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目的总结恶性胸腔积液的诊断及治疗经验。方法回顾性分析近3年治疗的恶性胸腔积液患者的临床资料。结果共治疗恶性胸水62例,其中肺癌37例,乳癌11例,食管癌6例,非何杰金淋巴瘤3例,胃癌2例,肝癌2例,睾丸癌1例。男46例,女16例,经过综合治疗,有效率为78%。结论恶性胸腔积液的诊断需要针对不同的患者,选择不同的检查方法方能作出正确诊断;治疗也宜以不同肿瘤患者,采取全身化疗或以抽取胸水为主的综合治疗方法。
Objective To summarize the experience of diagnosis and treatment of malignant pleural effusion. Methods The clinical data of patients with malignant pleural effusion treated in recent 3 years were retrospectively analyzed. Results A total of 62 cases of malignant pleural effusion were treated, including 37 cases of lung cancer, 11 cases of breast cancer, 6 cases of esophageal cancer, 3 cases of non-Hodgkin’s lymphoma, 2 cases of gastric cancer, 2 cases of liver cancer and 1 case of testicular cancer. 46 males and 16 females, after comprehensive treatment, the effective rate was 78%. Conclusions The diagnosis of malignant pleural effusion needs different examinations for different patients to make correct diagnosis. It is also advisable to treat patients with different malignancies by systemic chemotherapy or pleural effusion.