{"id":101,"date":"2015-04-10T22:18:38","date_gmt":"2015-04-10T14:18:38","guid":{"rendered":"http:\/\/10.0.95.46\/?p=101"},"modified":"2015-08-18T21:50:40","modified_gmt":"2015-08-18T13:50:40","slug":"%e8%88%87%e4%b9%b3%e7%99%8c%e5%85%b1%e8%88%9e-%e7%9f%a5%e5%b7%b2%e7%9f%a5%e5%bd%bc%e3%80%82%e7%99%be%e6%88%b0%e7%99%be%e5%8b%9d","status":"publish","type":"post","link":"http:\/\/epaper.pch.org.tw\/?p=101","title":{"rendered":"\u8207\u4e73\u764c\u5171\u821e – \u77e5\u5df2\u77e5\u5f7c\u3002\u767e\u6230\u767e\u52dd"},"content":{"rendered":"

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\u4ec0\u9ebc\u662f\u4e73\u764c\uff1f<\/strong><\/p>\n

\u4e73\u764c\u662f\u5f9e\u4e73\u817a\u7684\u4e0a\u76ae\u7d30\u80de\u6216\u5c0f\u8449\u751f\u9577\u51fa\u4f86\u7684\u4e00\u7a2e\u60e1\u6027\u816b\u7624\uff0c\u6703\u4fb5\u5165\u4e26\u7834\u58de\u9130\u8fd1\u7684\u7d44\u7e54\u53ca\u5668\u5b98\uff0c\u6216\u7d93\u7531\u8840\u6db2\u6216\u6dcb\u5df4\u7cfb\u7d71\u8f49\u79fb\u5230\u5176\u5b83\u5668\u5b98\u3002<\/p>\n

\u90a3\u4e9b\u4eba\u5bb9\u6613\u5f97\u5230\u4e73\u764c\u5462\uff1f<\/strong><\/p>\n

\uf076 \u6709\u4e73\u764c\u60a3\u8005\u4e4b\u5bb6\u5ead\uff0c\u5c24\u5176\u6bcd\u89aa\u6216\u59d0\u59b9\u7b49\uff0c\u4e00\u7b49\u89aa\u66fe\u60a3\u6b64\u75c5\u8005 \uf076
\n\uf076 \u672a\u66fe\u751f\u80b2\u621630 \u6b72\u4ee5\u4e0a\u624d\u751f\u7b2c\u4e00\u80ce\u8005 \uf076
\n\uf076 \u521d\u7d93\u8f03\u65e9(11 \u6b72\u4ee5\u4e0b)\u6216\u505c\u7d93\u8f03\u665a\uff0855 \u6b72\u4ee5\u5f8c\uff09\u8005 \uf076
\n\uf076 \u66fe\u60a3\u4e00\u5074\u4e73\u764c\u8005 \uf076
\n\uf076 \u66fe\u983b\u7e41\u60a3\u826f\u6027\u4e73\u623f\u816b\u7624\u8005 \uf076
\n\uf076 \u98f2\u98df\u504f\u5411\u9ad8\u8102\u80aa\u98df\u7269\u8005\u3001\u9157\u9152\u8005 \uf076
\n\uf076 \u672a\u66fe\u54fa\u4e73\u8005 \uf076<\/p><\/blockquote>\n

\u4e73\u764c\u8981\u5982\u4f55\u7be9\u6aa2\u8207\u8a3a\u65b7<\/strong><\/p>\n

\uff081\uff09 \u4e73\u623f\u7684\u8996\u8a3a\u53ca\u89f8\u8a3a\uff1a
\n\u4e73\u764c\u5728\u65e9\u671f\uff0c\u7d93\u5e38\u662f\u7121\u75db\u6027\uff0c90%\u7684\u4e73\u623f\u816b\u584a\u662f\u85c9\u8457\u4e73\u623f\u7684\u8996\u3001\u89f8\u8a3a\u767c\u73fe\u7684\uff0c\u4e00\u822c\u5a66\u5973\u5728\u6708\u7d93\u904e\u5f8c5 -10\u5929\u5167\u9032\u884c\u4e73\u623f\u81ea\u6211\u6aa2\u67e5\uff0c\u505c\u7d93\u5f8c\u7684\u5a66\u5973\u61c9\u9078\u64c7\u6bcf\u500b\u6708\u56fa\u5b9a\u4e00\u5929\u6aa2\u67e5\uff0c
\n\u82e5\u767c\u73fe\u4efb\u4f55\u7570\u5e38\u61c9\u7acb\u5373\u5c0b\u6c42\u91ab\u5e2b\u505a\u66f4\u8a73\u7d30\u7684\u6aa2\u67e5\u3002<\/p>\n

