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报告我院1998年9月～1999年9月32例恶性胸腔积液患者,采取博莱霉素进行胸腔粘连,探讨其临床应用价值。1 对象和方法1.1 对象恶性胸腔积液患者32例均经胸腔穿刺抽液或胸膜活检做细胞学和组织学检查而确诊;其中男18例,女14例,年龄42～72岁,平均58.2岁;其中大量积液26例,中等积液6例,血性胸积液24例,黄色胸积液8例;左侧15例,右侧13例,双侧4例。病理学检查:鳞癌18例,腺癌10例,未定型4例。1.2 方法1.2.1 术前准备:全部患者在术前作胸腔积液常规和血常规检查;出、凝血时间和血小板及肺功能检查。患者取半卧位,选取患侧腋后线经第9肋间(双侧者先作一侧,具体定位以B超
Reported 32 cases of malignant pleural effusion in our hospital from September 1998 to September 1999, taking bleomycin for chest adhesions, to explore its clinical application value. 1 Subjects and methods 1.1 Subjects Patients with malignant pleural effusions were diagnosed by thoracentesis or pleural biopsy by cytology and histological examination; 18 males and 14 females, aged 42-72 years, mean 58.2 years old. Among them, there were a large number of effusions in 26 cases, moderate effusion in 6 cases, bloody pleural effusion in 24 cases, and yellow pleural effusion in 8 cases; 15 cases in the left side, 13 cases in the right side, and 4 cases in both sides. Pathological examination: 18 cases of squamous cell carcinoma, 10 cases of adenocarcinoma, and 4 cases of undefined type. 1.2 Methods 1.2.1 preoperative preparation: all patients before the routine pleural effusion routine and blood tests; out, coagulation time and platelet and lung function tests. The patient took a semi-recumbent position and selected the posterior iliac crest through the 9th intercostal space.