查出肺结节，要切吗？医生：劝你“留几手”
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pic.app.jiuquhe.com/static/publish/css/style.css?v=20240712" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=20240712"><!-- 付费贴--> <div class="preview_article "> <!----> <section><section style="font-size: 15px; line-height: 1.8; padding-right: 5px; padding-left: 5px; color: #3e3e3e;"><section style="margin: 10px 0% 8px; text-align: left; justify-content: flex-start; display: flex; flex-flow: row;"><section style="display: inline-block; width: 100%; vertical-align: top; border-left: 3px solid #dbdbdb; border-bottom-left-radius: 0px; padding-left: 8px; align-self: flex-start; flex: 0 0 auto;"><section style="font-size: 16px;"><p><em>“查出肺结节，有人立刻觉得天塌了，也有人面不改色、只顾搞钱。”</em></p></section></section></section><section style="font-size: 16px;"><p> </p><p>在肺结节门诊，任新玲看到了形形色色的深圳人。</p></section><p> </p><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%;" src="https://pic.app.jiuquhe.com/Fs7CZ_6cQY6QmW_Unq-HRu7L5AUr" /></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 5px; line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%;" src="https://pic.app.jiuquhe.com/Fv8GAzQziK5nyaadxl6ae9LxUQKx" /></section></section><section style="text-align: center; padding-right: 15px; padding-left: 15px; color: rgba(180, 180, 180, 0.7);"><p><span style="font-size: 12px;">▲图源：soogif</span></p></section><section style="font-size: 16px;"><p> </p><p>7年前，她从西京医院来到深圳大学总医院，组建了呼吸与危重症医学科后，<strong>第一件事就是成立肺结节门诊</strong>。</p><p> </p><p>这件事太重要了！</p><p> </p><p>自从体检中的CT精度越来越高，肺结节像是新的“社交密码”。似乎一夜之间，周围朋友都查出肺结节。</p><p> </p></section><section style="line-height: 0; text-align: center; margin-top: 10px; margin-bottom: 5px;"><section style="vertical-align: middle; display: inline-block; line-height: 0; width: 80%; height: auto; border-style: solid; border-width: 1px; border-color: rgba(180, 180, 180, 0.7);"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%;" src="https://pic.app.jiuquhe.com/FiqRJ7V6IMIl4B-sR801ENhyADZK" /></section></section><section style="text-align: center; padding-right: 15px; padding-left: 15px; color: rgba(180, 180, 180, 0.7);"><p><span style="font-size: 12px;">▲图源：小红书用户“岁月静好”</span></p></section><p> </p><section style="font-size: 16px;"><p>从此，肺结节成为新的“心结”：</p><p> </p><p><span style="color: #2643d7;"><strong>是不是恶性肿瘤？要不要切？</strong></span></p><p> </p><p>90年代开始研究肺癌的任新玲，在西京医院接待过来自全国各地的患者，炼就一双“毒”眼，能看穿大部分肺结节，也看出了深圳人的焦虑。</p></section><p> </p><p> </p><p> </p><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row;"><section style="display: inline-block; vertical-align: middle; width: auto; min-width: 10%; flex: 0 0 auto; height: auto; line-height: 0; align-self: center;"><section style="transform-origin: center center; margin: -20px -19px; transform: rotateZ(328deg) scale(0.6); max-width: unset !important;"><section style="text-align: center; justify-content: center; margin: 14px 0% 11px; display: flex; flex-flow: row; transform: translate3d(5px, 0px, 0px);"><section style="display: inline-block; width: auto; vertical-align: top; min-width: 10%; flex: 0 0 auto; height: auto; line-height: 0; align-self: flex-start;"><section><section style="display: inline-block; width: 51px; height: 47px; vertical-align: top; overflow: hidden; border-style: solid; border-width: 3px; border-radius: 100%; border-color: #fcd27d rgba(255, 255, 255, 0) #fcd27d #fcd27d;"></section></section><section style="transform: rotateZ(348deg);"><section style="margin-top: -37px; margin-right: 0%; margin-left: 0%; transform: translate3d(-12px, 0px, 0px);"><section style="display: inline-block; width: 71px; height: 42px; vertical-align: top; overflow: hidden; border-style: solid; border-width: 3px; border-radius: 100%; border-color: #fcd27d #fcd27d rgba(255, 255, 255, 0) rgba(255, 255, 255, 