{"id":13728,"date":"2018-06-12T11:23:58","date_gmt":"2018-06-12T03:23:58","guid":{"rendered":"\/\/www.afterroberto.com\/?p=13728"},"modified":"2019-05-14T12:22:42","modified_gmt":"2019-05-14T04:22:42","slug":"%e9%86%ab%e8%a8%80%e6%9c%89%e7%90%86%ef%bc%9a%e6%b7%8b%e5%b7%b4%e7%b5%90%e8%84%b9%e5%a4%a7-%e5%b0%8f%e5%bf%83%e3%80%8c%e5%8d%a1%e6%96%af%e7%88%be%e6%9b%bc%e7%97%87%e3%80%8d","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e9%86%ab%e8%a8%80%e6%9c%89%e7%90%86%ef%bc%9a%e6%b7%8b%e5%b7%b4%e7%b5%90%e8%84%b9%e5%a4%a7-%e5%b0%8f%e5%bf%83%e3%80%8c%e5%8d%a1%e6%96%af%e7%88%be%e6%9b%bc%e7%97%87%e3%80%8d\/","title":{"rendered":"\u91ab\u8a00\u6709\u7406\uff1a\u6dcb\u5df4\u7d50\u8139\u5927 \u5c0f\u5fc3\u300c\u5361\u65af\u723e\u66fc\u75c7\u300d"},"content":{"rendered":"

\u4e94\u5341\u6b72\u7684\u9673\u5148\u751f\u7121\u610f\u4e4b\u9593\u767c\u73fe\u81ea\u5df1\u9838\u90e8\u6709\u816b\u584a\uff0c\u91ab\u751f\u6aa2\u67e5\u78ba\u5b9a\u662f\u9838\u90e8\u6dcb\u5df4\u7d50\u8139\u5927\uff08Cervical lymphadenopathy\uff09\u3002\u6b63\u96fb\u5b50\u6383\u63cf\u986f\u793a\u5168\u8eab\u591a\u8655\u6dcb\u5df4\u7d50\u8139\u5927\uff0c\u300c\u6d3b\u7d44\u7e54\u6aa2\u67e5\u300d\uff08Biopsy\uff09\u78ba\u8a3a\u300c\u5361\u65af\u723e\u66fc\u75c7\u300d\uff08Castleman’s disease\uff09\u3002<\/p>\n

\u7f55\u898b\u75c5 \u53ef\u767c\u5c55\u6210\u6dcb\u5df4\u764c<\/p>\n

\u5361\u65af\u723e\u66fc\u75c7\u53c8\u7a31\u300c\u8840\u7ba1\u6ffe\u6ce1\u6027\u6dcb\u5df4\u589e\u751f\u300d\uff08angiofollicular lymphoid hyperplasia\uff09\uff0c\u5c6c\u7f55\u898b\u7684\u300c\u6dcb\u5df4\u7d30\u80de\u589e\u751f\u300d\u6bdb\u75c5\uff08Lymphoproliferative disease\uff09\uff0c\u90e8\u5206\u500b\u6848\u8207\u300c\u611b\u6ecb\u75c5\u75c5\u6bd2\u300d\u53ca\u300c\u4eba\u985e\u75b1\u75b9\u75c5\u6bd28\u578b\u75c5\u6bd2\u300d\uff08Human herpesvirus virus 8\uff09\u6709\u5bc6\u5207\u95dc\u4fc2\u3002\u5361\u65af\u723e\u66fc\u75c7\u53ef\u5206\u70ba\u300c\u55ae\u5143\u300d\u53ca\u300c\u591a\u5143\u300d\u5169\u7a2e\uff0c\u5404\u6709\u4e0d\u540c\u300c\u9810\u5f8c\u300d\uff08Prognosis\uff09\uff0c\u7686\u53ef\u767c\u5c55\u6210\u300c\u6dcb\u5df4\u764c\u300d\uff08Lymphoma\uff09\uff0c\u6b63\u96fb\u5b50\u6383\u63cf\u53ca\u6dcb\u5df4\u7d50\u300c\u6d3b\u6aa2\u300d\u6709\u52a9\u78ba\u8a3a\u3002<\/p>\n

