CAJ | 학술논문

据WHO国际肿瘤研究理事会负责人Dr. Bernard Stewart报道，到2020年全球肿瘤发病率将上升50％达到每年1500万，可见肿瘤的发病率呈逐年上升的趋势。其中，肺癌的发病率仍位列首位，乳腺癌、食管癌等胸部肿瘤的发病率也较高，但是随着放化疗（放射治疗、化学药物治疗）技术水平的不断提高，肿瘤患者的生存期得以不同程度的延长。心脏曾被认为是对辐射的耐受性相对较高的器官，但是由于其所在位置的特殊性，在放疗的过程中很难避接受到照射；此外，化疗对心脏的损害、尤其是对心肌损害，也越来越多的受到了医学界的广泛关注。本文综述了胸部放化疗所致心肌损害的病理和临床表现以及预防保护的方法。
거WHO국제종류연구리사회부책인Dr. Bernard Stewart보도，도2020년전구종류발병솔장상승50％체도매년1500만，가견종류적발병솔정축년상승적추세。기중，폐암적발병솔잉위렬수위，유선암、식관암등흉부종류적발병솔야교고，단시수착방화료（방사치료、화학약물치료）기술수평적불단제고，종류환자적생존기득이불동정도적연장。심장증피인위시대복사적내수성상대교고적기관，단시유우기소재위치적특수성，재방료적과정중흔난피접수도조사；차외，화료대심장적손해、우기시대심기손해，야월래월다적수도료의학계적엄범관주。본문종술료흉부방화료소치심기손해적병리화림상표현이급예방보호적방법。
According to the WHO International Cancer Research Council leader Dr. Bernard Stewart reported that by 2020 the global cancer incidence would be increased by 50 percent to 15 mil ion per year, showing that the incidence of tumors showed an increasing trend. Among them, the incidence of lung cancer is stil ranked first, breast cancer, esophageal cancer and other malignant tumor of chest was also higher, but with chemotherapy (drug radiotherapy, chemotherapy) technology level unceasing enhancement, the survival period can be prolonged to varying degrees. The heart was considered to be the most radiation resistance of the organ, but due to the special nature of its location, in the course of radiotherapy is dif icult to avoid exposure; in addition, the damage to the heart, especial y on the myocardial damage, has at racted more and more at ention of the medical profession. This paper reviews the myocardial damage caused by chemotherapy and breast pathology and clinical manifestations and the methods of protection.