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本文对1987年～1998年11年间住院治疗的10例以心包积液为首发症状的肺癌的诊断与治疗进行分析。其中肺腺癌6例,小细胞癌3例,大细胞1例。行单纯心包抽液引流3例,经皮穿刺心包置管引流2例,行心包开窗引流术5例。心包积液解除后,行病变肺叶切除2例,全身化疗8例,配合放疗4例。作者认为:肺癌伴心包积液并非全为心包转移致,虽然肺癌伴恶性心包积液已属晚期,但采用合理的综合治疗,能减轻病人痛苦和延长病人生命。
This article analyzes the diagnosis and treatment of lung cancer with pericardial effusion as the initial symptom in 10 patients hospitalized during the period from 1987 to 1998. There were 6 cases of lung adenocarcinoma, 3 cases of small cell carcinoma, and 1 case of large cell. Percutaneous pericardial drainage was performed in 3 patients, percutaneous pericardial drainage was performed in 2 patients, and pericardial drainage was performed in 5 patients. After pericardial effusion was removed, 2 patients underwent lesional lobectomy, 8 patients underwent systemic chemotherapy, and 4 patients received radiotherapy. The author believes that: lung cancer with pericardial effusion is not all due to pericardial metastasis, although lung cancer with malignant pericardial effusion is already late, but the use of reasonable comprehensive treatment can reduce patient suffering and prolong patient life.