\u55ae\u5143\u5361\u65af\u723e\u66fc\u75c7\u60a3\u8005\u4e00\u822c\u8f03\u5e74\u8f15\uff1b\u5c40\u90e8\u300c\u6dcb\u5df4\u7d50\u8139\u5927\u300d\uff08Lymphadenopathy\uff09\uff0c\u5c24\u5176\u5f71\u97ff\u80f8\u90e8\u300c\u7e31\u9694\u6dcb\u5df4\u817a\u300d\uff08Mediastinal lymph nodes\uff09\uff0c\u4e00\u822c\u6c92\u6709\u5176\u4ed6\u75c5\u5fb5\uff1b\u5916\u79d1\u624b\u8853\u5207\u9664\u4e00\u822c\u8db3\u5920\uff0c\u9810\u5f8c\u8f03\u4f73\uff0c\u6709\u6a5f\u6703\u6839\u6cbb\u3002<\/p>\n

\u591a\u5143\u5361\u65af\u723e\u66fc\u75c7\u7684\u60c5\u51b5\u8f03\u8907\u96dc\uff0c\u60a3\u8005\u5e74\u7d00\u8f03\u5927\uff1b\u5f71\u97ff\u5168\u8eab\u591a\u8655\u6dcb\u5df4\u7d50\uff0c\u53ef\u80fd\u6709\u5176\u4ed6\u75c5\u5fb5\uff0c\u5305\u62ec\u767c\u71b1\u3001\u76dc\u6c57\u3001\u9ad4\u91cd\u4e0b\u964d\u53ca\u6613\u5026\u3002\u9a57\u8840\u6216\u986f\u793a\u300c\u8ca7\u8840\u300d\uff08Anaemia\uff09\u3001\u300c\u8840\u5c0f\u677f\u6e1b\u5c11\u300d\uff08Thrombocytopenia\uff09\u3001\u300c\u767d\u86cb\u767d\u6c34\u5e73\u4e0b\u964d\u300d\uff08Hypoalbuminaemia\uff09\u3001\u300c\u591a\u514b\u9686\u6027\u7684\u4e19\u7a2e\u7403\u86cb\u767d\u6c34\u5e73\u4e0a\u5347\u300d\uff08Polyclonal hypergammaglobulinaemia\uff09\u53ca\u6975\u9ad8\u7684\u300c\u7d05\u7d30\u80de\u6c89\u964d\u7387\u300d\uff08Erythrocytes sedimentation rate\uff09\u3002<\/p>\n

\u6cbb\u7642\u591a\u5143\u5361\u65af\u723e\u66fc\u75c7\uff0c\u9996\u9078\u300c\u55ae\u514b\u9686\u6297\u9ad4\u514d\u75ab\u7642\u6cd5\u300d\uff08Monoclonal immunotherapy\uff09\uff0c\u9078\u64c7\u6709\u300c\u767d\u7d30\u80de\u4ecb\u7d206\u6297\u9ad4\u300d\uff08Anti-IL6\uff0cSiltuximab\uff09\u6216\u300c\u767d\u7d30\u80de\u4ecb\u7d206\u53d7\u9ad4\u6297\u9ad4\u300d\uff08Anti-IL6 receptor antibody, tocilizumab\uff09\u53ca\u300c\u5229\u59a5\u6614\u55ae\u6297\u300d\uff08Rituximab\uff09\u3002\u5982\u75c5\u4eba\u4e43\u611b\u6ecb\u75c5\u75c5\u6bd2\u53ca\u75b1\u75b9\u75c5\u6bd28\u578b\u60a3\u8005\uff0c\u53ef\u8003\u616e\u7528\u5229\u59a5\u6614\u55ae\u6297\u52a0\u300c\u6297\u75c5\u6bd2\u6cbb\u7642\u300d\uff08Anti-viral therapy\uff09\u3002\u82e5\u75c5\u60c5\u56b4\u91cd\uff0c\u4e0a\u8ff0\u6cbb\u7642\u65b9\u6848\u53ef\u52a0\u5165\u5316\u7642\u85e5\uff0c\u4f8b\u5982\u300c\u4f9d\u6258\u6cca\u82f7\u300d\uff08Etoposide\uff09\u3002<\/p>\n

\u6587\uff1a\u6881\u61b2\u5b6b\uff08\u8840\u6db2\u53ca\u8840\u6db2\u816b\u7624\u79d1\u5c08\u79d1\u91ab\u751f\uff09<\/p>\n

