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目的:探讨支气管肺癌并心包膜腔积液的治疗方法。方法:我科收治支气管肺癌并心包膜腔积液42例,通过心包穿刺留置导管引流液体后,心包腔内灌注顺铂(DDP)、博来霉素(BLM)、白细胞介素-Ⅱ(IL-2)及全身化疗,同时给予辅助支持治疗。结果:心包膜腔积液症状总缓解率为71.4%(30/42)。结论:心包膜腔积液系肿瘤急症,能在短期内威胁患者的生命,应在缓解心包积液症状的同时辅以全身化疗及局部治疗,以期达到较好的疗效。
Objective: To investigate the treatment of bronchial carcinoma and pericardial effusion. Methods: Forty - two patients with bronchial lung cancer and pericardial effusion were treated by pericardial catheterization. The peritoneal cavity was perfused with cisplatin (DDP), bleomycin (BLM), interleukin - Ⅱ IL-2) and systemic chemotherapy, while giving adjuvant supportive treatment. Results: The total response rate of pericardial effusion was 71.4% (30/42). CONCLUSION: Pericardial effusion is a tumor emergency that can threaten the life of patients in short term. It should be accompanied by systemic chemotherapy and local treatment while relieving pericardial effusion symptoms in order to achieve better therapeutic effect.