摘要
目的 探讨肺癌心包积液的临床特点及治疗。方法 临床资料回顾性分析。结果 肺癌心包积液病例占同期肺癌病例的10 9%。肺癌心包积液患者有 88%并有胸腔积液 ,42例有心电图异常。顺铂心包腔内化疗加全身化疗组疗效好于单用全身化疗组。结论 对肺癌并发胸腔积液或心电图异常者应予心脏超声检查以便尽早发现心包积液患者 ;心包腔内化疗加全身化疗在控制心包积液方面的疗效好于单用全身化疗。
Objective To study the clinical features and treatment of pericardial effusion resulted from lung cancer.Methods The clinical materials are retrospectively analysed.Results Patients with pericardical effusion accout for 10.9% of all patients with lung cancer in the same period.88% of them had effusion in the thoracic cavity and 42% had abnormal ECG at the same time.Better results were achieved in the group in which intra-pericardial DDP chemotherapy plus systemic chemotherapy was applied,compared with the group in which only systemic chemotherapy was used.Conclusions Ultrasound examination of pericardium should be used to detect pericardial effusion in those lung cancer patients who have thoracic cavity effusion or abnormal ECG.Intra-pericardial chemotherapy plus systemic chemotherapy has better effect on controlling pericardial effusion than single use of systemic chemotherapy.
出处
《河南肿瘤学杂志》
2000年第6期413-414,共2页
Henan Journal of Oncology
关键词
肺癌
心包积液
化疗
治疗
lung cancer
pericardial effusion
chemotherapy
