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目的:探讨肺心包转移的诊断和有效的治疗办法。方法:回顾分析7例肺癌心包转移患者资料。对肺癌依细胞学类型采用化疗和/或放疗;恶性心包积液采用抽液后心包内注射抗肿瘤药物控制症状。结果:按0’Bryan标准,治疗的5例心包积液得到有效控制,4例平均存活期9±3.42月(4～13月),1例转外地治疗;1例放弃治疗;1例入院第4天死于心律失常。结论:本方法对肺癌心包转移可有效地控制心包填塞症状,改善生活质量,效果可靠,副作用小。
Objective: To investigate the diagnosis and effective treatment of pulmonary pericardial metastasis. Methods: A retrospective analysis of 7 cases of lung cancer patients with pericardial metastasis. Chemotherapy and / or radiotherapy is used for lung cancer according to the type of cytology. Malignant pericardial effusion is controlled by intrapericardial injection of antineoplastic drugs after fluid pumping. Results: According to the 0’Bryan standard, 5 cases of pericardial effusion were effectively controlled. The average survival time of 4 cases was 9 ± 3.42 months (4 ~ 13 months), 1 case was transferred to the field, 1 case was abandoned, 1 case was admitted to hospital 4 days died of arrhythmia. Conclusion: The method of pericardial metastasis of lung cancer can effectively control the symptoms of tamponade, improve the quality of life, the effect is reliable and the side effects are small.