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上腔静脉综合征系上腔静脉回流受阻的一套症状,其中97％系恶性肿瘤所致。现就我院1988年3月至1990年3月收治的25例上腔静脉综合征作一分析。一、病例:25例病人,男性21例,女性4例,年龄最大65岁,最小24岁,平均55岁。其中肺癌23例,分别为肺鳞癌8例,肺腺癌8例,小细胞未分化癌5例,恶性淋巴瘤2例,均为非何杰金氏淋巴瘤。二、治疗 1.单放组:8例病人均在模拟定位机下定位,于上胸部在上腔静脉区域设野(即右侧第一胸肋关节下缘至第三胸关节下缘)划一条宽2cm的带形区,全长约6.5cm,其部分被胸骨右缘遮盖。8例病人原发灶均定于同野内照射,体位采用平卧,采用高能射线,以
Upper vena cava syndrome is a set of symptoms of reflux obstruction of the superior vena cava, 97% of which are caused by malignant tumors. An analysis of 25 cases of superior vena cava syndrome admitted to our hospital from March 1988 to March 1990 was conducted. I. Cases: 25 patients, 21 males and 4 females, the oldest 65 years old, the youngest 24 years old, an average of 55 years old. There were 23 cases of lung cancer, including 8 cases of lung squamous cell carcinoma, 8 cases of lung adenocarcinoma, 5 cases of small cell undifferentiated carcinoma, and 2 cases of malignant lymphoma. All were non-Hodgkin’s lymphoma. II. Treatment 1. Single-discharge group: 8 patients were all positioned under the simulated positioning machine, and the upper chest was set in the superior vena cava region (ie, the lower edge of the first chest-rib joint to the lower edge of the third chest). A band with a width of 2 cm is about 6.5 cm in length and is partially covered by the right edge of the sternum. The primary lesions of 8 patients were all scheduled to be irradiated in the same field. The body position was supine and the high energy rays were used.