保健 - 第104期 - page 7

7
疾病防治
ɚ݊Ϊ ٬މՈϞ੶ɽٙխі˾Ꮅ̌ঐfɛ᜗̸٬Ϟ
Շ໢d̛٬Ϟɧ໢d٬ᐖ ڋ ৎࣛdɓᒶԌɽٙʃഐ
ື¨ϓʔəंࡉ ©dϾ˲͛ڗ ᇠ࿔dஷ੬ცࠅ ຾ዝ఻
ϋࣛගd˙೯࢝މ ٜࢰ൴ཀ2ᔾϷeစᜊϓ٬ᐖٙ໕
෯f͟׵ɛ᜗਄ੰٙ٬ ظ ɷɷຬຬdՈϞ੶ɽٙ˾
Ꮅ̌ঐdʔЇ׵࿁٬БԴխі̌ঐ࿴ϓᅂᚤd̙˸
ʔ̈ତ׼ᜑٙसًdΪϤʔึˏৎઃ٫ٙءจf
ɧ݊Ϊ މ ৰəˇᅰ
৷၌᜗Ꮸ፺ڀٵ d
ਗ਼ЭኒඎCTᏨ ݟΐ
ɝ᜗Ꮸධ̮ͦdɽ
ᇍఖٟٙึ໊ྠ
ٙ਄ੰᏨ ݟ dஷ
੬̥ਂ঍௅ X ᇞᙲ
˪dޟ Ї̥ਂ঍௅
ீൖdැ̀ᗭ˸Ϙ
ಂ೯ତ٬ᐖf޼Ӻ
ڌ ׼dЭኒඎ঍௅
CTጜ ݟd̙˸೯ତ
षӦٜࢰ֠ί2~3૩Ϸٙ٬ᐖdʿϘЪϞࣖٙ࣬ط˓
ஔd̙˸Դ٬ᐖϥɳଟࠥЭ20%f
早期確診且傷害小
Эኒඎ঍௅ CT Ꮸ ݟ dʔШ̙˸ᒒе౷ஷ঍௅Xᇞᙲ
˪ٙဍൢdৎՑϘಂᆽൢٙࣖ؈ dʿࣛ طᐕ (՟ن મ
͜ฦෆʃٙ঍௅ฆ௴˓ஔ)d̙˸౤৷٬ᐖٙ5ϋ͛π
ଟdϾ˲Эኒඎ CTᏨ ݟ ପ࢛͛ٙᇞඎˇd࿁ɛ᜗ٙ
ෆ࢔༰ʃd̙ʔ̀ཀᅇf
̏ԯeɪऎe˂ ݵ ഃɽ̹۬d˸ʿᗯᛣ৷೯e٤ं
ᘌࠠϮ ݑ ٙήਜd٬ᐖ೯͛ଟ׼ᜑ৷׵Ό਷̻ѩ˥
̻fኽజኬd̏ԯ̹٬ᐖ೯षଟ͟2002ϋٙ39.56/10
ຬdɪʺЇ 2011ϋٙ63.09/10 ຬdჃჃ৷̈Ό਷٬ᐖ
೯षଟ̻ѩ˥̻fɪऎ̹ٙઋ ر ɰɤʱᘌࢡd˿ɛ
ዄᅊf˂ݵ ̹٬ᐖ೯षଟ މߒ 60/10ຬdอ೯ତٙᐖ
सઃ٫ʕϞ1/5 ٬މᐖઃ٫dԨ˲яତ׼ᜑٙϋ ڡ ʷ
ᒈැiՉʕӲ׌ձɾ
׌ٙ٬ᐖϥɳଟһ݊
З֢Ό਷ୋɚЗձୋ
ɓЗfһϞ ٫ޟd ئ
̏޲٬ᐖϥɳଟ 40ϋ
ග ( ੽ 1973 ϋЇ2012
ϋ )ɪပə 306% dᚔ
֢໕ᆯϥɳଟୋɓ
Зf۬ᕄήਜٙϥɳ
ଟ׼ᜑ৷׵༵Ӏdɪ
ʺᒈැɰһ̋׼ᜑf
வ݊ ئ̏޲໕ᆯ޼Ӻ
፬ה ʮ܃௰೯ڐбٙ
୕ ࠇ༟ࣘdˏɛ ءͦf
為何不能早期發現
ԟჿd٬ᐖ މОʔঐϘಂ೯ତճk৛ӺՉࡡΪϞɧj
ɓ݊Ϊ ٬މᐖՈϞᒯᇱ׌dϘಂॹ˶Պۨसًdۗ
ྔe঍೨eᑊࠪᄞਤe೯ᆠഃd މ խі༸शष ה ΍
ϞdԨʔՈϞतମ׌d ܘ ᗭ֛׌ ٬މᐖdΪϤ࢙׸
஗ׁઅd ٫אႬൢމ ˕ं၍ ف e٬ف ʘᗳٙशषf
ϾႬൢႬط dැ̀፹ཀϘಂЪ˓ஔطٙࣛዚf
Screening for Lung Cancer by Low-dose CT Scan
A large municipal hospital had a program of free annual body checks that had discovered by chest radiograph staff having lung cancers
but, unfortunately, with stages still too late for radical surgery to be done. Thus, three years ago, low-dose CT thorax took the place
of chest radiograph. Since then, three staff had been found to have early stage lung cancers that were <1 cm in size and, all are still
surviving well till now after minimally-invasive surgeries being done. Lung cancer in our Country is a very important cause of death;
1/3 of the world’s death from lung cancers occurs in our Country; the incidence is also rapidly rising, with a total of 650,000 new
cases each year. Unfortunately, most are discovered late and not feasible for radical surgery. In large cities where haze is common, its
incidence is even higher. Factors for late discovery are: (1) Symptoms of early lung cancers, e.g., cough, fever and chest pain are non-
specific (2) With the large capacity of the lungs, when a small lung cancer occurs, virtually no shortness of breath is reported (3) As the
low-dose CT thorax is not only low in radiation but also lowers lung cancer mortality by 20%, it should replace chest radiographs for
screening lung cancers.