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癌性气胸临床极为少见,现将经我们诊治的6例癌性气胸报道如下。 1临床资料 6例癌性气胸患者中,男4例,女1例;年龄20～68岁;其中原发性支气管肺癌3例(中心型1例,周围型2例),转移性肺癌3例,为成骨肉瘤,绒毛膜上皮癌、肝癌各1例。临床主要表现为突发性呼吸困难或在原肺部症状基础上呼吸困难突然加重;3例转移性肺癌均为肺内多发性结节灶。2例在气胸消退后发现肺内肿瘤病灶,病例均为单侧气胸,右侧气胸5例,左侧气胸1例。肺组织压缩50％～90％,全部病例均经胸腔闭式引流及保守治疗,3例行化学药物治疗(化疗),2例手术治疗,2例胸腔内注射粘连剂四环素,治疗效果满意。
Cancerous pneumothorax is very rare in clinical practice, and 6 cases of cancerous pneumothorax diagnosed and treated by us are reported below. 1 Clinical data 6 cases of cancer patients with pneumothorax, 4 males and 1 female; aged 20 to 68 years; of which 3 cases of primary bronchial lung cancer (1 case of central type, 2 cases of peripheral type), 3 cases of metastatic lung cancer , for osteogenic sarcoma, choriocarcinoma, and 1 case of liver cancer. The main clinical manifestations of sudden clinical dyspnea or dyspnea on the basis of the original lung symptoms suddenly aggravated; 3 cases of metastatic lung cancer were multiple nodules in the lung. Two cases of lung tumor lesions were found after the pneumothorax recurred. The cases were unilateral pneumothorax, 5 cases of right pneumothorax, and 1 case of left pneumothorax. Pulmonary tissue compression was 50% to 90%. All cases were treated with closed thoracic drainage and conservative treatment. 3 cases were treated with chemotherapy (chemotherapy), 2 cases were treated with surgery, and 2 cases were treated with intramuscular injection of adhesion agent tetracycline. The therapeutic effect was satisfactory.