\uff082\uff09 \u4e73\u623fX\u5149\u651d\u5f71\u6aa2\u67e5\uff1a
\n\u70ba\u65e9\u671f\u5075\u6e2c\u4e73\u764c\u4e4b\u6700\u4f73\u6aa2\u67e5\u65b9\u6cd5\u3002<\/p>\n

\uff083\uff09 \u8d85\u97f3\u6ce2\u6aa2\u67e5\uff1a
\n\u53ef\u5e6b\u52a9\u8a3a\u65b7\uff0c\u7576\u767c\u751f\u7570\u5e38\u7684\u816b\u584a\u800c\u89f8\u8a3a\u53c8\u7121\u6cd5\u6478\u5230\u6642\uff0c \u53ef\u85c9\u6b64\u6aa2\u67e5\u6307\u5f15\uff0c\u76f4\u63a5\u4ee5\u7d30\u91dd\u62bd\u53d6\u816b\u584a\u7d30\u80de\u4f5c\u75c5\u7406\u6aa2\u67e5\u3002<\/p>\n

\uff084\uff09 \u4e73\u623f\u5207\u7247\u6aa2\u67e5\uff1a
\n\u5229\u7528\u7a7f\u523a\u6216\u624b\u8853\u6cd5\uff0c\u5c07\u816b\u584a\u5207\u53d6\u6a23\u672c\uff0c\u662f\u78ba\u5b9a\u4e73\u764c\u8a3a\u65b7\u4e4b\u6a19\u6e96\u65b9\u6cd5\u3002<\/p>\n

\u4e73\u623f\u6709\u816b\u584a\u4e00\u5b9a\u662f\u764c\u75c7\u55ce\uff1f<\/strong><\/p>\n

\u5927\u90e8\u4efd\u7684\u4e73\u623f\u816b\u584a\u662f\u826f\u6027\u7684\uff0c\u53ea\u6709\u5341\u5206\u4e4b\u4e00\u7684\u4e73\u623f\u816b\u584a\u6709\u60e1\u6027\u7684\u53ef\u80fd\uff0c\u816b\u7624\u904e\u5927\u6216\u662f\u7522\u751f\u81e8\u5e8a\u75c7\u72c0\u9084\u662f\u9700\u8981\u6cbb\u7642\u7684\u3002\u6700\u5e38\u898b\u7684\u826f\u6027\u816b\u7624\u6709\u4e09\u7a2e\uff1a<\/p>\n

\u25cf \u4e73\u623f\u7e96\u7dad\u817a\u7624\uff1a\u70ba\u6210\u719f\u5973\u6027\u6700\u5e38\u898b\u4e4b\u826f\u6027\u816b\u7624\u3002\u4e00\u822c\u767c\u751f\u65bc15-35\u6b72\u7684\u5e74\u8f15\u5973\u6027\u3002\u4e73\u623f\u7e96\u7dad\u817a\u7624\u4e00\u822c\u4e0d\u6703\u81ea\u7136\u6d88\u5931\uff0c\u816b\u7624\u904e\u5927\u6642\uff0c\u53ef\u8003\u616e\u4f5c\u5207\u9664\u6cbb\u7642\u3002<\/p>\n

\u25cf \u4e73\u623f\u7e96\u7dad\u56ca\u816b\uff1a\u597d\u767c\u65bc30-50\u6b72\u4e4b\u5a66\u5973\uff0c\u6700\u5e38\u898b\u65bc\u8fd1\u66f4\u5e74\u671f\uff0c\u5927\u90e8\u4efd\u70ba\u55ae\u5074\u3002\u767c\u751f\u539f\u56e0\u4e0d\u660e\uff0c\u53ef\u80fd\u8207\u9ad4\u5167\u52d5\u60c5\u6fc0\u7d20\u5206\u6ccc\u6709\u95dc\u3002\u4e3b\u8981\u75c7\u72c0\u70ba\u5728\u6708\u7d93\u4f86\u6f6e\u524d\uff0c\u56e0\u56ca\u816b\u8139\u5927\u800c\u5f15\u8d77\u4e73\u623f\u75bc\u75db\uff0c\u5c11\u6578\u75c5\u4eba\u4e73\u982d\u6709\u5206\u6ccc\u7269\u3002\u6cbb\u7642\u65b9\u9762\u4ee5\u6b62\u75db\u5291\u5c0d\u75c7\u6cbb\u7642\u3002<\/p>\n

