北京肺癌骨转移求助，叩首致谢。

chaiyinghao

<p style="BACKGROUND: #e3f1d1; WORD-BREAK: break-all; TEXT-INDENT: 14.4pt;"><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">我母亲，</font></span><chsdate wst="on" isrocdate="False" islunardate="False" day="7" month="12" year="2004"><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">2004</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">年</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">12</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">月</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">7</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">日</font></span></chsdate><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">行肺部右下叶全切除，淋巴有转移，定为</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">III</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">期</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">B</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">。后做了五个化疗，紫杉醇</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">+</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">顺铂。</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">2006</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">年</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">11</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">月，左肺出现</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">0.9x0.7</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">转移淋巴结，小，并且形状圆，未引起重视，大夫就原发和转移略有争议，认为在</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">1.0</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">以下，先观察一段时间。后练气功并服中药。因我的疏忽和她糖尿病等原因，至</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">07</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">年</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">11</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">月复查，</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">CEA 45.</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">多，双肺多个小结节，大者</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">1.3x1.3</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">。前两个礼拜，因背剧痛，晚上无法睡</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">.<chsdate wst="on" isrocdate="False" islunardate="False" day="7" month="11" year="2007">11<span lang="EN-US" style="FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><span lang="EN-US">月</span></span>7<span lang="EN-US" style="FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><span lang="EN-US">日</span></span></chsdate><span lang="EN-US" style="FONT-FAMILY: 宋体; mso-ascii-font-family: Tahoma; mso-hansi-font-family: Tahoma;">左右，开始服用易瑞沙。上周做骨扫描，颈椎</span>(</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">中段</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">1</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">）和胸椎（</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">3</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">处）以及右竑骨（</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">1</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">处）多发性骨转移。昨日（</font></span><chsdate wst="on" isrocdate="False" islunardate="False" day="19" month="11" year="2007"><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">2007</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">年</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">11</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">月</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">19</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">日</font></span></chsdate><font face="宋体"><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;">），大夫让继续吃易瑞沙并加了一种双磷酸盐：口服固令片（每天四片）。自从吃易瑞沙后，骨痛好转，微痛，坚持锻炼。</span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;"><p></p></span></font></p><p style="BACKGROUND: #e3f1d1; WORD-BREAK: break-all; TEXT-INDENT: 14.4pt;"><font face="宋体"><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;">有几个问题求教，叩首致谢：</span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;"><p></p></span></font></p><p style="BACKGROUND: #e3f1d1; WORD-BREAK: break-all; TEXT-INDENT: 14.4pt;"><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">1.</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">固令口服药是双磷酸盐的第几代产品？它和天晴依泰注射液以及邦罗力，哪种更有效（她颈椎疼的较利害，这两天有些头晕，大夫说骨转移在颈椎中段处较危险，所以开固令，并用最大剂量</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">1600mg/d.)</span><font face="宋体"><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;">？</span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;"><p></p></span></font></p><p style="BACKGROUND: #e3f1d1; WORD-BREAK: break-all; TEXT-INDENT: 14.4pt;"><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">2.