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胸腔区域热灌注在恶性胸腔积液治疗中的应用
引用本文:纪成,张庭. 胸腔区域热灌注在恶性胸腔积液治疗中的应用[J]. 中国现代医生, 2012, 50(13): 141-142
作者姓名:纪成  张庭
作者单位:1. 新疆昌吉回族自治州人民医院心胸外科,新疆昌吉,831100
2. 石河子大学医学院第一附属医院骨二科,新疆石河子,832000
摘    要:
目的观察胸腔区域热灌注治疗在控制恶性胸腔积液中的疗效。方法收集2008~2011年三年间22例临床确诊为恶性胸腔积液患者。使用体外循环泵及恒温水浴箱加热,对患侧胸腔进行43℃区域恒温热灌注治疗。结果随诊6~12个月,依据WHO癌性胸腔积液疗效判定标准,术后复查胸部CT及B超,胸水完全消失,临床症状完全缓解19例,胸水吸收一半以上,形成少量包裹性积液;临床症状缓解3例;综合显效及有效率为100%。结论胸腔区域热灌注能够有效地控制胸腔积液,是处理恶性胸水的一种有效局部治疗方法。

关 键 词:胸腔热疗  恶性胸水

Application of thoracic region heat perfusion in treatment of malignant pleural effusion
JI Cheng , ZHANG Ting. Application of thoracic region heat perfusion in treatment of malignant pleural effusion[J]. , 2012, 50(13): 141-142
Authors:JI Cheng    ZHANG Ting
Affiliation:1.Department of Cardiothoracic Surgery,People’s Hospital of Changji Hui Autonomous Prefecture,Changji 831100,Chi na;2.Department of Bone Section Ⅱ,the First Affiliated Hospital of Medical College of Shihezi University,Shihezi 832000,China
Abstract:
Objective To observe the thoracic region heat perfusion therapy in the control of malignant pleural effusions in effect.Methods 22 cases diagnosed as malignant pleural effusion patients using a cardiopulmonary bypass pump and water bath heating,on ipsilateral pleural were 43℃ region of constant temperature thermal perfusion treatment.Results the follow-up 6-12 months,according to WHO Cancerous Pleural Effusion efficacy criteria,postoperative chest water control ef fect and efficiency of 100%.Conclusion pleural regional hyperthermic perfusion can effectively control the pleural effu sion,is an effective local treatment method.
Keywords:Pleural cavity  Malignant pleural effusion
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