\u25cf \u4e73\u623f\u56ca\u816b\uff1a\u8207\u8eab\u9ad4\u5176\u4ed6\u90e8\u4f4d\u4e4b\u56ca\u816b\u76f8\u540c\uff0c\u662f\u5c6c\u65bc\u826f\u6027\uff0c\u5167\u5bb9\u5145\u6eff\u6db2\u9ad4\uff0c\u5448\u5805\u786c\u72c0\uff0c\u597d\u767c\u65bc\u66f4\u5e74\u671f\u5973\u6027\uff0c\u5c11\u898b\u65bc35\u6b72\u4ee5\u4e0b\u3002<\/p>\n

\u4e73\u764c\u7684\u5206\u985e<\/strong><\/p>\n

\u4e00\u3001\u75c5\u7406\u5206\u985e\uff1a\u4e00\u822c\u53ef\u5206\u70ba\u5c0f\u8449\u764c\u53ca\u6d78\u6f64\u6027\u5c0e\u7ba1\u764c
\n\u4e8c\u3001\u81e8\u5e8a\u5206\u671f\uff1a\u4e86\u89e3\u4e73\u764c\u4fb5\u72af\u7684\u7a0b\u5ea6\u3001\u6cbb\u7642\u65b9\u5f0f\u53ca
\n\u7652\u5f8c\u60c5\u5f62\uff0c\u4e00\u822c\u5206\u70ba\u56db\u671f\uff1a<\/p>\n

\u7b2c\u4e00\u671f<\/strong> \u4e73\u623f\u816b\u584a\u5c0f\u65bc2 \u516c\u5206\uff0c\u7121\u814b\u4e0b\u6dcb\u5df4\u7d50\u8f49\u79fb\u3002
\n\u7b2c\u4e8c\u671f<\/strong> \u4e73\u623f\u816b\u584a\u57282-5 \u516c\u5206\u4e4b\u9593\uff0c\u53ef\u80fd\u6709\u6216\u6c92\u6709\u6dcb\u5df4\u7d50\u8f49\u79fb\u3002
\n\u7b2c\u4e09\u671f<\/strong> \u4e73\u623f\u816b\u584a\u5927\u65bc5 \u516c\u5206\uff0c\u76ae\u819a\u53ef\u80fd\u51fa\u73fe\u7d05\u816b\u3001\u6f70\u721b\u6216\u6a58\u76ae\u6a23\u8b8a\u5316\uff0c\u5927\u90e8\u4efd\u814b\u4e0b\u6dcb\u5df4\u7d50\u8f49\u79fb\u3002
\n\u7b2c\u56db\u671f<\/strong> \u6709\u9060\u8655\u5668\u5b98\u8f49\u79fb\uff0c\u5982\u9aa8\u3001\u809d\u3001\u80ba\u7b49\u5668\u5b98\u3002<\/p>\n

\u4e73\u764c\u7684\u6cbb\u7642\u65b9\u6cd5\u6709\u54ea\u4e9b\uff1f<\/strong>
\n\u4e00\u3001\u624b\u8853\u6cbb\u7642\uff1a
\n\u662f\u4e73\u764c\u5e38\u898b\u7684\u6cbb\u7642\u65b9\u6cd5\u4e4b\u4e00\uff0c\u624b\u8853\u7684\u65b9\u5f0f\u975e\u5e38\u591a\uff0c\u91ab\u5e2b\u6703\u8207\u4f60\u8a0e\u8ad6\u5404\u7a2e\u624b\u8853\u7684\u5229\u5f0a\uff0c\u5e38\u898b\u7684\u65b9\u6cd5\u5982\u4e0b\uff1a<\/p>\n