0);"></section></section></section></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; min-width: 10%; flex: 0 0 auto; height: auto;"><section style="transform: translate3d(-24px, 0px, 0px);"><section style="color: #1952e0; font-size: 30px; text-align: justify; font-family: Optima-Regular, PingFangTC-light;"><p><strong>01</strong></p></section></section></section></section><section style="color: #2643d7; font-size: 20px; line-height: 1.8;"><p><strong>看13个医生，拍5次CT</strong></p><p><strong>你担心的结节，可能只是块“辣椒皮”</strong></p></section><p> </p><p> </p><section style="margin: 10px 0% 8px; text-align: left; justify-content: flex-start; display: flex; flex-flow: row;"><section style="display: inline-block; width: 100%; vertical-align: top; border-left: 3px solid #dbdbdb; border-bottom-left-radius: 0px; padding-left: 8px; align-self: flex-start; flex: 0 0 auto;"><section style="font-size: 16px;"><p><em>“医生，这肺癌还能活多久？”</em></p></section></section></section><section style="text-align: left; font-size: 16px;"><p> </p><p>有的人，一查出肺结节，就想到肺癌，一想到肺癌，就想到死，还没离开诊室就嚎啕大哭。</p><p> </p></section><section style="margin: 10px 0% 8px; text-align: left; justify-content: flex-start; display: flex; flex-flow: row;"><section style="display: inline-block; width: 100%; vertical-align: top; border-left: 3px solid #dbdbdb; border-bottom-left-radius: 0px; padding-left: 8px; align-self: flex-start; flex: 0 0 auto;"><section style="font-size: 16px;"><p><em>“这才哪跟哪？就肺结节！”</em></p></section></section></section><section style="text-align: left; font-size: 16px;"><p> </p><p>她每次都会解释：放心，肺结节，<span style="font-size: 18px; color: #2643d7;"><strong>95%-98%是良性的</strong></span>。</p><p> </p><p>肺结节的成因很多。当然，不能排除肺癌，最严重的肺癌是小细胞肺癌，但也可能是<strong>感染、过敏、炎症</strong>等引起，很多疾病会以结节等形式在肺上留痕。</p><p> </p></section><section style="margin: 10px 0% 8px; text-align: left; justify-content: flex-start; display: flex; flex-flow: row;"><section style="display: inline-block; width: 100%; vertical-align: top; border-left: 3px solid #dbdbdb; border-bottom-left-radius: 0px; padding-left: 8px; align-self: flex-start; flex: 0 0 auto;"><section style="font-size: 16px;"><p><em>“<strong>吃过的东西误入气管</strong>，都可能在肺上形成‘结节’。”</em></p></section></section></section><section style="text-align: left; font-size: 16px;"><p> </p><p>在气管镜下，任新玲发现过奇奇怪怪的东西，辣椒皮、花生粒，假牙，甚至是瓶盖。</p><p> </p></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0; border-style: solid; border-width: 1px; border-color: rgba(180, 180, 180, 0.7);"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%;" src="https://pic.app.jiuquhe.com/FpKW3TR2xBJ6bkwGZbEoDr5gmAgb" /></section></section><section style="text-align: left; font-size: 16px;"><p> </p><p>查出来3毫米结节，患者会在任新玲面前泣不成声。但有些磨玻璃样小于5毫米的肺结节，定期复查就可以了。</p><p> </p><p>有的人听进去，有的人听不进去。任新玲见过最焦虑的，是有人<strong>查出5毫米的肺结节后，一个月内跑遍广州深圳，看了13个医生，拍了5次CT</strong>。</p><p> </p></section><section style="margin: 10px 0% 8px; text-align: left; justify-content: flex-start; display: flex; flex-flow: row;"><section style="display: inline-block; width: 100%; vertical-align: top; border-left: 3px solid #dbdbdb; border-bottom-left-radius: 0px; padding-left: 8px; align-self: flex-start; flex: 0 0 auto;"><section style="font-size: 16px;"><p><em>“3毫米到5毫米的结节，最好是在电脑上看，片子打出来非常小，看不到结节的细节。”</em></p></section></section></section><p> </p><section style="margin-top: 20px; margin-bottom: 10px;"><section style="display: inline-block; width: 100%; padding: 10px; border-radius: 3px; overflow: hidden; border: 1px solid #9ebfff;"><p> </p><section style="text-align: center; font-size: 18px; color: #2643d7;"><p><strong>要警惕的肺结节长什么样？