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肺癌合并一侧全肺不张(以下称癌性全肺不张)是一类常见并发症,文献统计肺不张中癌性肺不张占38～68％,而癌性全肺不张占癌性肺不张的10.5～33％。该病治疗的关键是尽快解除梗阻,消除感染。过去采用外照射治疗癌性全肺不张,治疗时间长,难以迅速解除梗阻,有的因病情恶化而中断治疗。3年来我科收治癌性全肺不张9例,均首先采用Micro-Selectron HDR ~(192)Ir近距离治疗,6例辅以外照射,旨在探索癌性全肺不张腔内治疗的方法和效果。现报道如下。资料与方法一、一般资料 9例癌性全肺不张中,左侧7例,右侧2例,均为男性,年龄最大68岁,最小38岁,平均55岁。其中鳞癌7例,腺癌1例,小细胞癌1例。主要症状为呼吸困难、咳嗽、痰血和胸痛。2例长期高热不退、体衰,使用任何抗生素及退热
Lung cancer with one side of the whole lung atelectasis (hereinafter referred to as cancerous atelectasis) is a common complication, the literature statistics of atelectasis accounted for 38 to 68% of cancerous atelectasis, and cancerous atelectasis Cancer atelectasis 10.5 to 33%. The key to the treatment of the disease is to relieve the obstruction and eliminate the infection as soon as possible. In the past, external irradiation was used to treat cancerous atelectasis, and it took a long time to treat. It was difficult to quickly relieve obstruction, and some patients were interrupted because of their worsening condition. In the past 3 years, 9 cases of cancerous atelectasis were treated with Micro-Selectron HDR ~(192)Ir, and 6 cases were assisted with external irradiation to explore the method of endocardial treatment for cancer-related atelectasis. And effects. The report is as follows. Materials and Methods First, general information 9 cases of cancer without atelectasis, the left 7 cases, the right two cases, all males, the oldest 68 years old, the youngest 38 years old, average 55 years old. There were 7 cases of squamous cell carcinoma, 1 case of adenocarcinoma, and 1 case of small cell carcinoma. The main symptoms are dyspnea, cough, sputum, and chest pain. 2 cases of persistent high fever, body failure, use of any antibiotics and fever