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细管胸腔闭式引流治疗恶性胸水临床观察(附14例分析)
引用本文:胡长路,张万亨,庄建生,林新民,胡冰,季楚舒. 细管胸腔闭式引流治疗恶性胸水临床观察(附14例分析)[J]. 临床肿瘤学杂志, 2001, 6(2): 131-132
作者姓名:胡长路  张万亨  庄建生  林新民  胡冰  季楚舒
作者单位:安徽省立医院肿瘤科
摘    要:目的:探讨细管胸腔闭引流术与VP16、红霉素治疗恶性胸腔积液的临床疗效。方法:对有临床、病理依据的恶性胸腔积液患,经X片、B超胸水定位后置16#锁骨下静脉穿刺留置针入胸腔,积液引流干净后予胸腔内注射胸膜硬化剂VP16、红霉素。结果:14例恶性胸腔积液患显效6例、有效5例、无效3例。无效均为肺癌复治患。结论:该法治疗恶性胸腔积液具有患痛苦少、疗效确切及不易复发等优点,便于临床应用。

关 键 词:恶性胸腔积液 细管闭式引注术 红霉素/VP16 胸膜硬化术
修稿时间:2000-03-29

Clinical observation of malignant pleural effusion treating with small catheter for closing drainage in fourteen patients
Hu Changlu,Zhang Wanheng,Zhuang Jiansheng,et al.. Clinical observation of malignant pleural effusion treating with small catheter for closing drainage in fourteen patients[J]. Chinese Clinical Oncology, 2001, 6(2): 131-132
Authors:Hu Changlu  Zhang Wanheng  Zhuang Jiansheng  et al.
Affiliation:Hu Changlu,Zhang Wanheng,Zhuang Jiansheng,et al. Oncology Department of Anhui Provincial Hospital,Hefei 230001.
Abstract:Objective: To evaluate the clinical effects of malignant pleural effusions in treatment using small catheter for closing drainage and VP16 and erythromycin for intrapleural injection. Methods: The patients were all malignant pleural fluid proved patho-logicall. The intrapleural installation of 16 small catheter was used for fluid drainage, after location of fluid level by X-ray films and ultrasound scan. The sclerosing agents were Vpl6 and erythromacin injected intrapleurally after the pleural fluids were adequate evacuated. Results; The 14 patients were evaluable for response. The complete, partial, no response were in 6, 5, 3 cases respectively. The non-responders were all retreated malignant effusions.Conclusions: This approach has a series of advantages, such as less painful, fayorable effects, lessed retreated necessarily and useful clinically.
Keywords:Malignant pleural effusion Small catheter for closing drainage Erythromycin/VP16 Pleurosclerosis
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