</strong></p></section><p> </p><section style="text-align: left; font-size: 16px;"><ul class="list-paddingleft-1" style="padding-left: 30px; list-style-position: outside;"><li><p style="margin-bottom: 10px;">边界不规则</p></li><li><p style="margin-bottom: 10px;">有毛刺</p></li><li><p style="margin-bottom: 10px;">有分叶</p></li><li><p style="margin-bottom: 10px;">有胸膜凹陷牵拉</p></li><li><p style="margin-bottom: 10px;">在血管中该细的地方<strong>突然变大</strong></p></li><li><p style="margin-bottom: 10px;">气管走形异常，或是“梗阻”了</p></li><li><p>阴影密度不均匀，实性成分增加</p></li></ul></section><p> </p><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%;" src="https://pic.app.jiuquhe.com/FmbveXu-ps4Drn8X0TUszElfDIzN" /></section></section><section style="font-size: 14px; text-align: left; color: rgba(83, 100, 100, 0.79);"><p style="text-align: center;">▲正在做气管镜的任新玲</p></section></section></section><p> </p><section style="text-align: left; font-size: 16px;"><p>为何需要医生评估呢？</p><p> </p><p>任新玲想起40多岁的老刘<span style="color: rgba(83, 100, 100, 0.79);">（化名）</span>。</p></section><p> </p><p> </p><p> </p><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row;"><section style="display: inline-block; vertical-align: middle; width: auto; min-width: 10%; flex: 0 0 auto; height: auto; line-height: 0; align-self: center;"><section style="transform-origin: center center; margin: -20px -19px; transform: rotateZ(328deg) scale(0.6); max-width: unset !important;"><section style="text-align: center; justify-content: center; margin: 14px 0% 11px; display: flex; flex-flow: row; transform: translate3d(5px, 0px, 0px);"><section style="display: inline-block; width: auto; vertical-align: top; min-width: 10%; flex: 0 0 auto; height: auto; line-height: 0; align-self: flex-start;"><section><section style="display: inline-block; width: 51px; height: 47px; vertical-align: top; overflow: hidden; border-style: solid; border-width: 3px; border-radius: 100%; border-color: #fcd27d rgba(255, 255, 255, 0) #fcd27d #fcd27d;"></section></section><section style="transform: rotateZ(348deg);"><section style="margin-top: -37px; margin-right: 0%; margin-left: 0%; transform: translate3d(-12px, 0px, 0px);"><section style="display: inline-block; width: 71px; height: 42px; vertical-align: top; overflow: hidden; border-style: solid; border-width: 3px; border-radius: 100%; border-color: #fcd27d #fcd27d rgba(255, 255, 255, 0) rgba(255, 255, 255, 0);"></section></section></section></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; min-width: 10%; flex: 0 0 auto; height: auto;"><section style="transform: translate3d(-24px, 0px, 0px);"><section style="color: #1952e0; font-size: 30px; text-align: justify; font-family: Optima-Regular, PingFangTC-light;"><p><strong>02</strong></p></section></section></section></section><section style="color: #2643d7; font-size: 20px; line-height: 1.8;"><p><strong>再“牛”的机器，也可能看走眼</strong></p><p><strong>切完又长出满肺结节</strong></p></section><p> </p><p> </p><section style="text-align: left; font-size: 16px;"><p>老刘是科研项目的带头人。</p><p> </p><p>刚查出9毫米肺结节那年，他没当回事，惦记着回实验室搞科研。</p><p> </p><p><span style="font-size: 18px;"><strong>第二年，结节就变成了2</strong></span><strong><span style="font-size: 18px;">5毫米</span></strong><span style="font-size: 18px;"><strong>大。</strong></span></p><p> </p><p>这回，他不敢掉以轻心，却从一个极端跑到另一个极端——因为心里发毛，直接去拍了PET-CT。</p><p> </p><p>PET-CT能在肿瘤病变形态学发生改变前检测到其内部代谢异常，更早发现恶性肿瘤，号称<strong>国际目前最先进的“肿瘤探测器”</strong>。</p></section><p> </p><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0; width: 95%; height: auto;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%;" src="https://pic.app.jiuquhe.com/FlQxICFmgQGIRuzGhr_NQ4zfvDIX" /></section></section><section style="line-height: 0; margin-bottom: 10px;"><section style="vertical-align: middle; display: inline-block; line-height: 0;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%;" src="https://pic.app.jiuquhe.com/FtfgMk76GKnt8QffBy3czo3Wqki5" /></section></section><p> </p><section style="text-align: left; font-size: 16px;"><p>结果差点让老刘吓软了腿：</p><p> </p><p><em><span style="color: #2643d7;"><strong><span style="font-size: 18px;">怀疑恶性肿瘤。