目的　观察中西医结合治疗恶性胸腔积液的疗效。方法　口服中药葶苈大枣泻肺汤加减 ,胸穿抽液后注射沙培林针剂 ,配合对症支持治疗。结果　 16例病人 5例完全缓解 ,9例部分缓解 ,2例无效 ,总有效率 87 5 %。结论　中西医结合治疗恶性胸水 ,在缓解及消除症状、体征方面有较好疗效 Objective To observe the curative effect of integrated traditional Chinese and western medicine on malignant pleural effusion. Methods Oral Chinese medicine 葶 苈 jujube Xiefei Decoction, chest fluid pumping injection Shalin injection, with symptomatic supportive treatment. Results In 16 cases, 5 cases were completely relieved, 9 cases partially relieved, 2 cases ineffective, and the total effective rate was 87.5%. Conclusion The treatment of malignant pleural effusion with traditional Chinese and western medicine has good curative effect in alleviating and eliminating symptoms and signs