\/\/www.afterroberto.com\/wp-content\/uploads\/2018\/06\/60bc873bd781453dc2660033821528c7.jpg\u6dcb\u5df4\u7d50\u8139\u5927\u2014\u2014\u9838\u90e8\u6478\u5230\u6709\u816b\u584a\uff0c\u61c9\u76e1\u5feb\u770b\u91ab\u751f\uff0c\u5982\u78ba\u5b9a\u662f\u9838\u90e8\u6dcb\u5df4\u7d50\u8139\u5927\uff0c\u5b9c\u518d\u4f5c\u6df1\u5165\u7684\u8ddf\u9032\u6aa2\u67e5\u3002\uff08deeepblue@iStockphoto\uff09;<\/inline><\/p>\n","protected":false},"excerpt":{"rendered":"

\u4e94\u5341\u6b72\u7684\u9673\u5148\u751f\u7121\u610f\u4e4b\u9593\u767c\u73fe\u81ea\u5df1\u9838\u90e8\u6709\u816b\u584a\uff0c\u91ab\u751f\u6aa2\u67e5\u78ba\u5b9a\u662f\u9838\u90e8\u6dcb\u5df4\u7d50\u8139\u5927\uff08Cervical lymphadenopathy\uff09\u3002\u6b63\u96fb\u5b50\u6383\u63cf\u986f\u793a\u5168\u8eab\u591a\u8655\u6dcb\u5df4\u7d50\u8139\u5927\uff0c\u300c\u6d3b\u7d44\u7e54\u6aa2\u67e5\u300d\uff08Biopsy\uff09\u78ba\u8a3a\u300c\u5361\u65af\u723e\u66fc\u75c7\u300d\uff08Castleman’s disease\uff09\u3002 \u7f55\u898b\u75c5 \u53ef\u767c\u5c55\u6210\u6dcb\u5df4\u764c \u5361\u65af\u723e\u66fc\u75c7\u53c8\u7a31\u300c\u8840\u7ba1\u6ffe\u6ce1\u6027\u6dcb\u5df4\u589e\u751f\u300d\uff08angiofollicular lymphoid hyperplasia\uff09\uff0c\u5c6c\u7f55\u898b\u7684\u300c\u6dcb\u5df4\u7d30\u80de\u589e\u751f\u300d\u6bdb\u75c5\uff08Lymphoproliferative disease\uff09\uff0c\u90e8\u5206\u500b\u6848\u8207\u300c\u611b\u6ecb\u75c5\u75c5\u6bd2\u300d\u53ca\u300c\u4eba\u985e\u75b1\u75b9\u75c5\u6bd28\u578b\u75c5\u6bd2\u300d\uff08Human herpesvirus virus 8\uff09\u6709\u5bc6\u5207\u95dc\u4fc2\u3002\u5361\u65af\u723e\u66fc\u75c7\u53ef\u5206\u70ba\u300c\u55ae\u5143\u300d\u53ca\u300c\u591a\u5143\u300d\u5169\u7a2e\uff0c\u5404\u6709\u4e0d\u540c\u300c\u9810\u5f8c\u300d\uff08Prognosis\uff09\uff0c\u7686\u53ef\u767c\u5c55\u6210\u300c\u6dcb\u5df4\u764c\u300d\uff08Lymphoma\uff09\uff0c\u6b63\u96fb\u5b50\u6383\u63cf\u53ca\u6dcb\u5df4\u7d50\u300c\u6d3b\u6aa2\u300d\u6709\u52a9\u78ba\u8a3a\u3002 \u55ae\u5143\u5361\u65af\u723e\u66fc\u75c7\u60a3\u8005\u4e00\u822c\u8f03\u5e74\u8f15\uff1b\u5c40\u90e8\u300c\u6dcb\u5df4\u7d50\u8139\u5927\u300d\uff08Lymphadenopathy\uff09\uff0c\u5c24\u5176\u5f71\u97ff\u80f8\u90e8\u300c\u7e31\u9694\u6dcb\u5df4\u817a\u300d\uff08Mediastinal lymph nodes\uff09\uff0c\u4e00\u822c\u6c92\u6709\u5176\u4ed6\u75c5\u5fb5\uff1b\u5916\u79d1\u624b\u8853\u5207\u9664\u4e00\u822c\u8db3\u5920\uff0c\u9810\u5f8c\u8f03\u4f73\uff0c\u6709\u6a5f\u6703\u6839\u6cbb\u3002 \u591a\u5143\u5361\u65af\u723e\u66fc\u75c7\u7684\u60c5\u51b5\u8f03\u8907\u96dc\uff0c\u60a3\u8005\u5e74\u7d00\u8f03\u5927\uff1b\u5f71\u97ff\u5168\u8eab\u591a\u8655\u6dcb\u5df4\u7d50\uff0c\u53ef\u80fd\u6709\u5176\u4ed6\u75c5\u5fb5\uff0c\u5305\u62ec\u767c\u71b1\u3001\u76dc\u6c57\u3001\u9ad4\u91cd\u4e0b\u964d\u53ca\u6613\u5026\u3002\u9a57\u8840\u6216\u986f\u793a\u300c\u8ca7\u8840\u300d\uff08Anaemia\uff09\u3001\u300c\u8840\u5c0f\u677f\u6e1b\u5c11\u300d\uff08Thrombocytopenia\uff09\u3001\u300c\u767d\u86cb\u767d\u6c34\u5e73\u4e0b\u964d\u300d\uff08Hypoalbuminaemia\uff09\u3001\u300c\u591a\u514b\u9686\u6027\u7684\u4e19\u7a2e\u7403\u86cb\u767d\u6c34\u5e73\u4e0a\u5347\u300d\uff08Polyclonal