</span></strong></span></em></p><p> </p><p>在最牛的机器前，任新玲不示弱：“因为老刘有糖尿病，很容易有结核或真菌细菌感染，不一定是肿瘤。”</p></section><p> </p><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%;" src="https://pic.app.jiuquhe.com/FoxI5XqMXSeKhvn_D2hX1SKWVL-T" /></section></section><section style="text-align: center; padding-right: 15px; padding-left: 15px; color: rgba(180, 180, 180, 0.7);"><p><span style="font-size: 12px;">▲图源：腾讯医典</span></p></section><p> </p><section style="text-align: left; font-size: 16px;"><p><strong>PET-CT并不是万能的，恰好对这种结节有盲点。</strong></p><p> </p><p>结核或肺炎好转后，肺部会分泌胶原蛋白帮助愈合，坏死的胶原蛋白就会在肺部上形成增殖灶。</p><p> </p><p>PET-CT是根据组织代谢的活跃程度显影：越活跃，它就越显影。如果结核还没完全好，还处于活跃期，PET-CT可能会误判为假阳性。</p><p> </p><p>任新玲判断：“更像是结核肉芽肿。”</p><p> </p><p><strong>但在身体面前，老刘更焦虑工作</strong>：“早切早轻松，我还有活要干呢！”</p><p> </p><p>什么都往前赶的深圳人老刘，匆匆地切了结节。</p><p> </p><p>病理结果：<strong><em><span style="font-size: 18px; color: #2643d7;">肺结核。</span></em></strong></p><p> </p></section><section style="line-height: 0; margin-top: 10px; margin-bottom: 5px;"><section style="vertical-align: middle; display: inline-block; line-height: 0; border-style: solid; border-width: 1px; border-color: rgba(180, 180, 180, 0.7);"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%;" src="https://pic.app.jiuquhe.com/FgpdICj0PwuIEmob61255h_yIFfr" /></section></section><section style="text-align: center; padding-right: 15px; padding-left: 15px; color: rgba(180, 180, 180, 0.7);"><p><span style="font-size: 12px;">▲图源：腾讯医典</span></p></section><p> </p><section style="text-align: left; font-size: 16px;"><p><strong>第三年，老刘带着满肺的结节又来了</strong><strong><span style="font-size: 18px;">。</span></strong></p><p> </p><p>他的母亲忍不住抱怨：“他整天就知道喝可乐。”</p><p> </p><p>这句话被任新玲听到心里，如果老刘继续每天喝可乐，意味着他的糖尿病并没有控制好；结核也没治疗，自愈的可能性很低。</p><p> </p><p>这次，老刘总算听话住院，抗结核治疗。可到第7天，他又焦虑了，闹着出院：</p><p> </p></section><section style="margin: 10px 0% 8px; text-align: left; justify-content: flex-start; display: flex; flex-flow: row;"><section style="display: inline-block; width: 100%; vertical-align: top; border-left: 3px solid #dbdbdb; border-bottom-left-radius: 0px; padding-left: 8px; align-self: flex-start; flex: 0 0 auto;"><section style="font-size: 16px;"><p><em>“我还有好多事没处理！”</em></p></section></section></section><section style="text-align: left; font-size: 16px;"><p> </p><p>知道自己不是癌症后，老刘好不容易“躺平”养病的心又扑回了工作。</p></section><p> </p><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row;"><section style="display: inline-block; vertical-align: middle; width: auto; min-width: 10%; flex: 0 0 auto; height: auto; line-height: 0; align-self: center;"><section style="transform-origin: center center; margin: -20px -19px; transform: rotateZ(328deg) scale(0.6); max-width: unset !important;"><section style="text-align: center; justify-content: center; margin: 14px 0% 11px; display: flex; flex-flow: row; transform: translate3d(5px, 0px, 0px);"><section style="display: inline-block; width: auto; vertical-align: top; min-width: 10%; flex: 0 0 auto; height: auto; line-height: 0; align-self: flex-start;"><section><section style="display: inline-block; width: 51px; height: 47px; vertical-align: top; overflow: hidden; border-style: solid; border-width: 3px; border-radius: 100%; border-color: #fcd27d rgba(255, 255, 255, 0) #fcd27d #fcd27d;"></section></section><section style="transform: rotateZ(348deg);"><section style="margin-top: -37px; margin-right: 0%; margin-left: 0%; transform: translate3d(-12px, 0px, 0px);"><section style="display: inline-block; width: 71px; height: 42px; vertical-align: top; overflow: hidden; border-style: solid; border-width: 3px; border-radius: 100%; border-color: #fcd27d #fcd27d rgba(255, 255, 255, 0) rgba(255, 255, 255, 0);"></section></section></section></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; min-width: 10%; flex: 0 0 auto; height: auto;"><section style="transform: translate3d(-24px, 0px, 0px);"><section style="color: #1952e0; font-size: 30px; text-align: justify; font-family: Optima-Regular, PingFangTC-light;"><p><strong>03</strong></p></section></section></section></section><section style="color: #2643d7; font-size: 20px; line-height: 1.8;"><p><strong>“拖延症”立大功？