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href="/xywy/mjjt/">名家健坛</a></span></h1> <div id="i2i2jyu4k" class="pa_0_5_0_10"> <h1 class="Content_title" id="hh"> <span id="a" style="">如何发现鼻咽癌的蛛丝马迹</span> </h1> <script>/*jQuery('#hh').width(jQuery('#a').width());*/</script> <div id="i2i2jyu4k" class="Remark"> <span>2017年01月18日 10:28 | 来源：<a target="_blank">人民政协网</a></span> <span id="i2i2jyu4k" class="fr"> <div id="i2i2jyu4k" class="bdsharebuttonbox"><a href="#" class="bds_more" data-cmd="more"></a><a href="#" class="bds_qzone" data-cmd="qzone" title="分享到QQ空间"></a><a href="#" class="bds_tsina" data-cmd="tsina" title="分享到新浪微博"></a><a href="#" class="bds_tqq" data-cmd="tqq" title="分享到腾讯微博"></a><a href="#" class="bds_renren" data-cmd="renren" title="分享到人人网"></a><a href="#" class="bds_weixin" data-cmd="weixin" title="分享到微信"></a></div> <script>window._bd_share_config={"common":{"bdSnsKey":{},"bdText":"","bdMini":"2","bdMiniList":false,"bdPic":"","bdStyle":"0","bdSize":"16"},"share":{}};with(document)0[(getElementsByTagName('head')[0]||body).appendChild(createElement('script')).src='http://bdimg.share.baidu.com/static/api/js/share.js?v=89860593.js?cdnversion='+~(-new Date()/36e5)];</script> </span><span id="i2i2jyu4k" class="fr">分享到：<img src="/images/fx.jpg" /> </span> </div> <div id="i2i2jyu4k" class="text_box"> <p align="center"> <div class="i2i2jyu4k" id="layout" style="text-indent: 2em; text-align: left;"><div class="i2i2jyu4k" id="content" style="text-indent: 2em; text-align: left;"><p style="text-indent: 2em; text-align: left;">鼻咽癌是我国高发的恶性肿瘤之一，广东、广西、湖南、福建、江西被认为是“世界鼻咽癌高发区”，著名表演艺术家李雪健先生就曾是位鼻咽癌患者。鼻咽癌患者是不幸的，通常要经历常人难以想象的痛苦。如果发现得晚，还要承受反复、多次手术。即便是这样，鼻咽癌5年生存率也只有50%左右。早发现、早治疗是减少痛苦、提高生存率的重要手段。那我们平日生活中应该警惕哪些情况，防患鼻咽癌的发生呢？</p><p style="text-indent: 2em; text-align: left;">目前，医学上认为鼻咽癌的发生与遗传基因、病毒感染以及环境中的有毒物质有很大关系。通过对广州地区患者家族谱系的研究，甚至发现一个家族三代9个人中有5人患有鼻咽癌，一对双同胞兄弟先后患癌。即使是侨居国外的中国南方人后代，仍然保持着较高的鼻咽癌发病率。这告诉我们，鼻咽癌通常存在明显的家族遗传性，对于亲戚、家族成员中有类似病例的朋友，就要特别小心了，定期接受专科体检十分必要。</p><p style="text-indent: 2em; text-align: left;">EB病毒与鼻咽癌的密切关系已经是世界公认的事实。EB病毒，又被称为人类疱疹病毒4型，大量病例都证明，鼻咽癌患者体内不仅存在大量的抗EB病毒抗体，而且抗体水平随着病情变化而上下波动。采用分子杂交及聚合酶链反应技术，更是能够直接检测到鼻咽癌活组织中EB病毒特有的表达产物。所以说，鼻咽癌高发地区的朋友最好定期到医院接受EB病毒的监测，关注检测指标的变化。</p><p style="text-indent: 2em; text-align: left;">通常，鼻咽癌高发区的大米和水中微量元素镍的含量较高，鼻咽癌患者体内的镍含量也高于常人，镍可以促进鼻咽癌的发生。因此，环境水中镍含量较高的居民更应该关注鼻咽癌的有关症状，以求早发现、早治疗。不过，检测水中的含镍量需要用精密仪器，普通人家难以知晓，这方面的数据还有赖政府环保水质部门的定期检测和公布。镍是一种重金属，集中存在于电子产品的废料中，如果工厂将含镍的废水未经处理，直接混入污水排出的话，当地的水资源就会受到镍污染。2015年12月，广东省环保厅发布了《镍水质自动在线监测技术要求》，加强了对水质中镍元素的监测力度。</p><p style="text-indent: 2em; text-align: left;">鼻咽癌的早期信号：鼻部症状。鼻咽癌早期可出现鼻涕中带血，时有时无。随着病情的发展，还可引起无明显诱因的鼻塞。如果您出现这样的表现，千万不可轻视。</p><p style="text-indent: 2em; text-align: left;">耳部症状。肿瘤早期也可能压迫或阻塞咽鼓管，引起耳鸣、耳部闭塞感和听力下降，甚至诱发中耳炎。</p><p style="text-indent: 2em; text-align: left;">颈部淋巴结症状。以颈部淋巴结肿大为首发症状就医的鼻咽癌患者约占60%，因此，发现单侧继而双侧颈部淋巴结增大时，就要十分注意了。</p><p style="text-indent: 2em; text-align: left;">脑神经症状。如果肿瘤侵犯脑神经，就会引起偏头疼、面部麻木、看东西重影、眼皮下垂、视力下降、声音嘶哑、呛咳、舌头伸不直等症状。</p><p style="text-indent: 2em; text-align: left;">出现这些症状时也不必过分焦虑，以上症状也并不是鼻咽癌专利，但是有相应症状就需要立即行动，及时就医以明确病因。生活中多加注意，定期接受专科体检，及早就医处理才是防治鼻咽癌的关键。</p><p style="text-indent: 2em; text-align: left;">（马晋平中山大学附属第一医院胃肠外科中心主任医师）</p></div></div> </div> <p class="Editor">编辑：赵彦 </p> <div id="i2i2jyu4k" class="Paging"> </div> <p class="Keyword">关键词：鼻咽癌恶性肿瘤世界鼻咽癌高发区</p> <h1 class="pv_title_2 mt_15"><a href="/index.shtml" target="_blank" class="more mtb_14">更多</a><span id="i2i2jyu4k" class="t" id="a3"><a href="/index.shtml"><img src="/images/xg_t1.jpg" /></a></span></h1> <div id="i2i2jyu4k" class="pa_0_5_0_10"> <ul class="Related_ul bh_150"> <li><a target="_blank" href="/c/2016-04-22/779040.shtml">宫颈癌疫苗不能代替筛查</a></li> <li><a target="_blank" href="/c/2016-03-31/750509.shtml">靠胸片发现肺癌不靠谱</a></li> <li><a target="_blank" 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