肺癌术后胸腔感染对预后的影响

1139 patients with primary lung cancers resected from 1954 to 1984 are reported. Twelve of them had pleural infection post-operatively, an infection rate of 1%. The infection caused mainly by Staphylococcus aureus developed on Days 5-23 post-operatively. Most of the patients had fever. Closed drainage was applied for each case. Two of these 12 patients survived for more than 5 years. They had Stage 1 and Stage 2 small cell carcinoma and adenocarcinoma. No significant difference was observed in the 5-year survival rate (33.3% and 30.6%) between the infected group and uninfected group. There was no relation between the post-operative pleural infection and prognosis. With review of related literature, beneficial immunologic response leading to better prognosis might exist in the infected cases, but further observation and discussions are needed.     

榄香烯乳联合CE方案治疗小细胞肺癌临床观察

自1996年7月至1998年7月将榄香烯乳配合CE联合化疗方案应用于小细胞肺癌的治疗,结果报告如下.     

周围型小细胞肺癌的早期诊断和治疗方法探讨(附16例报告)

目的探讨周围型小细胞肺癌(PSCLC)的早期诊断和外科治疗方法.方法回顾性分析16例周围型小细胞肺癌的诊疗经过.结果7例局限期患者行手术治疗;术后均予以化疗或化疗 放疗.局限期患者中位生存期16个月.结论周围型小细胞肺癌早期易发生转移,关键在于早期诊断和多种治疗措施的联合有序应用.对于诊断明确的局限期周围型小细胞肺癌,术前化疗、根治性手术、术后化疗或放化疗的联合有序应用是提高疗效的关键.