还没切就变小！</strong></p><p><strong>楼下邻居可能是“真凶”</strong></p></section><p> </p><p> </p><section style="text-align: left; font-size: 16px;"><p>医生最怕遇上的肺结节“麻烦”，是6-8毫米大的实性结节。</p><p> </p><p>和磨玻璃状结节不同，实性结节可能恶性率不高，但不好把控。结节够大或够小，一切了之，但<strong>卡在可切可不切的临界点</strong>就让人头疼。</p><p> </p></section><section style="margin: 10px 0% 8px; text-align: left; justify-content: flex-start; display: flex; flex-flow: row;"><section style="display: inline-block; width: 100%; vertical-align: top; border-left: 3px solid #dbdbdb; border-bottom-left-radius: 0px; padding-left: 8px; align-self: flex-start; flex: 0 0 auto;"><section style="font-size: 16px;"><p><em>“这是肺结节中最难判断的。”</em></p></section></section></section><p> </p><section style="line-height: 0; margin-top: 10px; margin-bottom: 10px;"><section style="vertical-align: middle; display: inline-block; line-height: 0;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%;" src="https://pic.app.jiuquhe.com/FpUuBjT9z0e5ImP2SfP0qlNVz8t8" /></section></section><p> </p><section style="text-align: left; font-size: 16px;"><p>72岁的陈阿姨<span style="color: rgba(83, 100, 100, 0.79);">（化名）</span>刚好就碰上这么麻烦的肺结节：8毫米的实性结节。</p><p> </p><p>保险起见，几家医院都说“切”。</p><p> </p><p>但任新玲又“唱反调”——空气污染、血管炎肉芽肿、过敏性炎症肺炎等都有可能形成实性结节，不能“一刀切”。</p><p> </p><p>就连<span style="color: #2643d7;"><strong>长期油烟刺激</strong></span>都可能引发肺结节。想到这一点，任新玲突然发问：</p></section><p> </p><section style="margin: 10px 0% 8px; text-align: left; justify-content: flex-start; display: flex; flex-flow: row;"><section style="display: inline-block; width: 100%; vertical-align: top; border-left: 3px solid #dbdbdb; border-bottom-left-radius: 0px; padding-left: 8px; align-self: flex-start; flex: 0 0 auto;"><section style="font-size: 16px;"><p><em>“你平时做饭吗？家里油烟大吗？”</em></p></section></section></section><section style="text-align: left; font-size: 16px;"><p> </p><p>谁成想，陈阿姨立刻变“话痨”：自己没怎么做饭，但遇到了糟心事。</p><p> </p><p><strong>她住2楼，碰巧1楼有家餐馆。</strong>每天上午，油烟飘到楼上，“我就呛到醒。”</p></section><p> </p><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%;" src="https://pic.app.jiuquhe.com/FpypoW5nhgWaNR4y6aJ9VNxEzkAo" /></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%;" src="https://pic.app.jiuquhe.com/Fuh76BpMtz8llUCmZ6D1pL8fIcVu" /></section></section><section style="text-align: center; padding-right: 15px; padding-left: 15px; color: rgba(180, 180, 180, 0.7);"><p><span style="font-size: 12px;">▲图源：soogif</span></p></section><p> </p><section style="text-align: left; font-size: 16px;"><p>这个细节让任新玲更倾向于“咳嗽变异性哮喘”，这是一种特殊类型的支气管哮喘，主要表现是咳嗽，很容易误诊或漏诊。</p><p> </p></section><section style="margin: 10px 0% 8px; text-align: left; justify-content: flex-start; display: flex; flex-flow: row;"><section style="display: inline-block; width: 100%; vertical-align: top; border-left: 3px solid #dbdbdb; border-bottom-left-radius: 0px; padding-left: 8px; align-self: flex-start; flex: 0 0 auto;"><section style="font-size: 16px;"><p><em>“别急于手术，先吃药试试。”</em></p></section></section></section><p> </p><section style="text-align: center; margin-top: 10px; margin-bottom: 5px; line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0; border-style: solid; border-width: 1px; border-color: rgba(180, 180, 180, 0.7);"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%;" src="https://pic.app.jiuquhe.com/Fi5XGrpWNaVHfDjwl_Q6OYLD32D-" /></section></section><section style="text-align: center; padding-right: 15px; padding-left: 15px; color: rgba(180, 180, 180, 0.7);"><p><span style="font-size: 12px;">▲图源：腾讯医典</span></p></section><p> </p><section style="text-align: left; font-size: 16px;"><p>刚好陈阿姨要回老家奔丧，还犯了拖延症，<strong>拖了三个月才来复查，结节却明显变小</strong>。