</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">固令这种药的效果如何，它对骨转移是否有治疗效果，还是只起止痛效果，现在用最大剂量（</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">4</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">片</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">/</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">天），对肾的伤害能厉害到何种程度（她糖尿病较厉害）？是否会产生耐药性</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">?<p></p></span></p><p style="BACKGROUND: #e3f1d1; WORD-BREAK: break-all; TEXT-INDENT: 14.4pt;"><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">3.</span><font face="宋体"><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;">一朋友建议，吃了这个月的固令，可先暂停。易瑞沙对骨转移也有作用。不知可否。</span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;"><p></p></span></font></p><p style="BACKGROUND: #e3f1d1; WORD-BREAK: break-all; TEXT-INDENT: 14.4pt;"><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">4.</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">大夫说：目前看，双肺小结节转移比骨转移更为凶险，用易瑞沙一个月后，做胸部</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">CT</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">观察易瑞沙是否发挥了作用（她的疼痛在服用易瑞沙后，确实减轻了）网上看，易瑞沙耐药性一般为</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">13</span><font face="宋体"><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;">个月，耐药之后该如何治疗？据说可以结合反应停一起（偏方），可减少耐药性，是否是这样？如出现耐药，还有什么药物可供选择。</span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;"><p></p></span></font></p><p style="BACKGROUND: #e3f1d1; WORD-BREAK: break-all; TEXT-INDENT: 14.4pt;"><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">5.</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">从网上看，锶</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">89</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">核素治疗对血相破坏大，不建议太早使用。但我母亲这种情况，何时做为好。大概费用是多少（据说一种港产锶</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">89</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">核素美他特龙为</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">15000</span><font face="宋体"><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;">一支）。还有其他的核素治疗方案么，比如钐等。哪种对肺癌骨转移更有效？</span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;"><p></p></span></font></p><p style="BACKGROUND: #e3f1d1; WORD-BREAK: break-all; TEXT-INDENT: 14.4pt;"><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">6.</span><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">甲基</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">CCU</span><font face="宋体"><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;">对骨转移有效果么？还有密钙息和反应停？（哪种牌子的好些？）网上看了一些，但我自己不得要领。是否有使用过的病友的家属帮我说一下。其中是否含激素？</span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;"><p></p></span></font></p><p style="BACKGROUND: #e3f1d1; WORD-BREAK: break-all; TEXT-INDENT: 14.4pt;"><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">7.</span><font face="宋体"><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;">后续的治疗方案该采取什么样的为好？多发性的骨转移是否可以放疗呢？尤其是颈椎那块比较厉害。</span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;"><p></p></span></font></p><p style="BACKGROUND: #e3f1d1; WORD-BREAK: break-all; TEXT-INDENT: 14.4pt;"><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">8.</span><font face="宋体"><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;">从骨扫描看，骨转移灶的阴影较大，是否意味着肿瘤的实体有那么大？骨转移可以分早，中，晚期么？</span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;"><p></p></span></font></p><p style="BACKGROUND: #e3f1d1; WORD-BREAK: break-all; TEXT-INDENT: 14.4pt;"><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">9.</span><font face="宋体"><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;">请帮助她制定一个后续的服药和治疗方案。</span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;"><p></p></span></font></p><p style="BACKGROUND: #e3f1d1; WORD-BREAK: break-all; TEXT-INDENT: 14.4pt;"><font face="宋体"><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;">叩首求助病友的宝贵经验。多谢！</span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;"><p></p></span></font></p><p style="BACKGROUND: #e3f1d1; WORD-BREAK: break-all; TEXT-INDENT: 14.4pt;"><span style="FONT-SIZE: 9pt; COLOR: black; mso-ascii-font-family: Tahoma; mso-bidi-font-family: Tahoma; mso-hansi-font-family: Tahoma;"><font face="宋体">我的邮箱：</font></span><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">chaiyinghao@gmail.com<p></p></span></p><p style="BACKGROUND: #e3f1d1; WORD-BREAK: break-all; TEXT-INDENT: 14.4pt;"><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">msn:chaiyinghao@hotmail.com<p></p></span></p><p style="BACKGROUND: #e3f1d1; WORD-BREAK: break-all; TEXT-INDENT: 14.4pt;"><span lang="EN-US" style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: Tahoma;">qq:573772060<p></p></span></p>

妈妈别哭

固令是第二代，必须坚持打，因为它还有保护骨不被侵蚀的作用，再加上易瑞沙控制骨转移，应该效果不错，如果固令打过几个月效果不好的话，再换第三代即可，也就是唑来膦酸。最后再考虑锶８９吧，那是内放疗，副作用有点，而且不是多发的话，用唑来就能控制，每月一针。
固令和天晴是一代产品，天晴是输液的。
易瑞沙和放疗可同时进行，如果颈椎疼的历害，可放一下，我妈也是颈椎，但还没放完一疗程，就吃不下饭了，把食道放坏了，所以你要放这里的话要找个好点的医生问准确，我后来咨询了别的医生，他们说精确放疗可避开食道的粘膜组织，看来放疗医生经验很关键。
头晕不是颈椎骨转移的毛病，脑转移有查过吗，一般脑转移会头晕。