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目的 评价BAI对中央型肺癌伴阻塞性肺不张的疗效。方法 32例中央型肺癌伴阻塞性肺不张患者 ,常规行BAI两次 ,间隔时间为两周 ,在灌注化疗前经靶血管灌注抗生素。治疗结束后 2周、1月及两月分别复查胸片。结果 所有病例临床症状均改善。肺不张完全复张 2 4例 ,部分复张 3例 ,未复张 5例。按化疗标准 :CR5例 (15 6 % )、PR19例 (5 9 4% )、S8例 (2 5 0 % ) ,有效率 (CR +PR)为 75 0 %。结论 BAI是治疗中央型肺癌伴阻塞性肺不张的有效方法。在BAI前支气管动脉灌注抗生素可促使肺不张复张及阻塞性肺炎的吸收 ,改善病人的症状
Objective To evaluate the efficacy of BAI on central lung cancer with obstructive atelectasis. Methods 32 patients with central lung cancer with obstructive atelectasis were routinely treated with BAI twice a day for two weeks. Antibiotics were infused through the target vessel before perfusion chemotherapy. 2 weeks after treatment, January and February were reviewed chest radiograph. Results Clinical symptoms improved in all cases. 24 cases of complete atelectasis of atelectasis, 3 cases of partial reexpansion, 5 cases without rupture. According to the standard of chemotherapy, CR5 (15 6%), PR19 (494%), S8 (25%) and effective rate (CR + PR) 75 0%. Conclusions BAI is an effective method for the treatment of central lung cancer with obstructive atelectasis. In front of the BAI bronchial artery infusion of antibiotics can promote the absorption of atelectasis and obstructive pneumonia and improve the patient’s symptoms