</p></section><p> </p><section style="margin: 10px 0% 8px; text-align: left; justify-content: flex-start; display: flex; flex-flow: row;"><section style="display: inline-block; width: 100%; vertical-align: top; border-left: 3px solid #dbdbdb; border-bottom-left-radius: 0px; padding-left: 8px; align-self: flex-start; flex: 0 0 auto;"><section style="font-size: 16px;"><p><em>“结节的大小、形状、边缘特征，固然重要，但患者的生活情况，对判断同样重要。”</em></p></section></section></section><p> </p><p> </p><p> </p><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row;"><section style="display: inline-block; vertical-align: middle; width: auto; min-width: 10%; flex: 0 0 auto; height: auto; line-height: 0; align-self: center;"><section style="transform-origin: center center; margin: -20px -19px; transform: rotateZ(328deg) scale(0.6); max-width: unset !important;"><section style="text-align: center; justify-content: center; margin: 14px 0% 11px; display: flex; flex-flow: row; transform: translate3d(5px, 0px, 0px);"><section style="display: inline-block; width: auto; vertical-align: top; min-width: 10%; flex: 0 0 auto; height: auto; line-height: 0; align-self: flex-start;"><section><section style="display: inline-block; width: 51px; height: 47px; vertical-align: top; overflow: hidden; border-style: solid; border-width: 3px; border-radius: 100%; border-color: #fcd27d rgba(255, 255, 255, 0) #fcd27d #fcd27d;"></section></section><section style="transform: rotateZ(348deg);"><section style="margin-top: -37px; margin-right: 0%; margin-left: 0%; transform: translate3d(-12px, 0px, 0px);"><section style="display: inline-block; width: 71px; height: 42px; vertical-align: top; overflow: hidden; border-style: solid; border-width: 3px; border-radius: 100%; border-color: #fcd27d #fcd27d rgba(255, 255, 255, 0) rgba(255, 255, 255, 0);"></section></section></section></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; min-width: 10%; flex: 0 0 auto; height: auto;"><section style="transform: translate3d(-24px, 0px, 0px);"><section style="color: #1952e0; font-size: 30px; text-align: justify; font-family: Optima-Regular, PingFangTC-light;"><p><strong>04</strong></p></section></section></section></section><section style="color: #2643d7; font-size: 20px; line-height: 1.8;"><p><strong>执着于保肺？</strong><strong>不一定！</strong></p><p><strong>该切就切，但得“留几手”</strong></p></section><p> </p><p> </p><section style="text-align: left; font-size: 16px;"><p>每次遇到“一刀切”了事的患者，任新玲都忍不住拍大腿叹气。</p><p> </p><p>不久前，有一位患者查出3毫米的结节，问了10来家医院，最后还是选择手术切除。</p><p> </p></section><section style="margin: 10px 0% 8px; text-align: left; justify-content: flex-start; display: flex; flex-flow: row;"><section style="display: inline-block; width: 100%; vertical-align: top; border-left: 3px solid #dbdbdb; border-bottom-left-radius: 0px; padding-left: 8px; align-self: flex-start; flex: 0 0 auto;"><section style="font-size: 16px;"><p><strong><em>“她的片子我看过，其实没必要切的。”</em></strong></p></section></section></section><section style="text-align: left; font-size: 16px;"><p> </p><p>为何执着于帮患者保全这颗肺？她不假思索：</p><p> </p></section><section style="margin: 10px 0% 8px; text-align: left; justify-content: flex-start; display: flex; flex-flow: row;"><section style="display: inline-block; width: 100%; vertical-align: top; border-left: 3px solid #dbdbdb; border-bottom-left-radius: 0px; padding-left: 8px; align-self: flex-start; flex: 0 0 auto;"><section style="font-size: 16px;"><p><em>“舍不得！随意切除肺结节，<strong>万一以后真的肺癌，你还能往哪切？</strong>我也焦虑。”