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目的 :探讨恶性心包积液经皮心包穿刺置管引流的诊断及治疗效果。方法 :11例拟诊或确诊为恶性心包积液者 ,采用锁骨下静脉穿刺导管行心包腔内置管引流 ,积液送细胞学检查及癌胚抗原 (CEA)等肿瘤标志物检查 ,诊断明确并引尽积液后注射白细胞介素 2 (IL 2 )及卡铂 (CBP)。结果 :11例患者中 ,10例完全缓解 ,1例部分缓解 ,缓解时间 1个月～ 36个月。结论 :经皮置管引流并局部注射IL 2及CBP是治疗恶性心包积液的有效方法
Objective: To investigate the diagnosis and treatment of malignant pericardial effusion by pericardiocentesis and drainage. Methods: Totally 11 cases of malignant pericardial effusion were diagnosed as malignant pericardial effusion by using the subclavian venipuncture catheter for pericardial drainage, effusion cytology and carcinoembryonic antigen (CEA) Induced discharge fluid after injection of interleukin 2 (IL 2) and carboplatin (CBP). Results: Among the 11 patients, 10 were completely relieved, 1 was partly relieved, and the remission was from 1 month to 36 months. Conclusion: Percutaneous catheter drainage and local injection of IL 2 and CBP are effective methods for the treatment of malignant pericardial effusion