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恶性胸腔积液是癌症晚期常见的并发症之一,为减轻患者痛苦,本作者采用DDP胸腔内注射治疗此症,取得了一定疗效,现报告如下: 一、资料 肺癌胸膜转移19例,其中腺癌9例,鳞癌6例,小细胞未分化癌2例,经胸水查到癌细胞,未分化2例;心包、胸膜恶性间皮瘤2例;恶性淋巴瘤2例;卵巢腺癌1例!共24例,男13例,女11例,年龄21—74岁。 二、方法 常规胸穿抽液500ml—1000ml,均为血性积液,如为中等量以下积液第二次注药时不抽积水。穿刺有胸腔回流即将DDP40—60mg+N.S50ml—100ml注入胸膜腔,每周一次,共三次,每周作X线,超声
Malignant pleural effusion is one of the common complications of cancer in the late stage. In order to alleviate the suffering of patients, the author used DDP intrapleural injection to treat this disease and achieved certain curative effects. The present report is as follows: I. Information on lung pleural metastasis in 19 cases, including glands 9 cases of cancer, 6 cases of squamous cell carcinoma, 2 cases of small cell undifferentiated carcinoma, 2 cases of undifferentiated cancer cells detected by pleural effusion, 2 cases of pericardial malignant mesothelioma, 2 cases of malignant lymphoma, 1 case of ovarian adenocarcinoma A total of 24 cases, 13 males and 11 females, aged 21-74 years old. Second, the method Routine chest pumping fluid 500ml-1000ml, are bloody effusion, such as the amount of fluid below the second injection of the drug does not pump water. The puncture with chest cavity reflux is about to inject DDP40-60mg+N.S50ml-100ml into the pleural cavity, once a week for a total of three times, weekly for X-ray, ultrasound