這個樣子，可能目前不適合任何抗腫瘤治療。

病人目前的一般情況按ECOG打分為3-4分。具體見下表。

抗腫瘤治療一般在患者ECOG 0-1 時進行。有時可以放寬到2。

可以用中藥支持治療，中西醫結合會更好。有貧血的要輸血，有粒細胞減少/缺乏的要用集落刺激因子，有水、電解質、酸堿失衡的要糾正，有抑鬱的要抗抑鬱治療幫助恢複體力，有感染的要抗感染治療等等。

等一般情況好轉了，再考慮抗腫瘤治療。這裏是Drugs Approved for Non-Hodgkin Lymphoma。 應先考慮使用這些藥物/方案，畢竟是臨床試驗證明有效的。pembrolizumab在血液腫瘤的療效還不確定，在實體瘤也不是每種類型效果都好的。

Karnofsky Status	Karnofsky Grade	ECOG Grade	ECOG Status
Normal, no complaints	100	0	Fully active, able to carry on all pre-disease performance without restriction
Able to carry on normal activities. Minor signs or symptoms of disease	90	1	Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work
Normal activity with effort	80	1	Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work
Care for self. Unable to carry on normal activity or to do active work	70	2	Ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hours
Requires occasional assistance, but able to care for most of his needs	60	2	Ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hours
Requires considerable assistance and frequent medical care	50	3	Capable of only limited selfcare, confined to bed or chair more than 50% of waking hours
Disabled. Requires special care and assistance	40	3	Capable of only limited selfcare, confined to bed or chair more than 50% of waking hours
Severly disabled. Hospitalisation indicated though death nonimminent	30	4	Completely disabled. Cannot carry on any selfcare. Totally confined to bed or chair
Very sick. Hospitalisation necessary. Active supportive treatment necessary	20	4	Completely disabled. Cannot carry on any selfcare. Totally confined to bed or chair
Moribund	10	4	Completely disabled. Cannot carry on any selfcare. Totally confined to bed or chair
Dead	0	5	Dead

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• 非常感謝您的回複和信息，會和家人一起討論。謝謝！ -Ghost99- ♀ (0 bytes) () 05/14/2016 postreply 06:22:46