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合并癌性腹水的进展期胃癌,我们采用大剂量顺铂腹腔内灌注化疗,近期疗效较好。现报告如下。 我科自1996年1月至1999年8月共收治胃癌合并癌性腹水32例,男21例,女11例,平均年龄56岁。全部病例均经胃镜,腹水脱落细胞检查,其中低分化腺癌19例,未分化腺癌4例,粘液腺癌6例,印戒细胞癌3例。 病人采取仰卧位,在左下腹(脐与髂前上棘连线中外1/3处)行腹腔穿刺,放出腹水约1000毫升,将顺铂150毫克/m~2溶于生理盐水250毫升,20分钟内将顺铂经腹腔穿刺针注入
Advanced gastric cancer with cancer ascites, we use high-dose cisplatin intraperitoneal chemotherapy, the recent good effect. The report is as follows. Our department from January 1996 to August 1999 were treated 32 cases of gastric cancer with cancer ascites, 21 males and 11 females, mean age 56 years old. All cases were endoscopy, ascites exfoliated cells, including 19 cases of poorly differentiated adenocarcinoma, undifferentiated adenocarcinoma in 4 cases, 6 cases of mucinous adenocarcinoma, signet ring cell carcinoma in 3 cases. Patients supine position, in the left lower quadrant (umbilical and anterior superior iliac spine 1/3 connections) abdominal puncture, release ascites about 1000 ml of cisplatin 150 mg / m ~ 2 dissolved in 250 ml of saline, 20 Cisplatin will be injected into the abdominal puncture needle in minutes