https://eraslab.gxmuyfy.cn/author/%E4%B8%AD%E5%9B%BD%E6%8A%97%E7%99%8C%E5%8D%8F%E4%BC%9A%E8%82%BF%E7%98%A4%E8%90%A5%E5%85%BB%E4%B8%93%E4%B8%9A%E5%A7%94%E5%91%98%E4%BC%9A/ 中国抗癌协会肿瘤营养专业委员会 Hugo Blox Builder (https://hugoblox.com)en-usThu, 30 May 2024 00:00:00 +0000 https://eraslab.gxmuyfy.cn/media/logo_hu_2ee990db4a8735f3.png https://eraslab.gxmuyfy.cn/author/%E4%B8%AD%E5%9B%BD%E6%8A%97%E7%99%8C%E5%8D%8F%E4%BC%9A%E8%82%BF%E7%98%A4%E8%90%A5%E5%85%BB%E4%B8%93%E4%B8%9A%E5%A7%94%E5%91%98%E4%BC%9A/ https://eraslab.gxmuyfy.cn/publication/2024-05-30-tumor-diarrhea-consensus/ Thu, 30 May 2024 00:00:00 +0000 https://eraslab.gxmuyfy.cn/publication/2024-05-30-tumor-diarrhea-consensus/ <p> <figure > <div class="d-flex justify-content-center"> <div class="w-100" ><img alt="" srcset=" /publication/2024-05-30-tumor-diarrhea-consensus/tupian_r__658-60_c__8dc2e7__hu_d3e03373880fb11a.webp 400w, /publication/2024-05-30-tumor-diarrhea-consensus/tupian_r__658-60_c__8dc2e7__hu_a5508f2d3fbdd9e0.webp 760w, /publication/2024-05-30-tumor-diarrhea-consensus/tupian_r__658-60_c__8dc2e7__hu_2fe0ed78ae1360a3.webp 1200w" src="https://eraslab.gxmuyfy.cn/publication/2024-05-30-tumor-diarrhea-consensus/tupian_r__658-60_c__8dc2e7__hu_d3e03373880fb11a.webp" width="658" height="60" loading="lazy" data-zoomable /></div> </div></figure> </p> <h2 id="摘要">摘要</h2> <p>        肿瘤患者合并腹泻会严重影响患者的生活质量和治疗效果，甚至可危及生命。腹泻可因肿瘤本身所致，也可由各种治疗所引起,如放化疗、靶向药物、免疫治疗、肠道感染、药物、肿瘤术后、肠内营养不当等因素。肿瘤相关性腹泻的临床表现主要分为以下 3 种:胃肠道症状，全身中毒症状，水、电解质和酸碱平衡紊乱症状。将这些症状归类为“不复杂” 或“复杂”，有助于制订合适的治疗流程。不复杂的肿瘤相关性腹泻为 1 级或 2 级腹泻且无其他并发症的患者，首选保守治疗，如健康教育、口服补液和止泻治疗。复杂的肿瘤相关性腹泻包括 1 级或 2 级腹泻伴随有危险因素（如中重度痉挛、≥2 级的恶心呕吐、发热、败血症、消化道出血等）、3 或 4 级腹泻，则需要住院治疗并进一步评估病情和密切监测生命体征，可输注维持型基础糖、电解质等进行积极治疗,应有包括胃肠病学专家在内的多学科团队进行评估。</p> <p> <figure > <div class="d-flex justify-content-center"> <div class="w-100" ><img alt="" srcset=" /publication/2024-05-30-tumor-diarrhea-consensus/zhongliuxiangguanxingfuxiedeyingyangzhiliaozhuanjiagongshi_zhongguokangaixiehuizhongliuyingyangzhuanyeweiyuanhui___00_r__1654-2244_c__d9ddd0__hu_d9b7477e5d9bb987.webp 400w, /publication/2024-05-30-tumor-diarrhea-consensus/zhongliuxiangguanxingfuxiedeyingyangzhiliaozhuanjiagongshi_zhongguokangaixiehuizhongliuyingyangzhuanyeweiyuanhui___00_r__1654-2244_c__d9ddd0__hu_7a36d2b4bf663b7a.webp 760w, /publication/2024-05-30-tumor-diarrhea-consensus/zhongliuxiangguanxingfuxiedeyingyangzhiliaozhuanjiagongshi_zhongguokangaixiehuizhongliuyingyangzhuanyeweiyuanhui___00_r__1654-2244_c__d9ddd0__hu_7135617e203db31b.webp 1200w" src="https://eraslab.gxmuyfy.cn/publication/2024-05-30-tumor-diarrhea-consensus/zhongliuxiangguanxingfuxiedeyingyangzhiliaozhuanjiagongshi_zhongguokangaixiehuizhongliuyingyangzhuanyeweiyuanhui___00_r__1654-2244_c__d9ddd0__hu_d9b7477e5d9bb987.webp" width="560" height="760" loading="lazy" data-zoomable /></div> </div></figure> </p> <p> <figure > <div class="d-flex justify-content-center"> <div class="w-100" ><img alt="" srcset=" /publication/2024-05-30-tumor-diarrhea-consensus/zhongliuxiangguanxingfuxiedeyingyangzhiliaozhuanjiagongshi_zhongguokangaixiehuizhongliuyingyangzhuanyeweiyuanhui___01_r__1654-2244_c__dee1d4__hu_970a34fe0d5993fe.webp 400w, /publication/2024-05-30-tumor-diarrhea-consensus/zhongliuxiangguanxingfuxiedeyingyangzhiliaozhuanjiagongshi_zhongguokangaixiehuizhongliuyingyangzhuanyeweiyuanhui___01_r__1654-2244_c__dee1d4__hu_75560c3aac1cd3d6.webp 760w, /publication/2024-05-30-tumor-diarrhea-consensus/zhongliuxiangguanxingfuxiedeyingyangzhiliaozhuanjiagongshi_zhongguokangaixiehuizhongliuyingyangzhuanyeweiyuanhui___01_r__1654-2244_c__dee1d4__hu_4a663203fddfe06b.webp 