</em></p></section></section></section><p> </p><section style="text-align: center; margin-top: 10px; line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%;" src="https://pic.app.jiuquhe.com/Fo1CWzGVt4Isowp5ApRLusPtE8iU" /></section></section><section style="line-height: 0; margin-bottom: 5px;"><section style="vertical-align: middle; display: inline-block; line-height: 0;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%;" src="https://pic.app.jiuquhe.com/FkWUrQoC-BNIIlTZXC5jCJYnATG2" /></section></section><section style="text-align: center; padding-right: 15px; padding-left: 15px; color: rgba(180, 180, 180, 0.7);"><p><span style="font-size: 12px;">▲图源：《我的家里空无一物》</span></p></section><p> </p><section style="text-align: left; font-size: 16px;"><p>这也和她经常思考的问题有关——人为什么会有两个肺？</p><p> </p><p>如果仅是呼吸，可能一个就够了，但两个肺是为人多留一点余地。</p><p> </p></section><section style="margin: 10px 0% 8px; text-align: left; justify-content: flex-start; display: flex; flex-flow: row;"><section style="display: inline-block; width: 100%; vertical-align: top; border-left: 3px solid #dbdbdb; border-bottom-left-radius: 0px; padding-left: 8px; align-self: flex-start; flex: 0 0 auto;"><section style="color: #2643d7; font-size: 16px;"><p><strong><em><span style="color: #3e3e3e;">“一个用来生存，一个让你奔跑、登山，</span></em></strong></p><p> </p><p><strong><em>走更远的路，爬更高的山……”</em></strong></p></section></section></section><p> </p><section style="text-align: center; margin-top: 10px; margin-bottom: 5px; line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%;" src="https://pic.app.jiuquhe.com/Fv0ac44ImnIK8K2nJZUpuBd1em8j" /></section></section><section style="text-align: center; padding-right: 15px; padding-left: 15px; color: rgba(180, 180, 180, 0.7);"><p><span style="font-size: 12px;">▲图源：soogif</span></p></section><section style="text-align: left; font-size: 16px;"><p> </p><p>但她不会“无脑”保肺。</p><p> </p><p>多年经验凝成的直觉判断也能让她下“狠手”。</p><p> </p><p>在气管镜下，她在60多岁的患者细弱发丝的气管管腔中找到粟米大小的肺结节，多年搞肺癌的经验直觉告诉她不对劲。<strong>她用一把1毫米的钳子，轻轻地取出。</strong></p><p> </p><p>病理结果为肺癌。</p><p> </p></section><section style="margin: 10px 0% 8px; text-align: left; justify-content: flex-start; display: flex; flex-flow: row;"><section style="display: inline-block; width: 100%; vertical-align: top; border-left: 3px solid #dbdbdb; border-bottom-left-radius: 0px; padding-left: 8px; align-self: flex-start; flex: 0 0 auto;"><section style="font-size: 16px;"><p><em>“如果拖到第二年，就很难收拾了。”</em></p></section></section></section><p> </p><section style="line-height: 0; text-align: center; margin-top: 10px; margin-bottom: 5px;"><section style="vertical-align: middle; display: inline-block; line-height: 0; width: 85%; height: auto;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%;" src="https://pic.app.jiuquhe.com/Fq8HiePUiQeqQ_81bfDY_IFrpdb3" /></section></section><section style="text-align: center; padding-right: 15px; padding-left: 15px; color: rgba(83, 100, 100, 0.79);"><p><span style="font-size: 12px;">▲任新玲办公室里的肺部模型，支气管像生命盛开的花</span></p></section><p> </p><p> </p><section style="text-align: left; font-size: 16px;"><p>90年代，全国各地患者会邮寄胸片到西京医院呼吸科求专家会诊，任新玲就在科里的专家导师指导下和海量的片子中“炼”出一双“毒”眼。</p><p> </p><p>任新玲和肺打交道30余年，肺在她面前变得生动——</p><p> </p><p>它帮忙呼吸，<strong>还默默记录人的过往，出生地、工作、生活环境、生病情况、性格特点等</strong>。</p><p> </p></section><section style="margin: 10px 0% 8px; text-align: left; justify-content: flex-start; display: flex; flex-flow: row;"><section style="display: inline-block; width: 100%; vertical-align: top; border-left: 3px solid #dbdbdb; border-bottom-left-radius: 0px; padding-left: 8px; align-self: flex-start; flex: 0 0 auto;"><section style="color: #2643d7; font-size: 16px;"><p><strong><em>“你经历过什么，都会在肺上留下斑斑点点。”