(1) \u6539\u826f\u5f0f\u4e73\u623f\u6839\u9664\u8853\uff1a\u662f\u5c07\u4e73\u623f\u53ca\u814b\u4e0b\u6dcb\u5df4\u7d50\u5207\u9664\uff0c\u4fdd\u7559\u80f8\u5927\u808c\uff0c\u53ef\u589e\u52a0\u7f8e\u89c0\uff0c\u53ca\u65bc\u672a\u4f86\u505a\u4e73\u623f\u91cd\u5efa\uff0c\u9069\u7528\u65bc\u5c40\u90e8\u816b\u7624\u5207\u9664\uff0c\u4e14\u7121\u9060\u7aef\u5668\u5b98\u8f49\u79fb\u8005\u3002
\n(2) \u4e73\u623f\u4fdd\u7559\u624b\u8853\uff1a\u662f\u5c07\u816b\u584a\u53ca\u814b\u4e0b\u6dcb\u5df4\u7d50\u5207\u9664\uff0c\u5c0f\u65bc\u4e8c\u516c\u5206\u7684\u816b\u7624\uff0c\u4e14\u814b\u4e0b\u6dcb\u5df4\u7d50\u7121\u75c5\u8b8a\u8005\uff0c\u53ef\u65bd\u884c\u6b64\u4fdd\u5b88\u7642\u6cd5\uff0c\u4e00\u822c\u4ecd\u9700\u914d\u5408\u653e\u5c04\u7dda\u6cbb\u7642\u3002
\n(3) \u55ae\u7d14\u6027\u5168\u4e73\u623f\u5207\u9664\u624b\u8853\uff1a\u9069\u7528\u65bc\u4e73\u623f\u817a\u7ba1\u539f\u4f4d\u764c\u4e4b\u60a3\u8005\uff0c\u624b\u8853\u4e0d\u5305\u62ec\u542b\u814b\u4e0b\u6dcb\u5df4\u7d50\u5207\u9664\u3002<\/p>\n

\u4e8c\u3001\u653e\u5c04\u7dda\u6cbb\u7642\uff1a
\n\u662f\u4f7f\u7528\u9ad8\u80fd\u91cf\u7684\u653e\u5c04\u7dda\u53bb\u7834\u58de\u6216\u505c\u6b62\u764c\u7d30\u80de\u751f\u9577\uff0c\u901a\u5e38\u7528\u65bc\u816b\u7624\u904e\u5927\u64d4\u5fc3\u624b\u8853\u5f8c\u6709\u6b98\u7559\u7684\u764c\u75c7\u7d30\u80de\u6703\u64f4\u6563\u51fa\u53bb\u8005\u3002\u6216\u7528\u65bc\u4e73\u623f\u4fdd\u7559\u624b\u8853\uff0c\u589e\u52a0\u5c40\u90e8\u63a7\u5236\u3002\u4e00\u822c\u5728\u624b\u8853\u5f8c\u6703\u63a5\u53d75-6\u9031\uff0c\u6bcf\u90315\u5929\u7684\u653e\u5c04\u7dda\u6cbb\u7642\uff0c\u53ef\u6e1b\u5c11\u5c40\u90e8\u5fa9\u767c\u7684\u6a5f\u6703\u3002
\n\u4e09\u3001\u5316\u5b78\u6cbb\u7642\uff1a
\n\u901a\u5e38\u6703\u5408\u4f75\u591a\u7a2e\u5316\u5b78\u85e5\u7269\uff0c\u76ee\u524d\u5316\u5b78\u85e5\u7269\u5c0d\u65bc\u4e73\u764c\u7d30\u80de\u7684\u63a7\u5236\uff0c\u6548\u679c\u76f8\u7576\u597d\uff0c\u53ef\u6709\u6548\u964d\u4f4e\u5c40\u90e8\u5fa9\u767c\u4e26\u5ef6\u9577\u5b58\u6d3b\u6642\u9593\uff0c\u4e00\u822c\u5b89\u6392\u4f4f\u9662\u6216\u5728\u9580\u8a3a\u63a5\u53d7\u6cbb\u7642\u3002<\/p>\n

\u56db\u3001\u8377\u723e\u8499\u6cbb\u7642\uff1a
\n\u662f\u85c9\u8457\u8377\u723e\u8499\u85e5\u7269\u53bb\u6291\u5236\u4e73\u764c\u7684\u751f\u9577\uff0c\u6b64\u7a2e\u65b9\u6cd5\u9069\u7528\u65bc\u8377\u723e\u8499\u63a5\u53d7\u9ad4\u5448\u967d\u6027\u8005\uff0c\u65b9\u6cd5\u5305\u62ec\u5375\u5de2\u5207\u9664\uff0c\u6216\u53e3\u670d\u8377\u723e\u8499\u7684\u85e5\u7269\uff0c\u5982T amoxifen\u6700\u5e38\u88ab\u4f7f\u7528\uff0c\u526f\u4f5c\u7528\u4f4e\u3002<\/p>\n

\u4e94\u3001\u6a19\u9776\u6cbb\u7642\uff1a
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\"\u9580\u8a3a\u6642\u9593\u8868\"<\/a><\/p>\n

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