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src="https://file.bohe.cn/fhfile1/M00/82/28/ooYBAGiTL7yAQ_RmABUzuiA7pzU881.jpg"></p><p>肝癌晚期患者出現惡心主要與肝功能衰竭有關(guān)。肝臟代謝能力下降導致毒素堆積，刺激胃腸道神經(jīng)引發(fā)惡心。腫瘤增大壓迫胃部或膽管，膽汁排泄受阻也會(huì )誘發(fā)惡心嘔吐。部分患者因腹水增多造成膈肌上抬，間接影響胃部排空功能。接受化療或靶向治療時(shí)，藥物可能直接損傷胃腸黏膜。合并電解質(zhì)紊亂或感染時(shí)，惡心癥狀可能加重。</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/3A/3E/oYYBAGiTL7yAF34SAAd3qGQlU0g494.jpg"></p><p>肝癌晚期惡心需與普通消化不良區分。腫瘤引起的惡心往往持續存在且進(jìn)行性加重，常伴隨皮膚鞏膜黃染、右上腹包塊等癥狀。門(mén)靜脈高壓導致食管胃底靜脈曲張時(shí)，嘔吐物可能帶血。腫瘤轉移至腹膜或腦部時(shí)，可能引發(fā)頑固性嘔吐。少數患者因高鈣血癥或腎上腺轉移，出現與進(jìn)食無(wú)關(guān)的突發(fā)性惡心。</p><p>肝癌晚期患者出現惡心癥狀時(shí)應選擇易消化食物，少量多餐避免油膩?？商Ц叽差^減少胃酸反流，飯后保持坐位30分鐘。記錄惡心發(fā)作時(shí)間與誘因有助于醫生調整治療方案。家屬需觀(guān)察嘔吐物性狀，出現咖啡樣物或鮮血立即就醫。保持口腔清潔能減輕惡心感，必要時(shí)可遵醫囑使用止吐藥物。心理疏導有助于緩解焦慮誘發(fā)的惡心癥狀，建議通過(guò)音樂(lè )分散注意力。</p></div> <div id="9zzd5xpp" class="f24 fc9 lh40 ta-j">免責聲明：本頁(yè)面信息為第三方發(fā)布或內容轉載，僅出于信息傳遞目的，其作者觀(guān)點(diǎn)、內容描述及原創(chuàng 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