人之将死其言也善,肿瘤专家临终遗言:让癌症康复**不是药物

2017-12-02 佚名 抗癌卫士

华益慰 (1933年-2006年):原北京军区总医院普外科主任、2006年“感动中国”年度人物。中华医学会外科学会常务委员,享受政府特殊津贴。

华益慰 (1933年-2006年):原北京军区总医院普外科主任、2006年“感动中国”年度人物。中华医学会外科学会常务委员,享受政府特殊津贴。

1痛苦不堪的手术

“我从前做了那么多手术,但对术后病人的痛苦体会不深。没想到病人会这么痛苦……”临终前,名医华益慰留下了无比沉痛的话语。这也是他留给世人最后的警示。

2005年7月25日,手术室与往常一样,手术中的指示灯还亮着,华老细心地做着手术,甲状腺肿物清除手术,患者得救了,华益慰却病倒了,躺在病床上的患者哪知道,此刻73岁的华主任此时已是胃癌晚期,是在带病履行一个医生的天职,同时这也是华主任做的最后一例手术。

“告诉那位预约的患者,十分抱歉,我不能为他做手术了。”行医几十年从未失约的华主任在病榻上让同事向患者表达他的内疚。

回首华老胃癌的治疗过程,一年的时间,先后经历了胃全切手术,化疗,肠梗阻的手术,最后因为手术感染等并发症,最后去世。

有一段时间,华益慰的饭量突然减少,消化也不太好,就去进行检查。华益慰马上诊断自己患了胃癌,事实证明自己猜对了,而且是胃癌晚期,于是进行最常规的处理-胃全切

术后,华益慰产生了特别严重的返流,食道和嗓子总是被烧得疼,甚至发炎,人稚嫩半卧,基本不能平躺。全胃切除的痛苦还没结束,华老接受了16次化疗。

化疗期间,华老呕吐的特别厉害,无法进食,只能靠从鼻腔注入营养液,这让华老痛苦不堪。

人之将死其言也善,肿瘤专家临终遗言:让癌症康复绝对不是药物

当大家都觉得可以让华老缓缓的时候,更大的痛苦却悄然而至,化疗结束两三周后,华老仍旧恶心、呕吐,胃肠造影发现,已发生了回肠末段肠梗阻!而且最严重的时候,身体没有大便,腹胀呕吐,就连营养液也打不进去了,最后在疾病的折磨下,出现了全身水肿,心功能不全等并发症。

无奈之下,只能进行第二次肠梗阻手术,术后肠吻合口漏了,造成了严重感染,而且肠道已不可能恢复了,此刻,即使没有癌症,人也很难存活。

第二次手术失败后,华益慰由ICU病房转回到肝胆外科。他对战友们说“我的病已无力回天了,不要再使用那些昂贵的药品,做昂贵的检查了,只要能让我稍稍减轻痛楚就好,为国家省一点吧。”这是一生没有给组织提过任何个人要求的华益慰提出的最后请求。此刻他的身上已经插满了管子。

人之将死其言也善,肿瘤专家临终遗言:让癌症康复绝对不是药物

2病人遭受了太大痛苦

对于胃癌的治疗,包括华老在内,大多数的医生会采用全胃切除,但是自从华老自己接受了全胃切除的手术,并且承受了巨大的痛苦的时候,开始了对胃癌治疗的方法进行了深刻反思--以后做胃切除时,能不全切就不要全切,病人就没有那么痛苦。

华老觉得,医生往往只关心手术做得是否成功,有无并发症,并不知道病人的感受。而病人通常不懂医学,甚至认为反应是正常的,就应该这样。

人之将死其言也善,肿瘤专家临终遗言:让癌症康复绝对不是药物

3我们当医生的,不能单纯治病,更要治人!

从医生转换为患者后,华老的角度对这一医学问题有了全新理解:在生活质量与疾病之间进行选择时,要看哪一方给病人的益处更大。

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    2019-04-09 cscs

    没有绝对,只有相对

    0

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    2017-12-10 wangvase

    病人第一位

    0

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    2017-12-04 bbjsj_1984
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    2017-12-02 李东泽

    很好的学习材料.对临床和科研都有很大帮助作用.水滴石穿.不断积累.

    0

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门诊里,经常会碰见很多患者拿着“多原发”或“原发病灶不明”的肿瘤病理诊断报告慌然失措,面对这些“看不见的肿瘤”,多数临床医生也无法给予及时精确的诊断。门诊里,经常会碰见很多患者拿着“多原发”或“原发病灶不明”的肿瘤病理诊断报告慌然失措,面对这些“看不见的肿瘤”,多数临床医生也无法给予及时精确的诊断。如何服务这部分患者?记者11月29日从复旦大学附属肿瘤医院获悉,为了让这部分患者能在短时间内得到精准

骶骨肿瘤:手术方法虽多但问题不少

骶骨肿瘤的手术方法虽多,但问题不少,如大出血、大小便及性功能问题。如何保证手术安全和患者的生活质量?请看以下病例——

肾上腺原始神经外胚层肿瘤1例

综合国内外文献报道,原始神经外胚层肿瘤的特点是病史较短,病势凶险,肿瘤极具浸润性,常表现为局部复发和远处转移,死亡率高。手术联合放、化疗等的综合治疗可提高生存率,但预后不佳。以下病例即为肾上腺原始神经外胚层肿瘤1例,具体如下——

6个月未查出病因 竟是罕见心脏肿瘤

32岁女性患者入院前6个月出现阵发性咳嗽、气喘,曾予以支气管炎药物但未缓解。收治入院后,初步诊断风湿性心脏病可能性大。后经心脏彩超和专家会诊,最终确诊为左心房恶性纤维组织细胞瘤。该病例系心脏原发肿瘤,实属罕见,术前不易确诊,因此患者病情延误,手术时已进展为恶性。内科医师需开拓临床思维,重视体格检查,减少漏诊及误诊以避免悲剧的发生。

Nat Commun:发现肿瘤抵抗放射疗法的关键机制

路德维希癌症研究(Ludwig Cancer Research)发现了肿瘤发展为抵抗放射疗法的关键机制,并展示了如何用目前正在开发的药物克服这种抵抗。该发现解决了一个长期的挑战:多达40%的大肿瘤对放疗产生耐药性,使治疗显著复杂化。克服这种阻力可能会对治疗肿瘤有很大的帮助,尤其是那些对患者造成严重不适的疾病,抵抗其他治疗方式或不能手术切除的肿瘤。