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目的探求恶性肿瘤所致心脏压塞的有效治疗方法。方法对我院１９８５－１９９６年收治的５４例恶性肿瘤所致的心脏压塞的诊断和治疗进行回顾性分析。５４例中心包积液未查出癌细胞者１６例（Ａ组），用单纯穿刺减压治疗；查到癌细胞者３８例（Ｂ组），穿刺后注入抗癌药物。结果Ａ组１例完全缓解，已生存１年以上，４例好转，１１例无效，平均生存时间为３３．６天；Ｂ组无效者２７例、完全缓解３例、好转８例，平均生存时间为２２．２天。结论心包穿刺是抢救恶性肿瘤所致心脏压塞的唯一有效的方法，但效果多不理想，及早诊断和治疗恶性心包积液是预防心脏压塞的关键。
Objective To explore the effective treatment of cardiac tamponade caused by malignant tumors. Methods A retrospective analysis was made on the diagnosis and treatment of cardiac tamponade caused by malignant tumors in 54 patients admitted to our hospital from 1985 to 1996. Among the 54 patients with central effusion that did not detect cancer cells, 16 patients (group A) were treated with simple puncture and decompression. 38 patients (group B) were found to have cancer cells, and anticancer drugs were injected after puncture. Results One patient in group A had complete remission and had survived for more than 1 year. 4 patients improved, 11 patients were ineffective, and the average survival time was 33.6 days. In group B, 27 patients were complete, 3 patients were completely relieved, and 8 patients improved. The average survival time was It is 22.2 days. Conclusions Pericardiocentesis is the only effective method to rescue cardiac tamponade caused by malignant tumors, but its effect is not ideal. Early detection and treatment of malignant pericardial effusion is the key to prevent cardiac tamponade.