摘要
目的 :观察细管胸腔闭式引流并注入顺铂和红色诺卡氏菌细胞壁骨架 (胞必佳 )治疗恶性胸腔积液的疗效。方法 :对恶性胸腔积液患者 ,经X线、B超定位后置细管胸腔闭式引流 ,胸水引流完毕后胸腔内注入顺铂和胞必佳。注药后 2 4h松开引流管 ,如胸水引流量 <10 0ml/ 2 4h ,经胸部X线检查证实基本无胸腔积液后予以拔管。结果 :15 7例恶性胸腔积液完全缓解97例 ,部分缓解 5 4例 ,总缓解率 96 .2 %。结论 :该法治疗恶性胸腔积液有较好疗效 ,患者痛苦少 。
Objective:To evaluate the effect of small tube for closing drainage and Llyophixed Nocardia rubra cell wall skeleton (N CWS)/cisplatin on patients with malignant pleural effusions.Methods:The dosing drainage with small tubes was applied to all cases with malignant pleural fluid.The pleural fluid was evacuated before instilling N CWS and cisplatin,and the drainage tube was loosened in 24 hours.If the volume of pleural effusion drawn out was<100 ml/24 h,and no pleural effusion was found by X ray,the tube could be removed.Results:Of the 157 patients,the complete or partial response were in 97 and 54 cases respectively.The response rate was 96.2 %.Conclusions:This approach is effective for treatment of malignant pleural effusion and worth popularizing.
出处
《蚌埠医学院学报》
CAS
2003年第2期122-123,共2页
Journal of Bengbu Medical College
关键词
胸腔积液
引流
顺铂
胞必佳
pleural effusion
drainage
cisplatin
Nocardia rubra cell wall skeleton
