恶性肿瘤并发恶性胸水常见,约占各种原因所致胸腔积液的25％～39％,尚无满意疗法,预后较差。我们1988年9月至1991年12月采用胸腔闭式引流并注入顺铂的方法,治疗了9例晚期恶性肿瘤并发恶性胸水的病人,效果较为满意。方法与结果一、治疗对象:为经病理证实的恶性肿瘤。在9例患者中,男性6例,女性3例,年龄28岁～66岁,平均47岁。其中肺癌3例,消化道肿瘤2例,胸膜间皮瘤、恶性黑色素瘤、乳腺癌、横纹肌肉瘤各1例。所有患者均并发大量血性胸水(3例胸水中找到癌细胞),在接受闭式引流前反复抽过胸水3～6次,胸片仍提示有大量积液。二、方法:患者坐位,经常规消毒局麻后在患侧腋中线第8肋间胸穿,见胸水后换套管针穿入胸 Malignant tumors are often complicated by malignant pleural effusions, accounting for 25% to 39% of pleural effusions caused by various causes. There is no satisfactory therapy and the prognosis is poor. From September 1988 to December 1991, we used closed thoracic drainage and injected cisplatin to treat 9 patients with malignant malignant pleural effusions. The results were satisfactory. Methods and Results I. Treatment Target: Malignant tumors confirmed by pathology. In 9 patients, there were 6 males and 3 females, aged 28 to 66 years old, with an average age of 47 years. There were 3 cases of lung cancer, 2 cases of gastrointestinal cancer, 1 case of pleural mesothelioma, malignant melanoma, breast cancer, and rhabdomyosarcoma. All patients were complicated by massive amounts of bloody pleural effusions (3 cases of cancer cells in pleural effusion). They had repeatedly pumped pleural effusion 3 to 6 times before undergoing closed drainage. The chest radiograph still indicated a large amount of fluid. Second, the method: patients sitting, after routine disinfection of local anesthesia in the affected side of the midline of the 8th intercostal thoracic wear, see pleural effusion after the trocar into the chest