hypergammaglobulinaemia\uff09\u53ca\u6975\u9ad8\u7684\u300c\u7d05\u7d30\u80de\u6c89\u964d\u7387\u300d\uff08Erythrocytes sedimentation rate\uff09\u3002 \u6cbb\u7642\u591a\u5143\u5361\u65af\u723e\u66fc\u75c7\uff0c\u9996\u9078\u300c\u55ae\u514b\u9686\u6297\u9ad4\u514d\u75ab\u7642\u6cd5\u300d\uff08Monoclonal immunotherapy\uff09\uff0c\u9078\u64c7\u6709\u300c\u767d\u7d30\u80de\u4ecb\u7d206\u6297\u9ad4\u300d\uff08Anti-IL6\uff0cSiltuximab\uff09\u6216\u300c\u767d\u7d30\u80de\u4ecb\u7d206\u53d7\u9ad4\u6297\u9ad4\u300d\uff08Anti-IL6 receptor antibody, tocilizumab\uff09\u53ca\u300c\u5229\u59a5\u6614\u55ae\u6297\u300d\uff08Rituximab\uff09\u3002\u5982\u75c5\u4eba\u4e43\u611b\u6ecb\u75c5\u75c5\u6bd2\u53ca\u75b1\u75b9\u75c5\u6bd28\u578b\u60a3\u8005\uff0c\u53ef\u8003\u616e\u7528\u5229\u59a5\u6614\u55ae\u6297\u52a0\u300c\u6297\u75c5\u6bd2\u6cbb\u7642\u300d\uff08Anti-viral therapy\uff09\u3002\u82e5\u75c5\u60c5\u56b4\u91cd\uff0c\u4e0a\u8ff0\u6cbb\u7642\u65b9\u6848\u53ef\u52a0\u5165\u5316\u7642\u85e5\uff0c\u4f8b\u5982\u300c\u4f9d\u6258\u6cca\u82f7\u300d\uff08Etoposide\uff09\u3002 \u6587\uff1a\u6881\u61b2\u5b6b\uff08\u8840\u6db2\u53ca\u8840\u6db2\u816b\u7624\u79d1\u5c08\u79d1\u91ab\u751f\uff09 \/\/www.afterroberto.com\/wp-content\/uploads\/2018\/06\/60bc873bd781453dc2660033821528c7.jpg\u6dcb\u5df4\u7d50\u8139\u5927\u2014\u2014\u9838\u90e8\u6478\u5230\u6709\u816b\u584a\uff0c\u61c9\u76e1\u5feb\u770b\u91ab\u751f\uff0c\u5982\u78ba\u5b9a\u662f\u9838\u90e8\u6dcb\u5df4\u7d50\u8139\u5927\uff0c\u5b9c\u518d\u4f5c\u6df1\u5165\u7684\u8ddf\u9032\u6aa2\u67e5\u3002\uff08deeepblue@iStockphoto\uff09;<\/p>\n","protected":false},"author":5,"featured_media":13729,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[3],"tags":[1825,1172,93,1824],"class_list":["post-13728","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-3","tag-1825","tag-1172","tag-93","tag-1824"],"publishpress_future_action":{"enabled":false,"date":"2026-11-25 11:54:02","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/13728"}],"collection":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/comments?post=13728"}],"version-history":[{"count":0,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/13728\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media\/13729"}],"wp:attachment":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media?parent=13728"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/categories?post=13728"},{"taxonomy":"post_tag","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/tags?post=13728"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}