors are highly invasive,progress rapidly,poor prognosis and high mortality.In the severe epidemic situation,it brings double challenges to both doctor and patient.How to rationally control the patients with hepatobiliary and pancreatic malignancies is particularly important.For patients with severe disease,jaundice or biliary tract infection should take active treatment measures,and patients with stable condition and good physical conditions or postoperative adjuvant treatment can reduce the treatment intensity and time,and delay or even postponed the treatment.The clinicians should choose the individual treatment decision based on the specific situation.

Key words: Corona virus disease 2019(COVID-19), Hepatobiliary and pancreatic cancer, Patient management

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