</em></strong></p></section></section></section><p> </p><section style="text-align: center; font-size: 16px;"><section style="letter-spacing: 0.578px; line-height: normal; text-align: left;"><span style="color: #888888; font-size: 12px; letter-spacing: 0.034em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; text-align: left; widows: 1; -webkit-text-stroke-color: #000000; caret-color: #ff0000; white-space-collapse: preserve; background-color: #ffffff;">来源：深圳卫健委</span></section><section style="letter-spacing: 0.578px; line-height: normal; text-align: left;"><span style="color: #888888; font-size: 12px; letter-spacing: 0.034em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; text-align: left; widows: 1; -webkit-text-stroke-color: #000000; caret-color: #ff0000; white-space-collapse: preserve; background-color: #ffffff;">声明：</span><span style="color: #888888; font-size: 12px; letter-spacing: 0.034em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; text-align: left; widows: 1; -webkit-text-stroke-color: #000000; caret-color: #ff0000; white-space-collapse: preserve; background-color: #ffffff;">资料和图片来源于网络，仅用于公益科普宣传，如有侵权请联系删除</span></section><section style="margin-bottom: 0px; letter-spacing: 0.578px; -webkit-tap-highlight-color: transparent; outline: 0px; visibility: visible;"><section style="margin-bottom: unset; -webkit-tap-highlight-color: transparent; outline: 0px; letter-spacing: 0.544px; background-color: #ffffff; font-family: PingFang SC, system-ui, -apple-system, system-ui, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px; text-align: center; line-height: 2;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px; letter-spacing: 0.578px; widows: 1; -webkit-text-stroke-color: #000000; white-space-collapse: preserve; font-size: 16px; color: #416baa; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; caret-color: #ff0000; visibility: visible;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px; font-size: 14px; letter-spacing: 0.578px; visibility: visible;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px; font-size: 16px; color: #807a7a; letter-spacing: 0.544px; font-family: system-ui, -apple-system, system-ui, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; visibility: visible;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px; font-size: 14px; font-family: -apple-system, BlinkMacSystemFont, Arial, sans-serif; color: #888888; caret-color: rgba(0, 0, 0, 0); letter-spacing: 1.5px; visibility: visible;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px; font-size: 15px; visibility: visible;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px; line-height: 28px; color: #3e3e3e; min-height: 0px; font-size: 16px; background-image: none; background-clip: border-box; background-position: 0% 0%; background-repeat: repeat; background-size: auto; bottom: auto; display: inline-block; float: none; height: 209.231px; left: auto; max-height: none; min-width: 0px; text-decoration-style: solid; text-decoration-color: #3e3e3e; top: auto; z-index: auto; visibility: visible; border: 0px none #3e3e3e;"><section style="margin-bottom: 10px; -webkit-tap-highlight-color: transparent; outline: 0px; color: #ae8023; visibility: visible;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px; letter-spacing: 0.544px; visibility: visible;"><img class="rich_pages wxw-img" style="-webkit-tap-highlight-color: transparent; outline: 0px; font-size: 17px; color: #000000; letter-spacing: 1.5px; visibility: visible !important; width: 571.997px !important;" src="https://pic.app.jiuquhe.com/FjxUnpFhkq2xDX1zK2jX5Jguh1Aq" width="571.997px" /></section></section></section></section></section></section></section></section></section></section></section><p style="text-align: justify;"> </p></section><p> </p><section style="font-size: 14px; color: #a0a0a0;"><p style="text-align: center;">-End-</p><p style="text-align: center;"><span style="color: rgba(83, 100, 100, 0.79);"><strong>「有用就点在看」</strong></span></p></section></section></section><p style="display: none;"> </p> <!----></div>
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