1200w" src="https://eraslab.gxmuyfy.cn/publication/2024-05-30-tumor-diarrhea-consensus/zhongliuxiangguanxingfuxiedeyingyangzhiliaozhuanjiagongshi_zhongguokangaixiehuizhongliuyingyangzhuanyeweiyuanhui___01_r__1654-2244_c__dee1d4__hu_970a34fe0d5993fe.webp" width="560" height="760" loading="lazy" data-zoomable /></div> </div></figure> </p> <p> <figure > <div class="d-flex justify-content-center"> <div class="w-100" ><img alt="" srcset=" /publication/2024-05-30-tumor-diarrhea-consensus/zhongliuxiangguanxingfuxiedeyingyangzhiliaozhuanjiagongshi_zhongguokangaixiehuizhongliuyingyangzhuanyeweiyuanhui___02_r__1654-2244_c__19284c__hu_5cbb4099745f6820.webp 400w, /publication/2024-05-30-tumor-diarrhea-consensus/zhongliuxiangguanxingfuxiedeyingyangzhiliaozhuanjiagongshi_zhongguokangaixiehuizhongliuyingyangzhuanyeweiyuanhui___02_r__1654-2244_c__19284c__hu_94d5c93ca9931851.webp 760w, /publication/2024-05-30-tumor-diarrhea-consensus/zhongliuxiangguanxingfuxiedeyingyangzhiliaozhuanjiagongshi_zhongguokangaixiehuizhongliuyingyangzhuanyeweiyuanhui___02_r__1654-2244_c__19284c__hu_99b71f2732796bc.webp 1200w" src="https://eraslab.gxmuyfy.cn/publication/2024-05-30-tumor-diarrhea-consensus/zhongliuxiangguanxingfuxiedeyingyangzhiliaozhuanjiagongshi_zhongguokangaixiehuizhongliuyingyangzhuanyeweiyuanhui___02_r__1654-2244_c__19284c__hu_5cbb4099745f6820.webp" width="560" height="760" loading="lazy" data-zoomable /></div> </div></figure> </p> <p> <figure > <div class="d-flex justify-content-center"> <div class="w-100" ><img alt="" srcset=" /publication/2024-05-30-tumor-diarrhea-consensus/zhongliuxiangguanxingfuxiedeyingyangzhiliaozhuanjiagongshi_zhongguokangaixiehuizhongliuyingyangzhuanyeweiyuanhui___03_r__1654-2244_c__e3decf__hu_14c39bfbc161251.webp 400w, /publication/2024-05-30-tumor-diarrhea-consensus/zhongliuxiangguanxingfuxiedeyingyangzhiliaozhuanjiagongshi_zhongguokangaixiehuizhongliuyingyangzhuanyeweiyuanhui___03_r__1654-2244_c__e3decf__hu_4b3d96931dc155fa.webp 760w, /publication/2024-05-30-tumor-diarrhea-consensus/zhongliuxiangguanxingfuxiedeyingyangzhiliaozhuanjiagongshi_zhongguokangaixiehuizhongliuyingyangzhuanyeweiyuanhui___03_r__1654-2244_c__e3decf__hu_4f3889335bdc8af0.webp 1200w" src="https://eraslab.gxmuyfy.cn/publication/2024-05-30-tumor-diarrhea-consensus/zhongliuxiangguanxingfuxiedeyingyangzhiliaozhuanjiagongshi_zhongguokangaixiehuizhongliuyingyangzhuanyeweiyuanhui___03_r__1654-2244_c__e3decf__hu_14c39bfbc161251.webp" width="560" height="760" loading="lazy" data-zoomable /></div> </div></figure> </p> <p> <figure > <div class="d-flex justify-content-center"> <div class="w-100" ><img alt="" srcset=" /publication/2024-05-30-tumor-diarrhea-consensus/zhongliuxiangguanxingfuxiedeyingyangzhiliaozhuanjiagongshi_zhongguokangaixiehuizhongliuyingyangzhuanyeweiyuanhui___04_r__1654-2244_c__dcddd0__hu_76d66b1176f2a386.webp 400w, /publication/2024-05-30-tumor-diarrhea-consensus/zhongliuxiangguanxingfuxiedeyingyangzhiliaozhuanjiagongshi_zhongguokangaixiehuizhongliuyingyangzhuanyeweiyuanhui___04_r__1654-2244_c__dcddd0__hu_39052d5044752ec.webp 760w, /publication/2024-05-30-tumor-diarrhea-consensus/zhongliuxiangguanxingfuxiedeyingyangzhiliaozhuanjiagongshi_zhongguokangaixiehuizhongliuyingyangzhuanyeweiyuanhui___04_r__1654-2244_c__dcddd0__hu_ae0a1f51ea22e0f7.webp 1200w" src="https://eraslab.gxmuyfy.cn/publication/2024-05-30-tumor-diarrhea-consensus/zhongliuxiangguanxingfuxiedeyingyangzhiliaozhuanjiagongshi_zhongguokangaixiehuizhongliuyingyangzhuanyeweiyuanhui___04_r__1654-2244_c__dcddd0__hu_76d66b1176f2a386.webp" width="560" height="760" loading="lazy" data-zoomable /></div> </div></figure> </p>