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目的 :观察高聚金葡素与卡铂联合治疗恶性胸腔积液的疗效。方法 :治疗组 2 1例采用高聚金葡素与卡铂胸膜腔灌注 ;对照组 10例单用卡铂灌注。结果 :治疗组胸腔积液减少的有效率为86 % ,对照组有效率为 5 0 % (P <0 .0 5 ) ;胃肠道反应及白细胞下降率低于对照组。结论 :高聚金葡素与卡铂联合用药治疗恶性胸腔积液疗效高 ,副作用小。
OBJECTIVE: To observe the curative effect of combined treatment of malignant pleural effusion by polyglutamine and carboplatin. Methods: Twenty-one patients in the treatment group received intrapleural injection of polyglutamine and carboplatin; while the control group, 10 patients received carboplatin alone. Results: The effective rate of reduction of pleural effusion was 86% in the treatment group and 50% in the control group (P <0.05). The gastrointestinal reaction and leukopenia rate were lower in the treatment group than in the control group. Conclusion: The combination therapy of hypercoagulation and carboplatin is effective in treating malignant pleural effusions with little side effects.