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目的探讨肺癌并胸腔积液的临床特点,不同治疗方法的疗效。方法回顾我院2000～2008年收治的64例肺癌并胸腔积液的临床特点,分析胸腔闭式引流、常规抽胸水后胸腔灌注化疗的疗效。结果胸腔闭式引流待胸水消失或基本消失后灌注顺铂及氟尿嘧啶与常规行胸腔穿刺抽胸水后灌注及氟尿嘧啶相比,胸腔闭式引流疗效明显优于常规行胸腔穿刺抽胸水。结论胸腔灌注化疗治疗肺癌并胸腔积液,能改善症状,提高生活质量。
Objective To investigate the clinical characteristics of lung cancer and pleural effusion, the efficacy of different treatment methods. Methods The clinical features of 64 patients with lung cancer and pleural effusion admitted in our hospital from 2000 to 2008 were analyzed retrospectively. The therapeutic effect of thoracic drainage and conventional pleural effusion chemotherapy was analyzed. Results Closed thoracic drainage to be disappeared or disappeared after pleural effusion basically disappeared cisplatin and fluorouracil compared with routine thoracentesis and pleural effusion after perfusion and fluorouracil compared to the efficacy of closed thoracic drainage was significantly better than conventional thoracic pleural effusion pleural effusion. Conclusions Thoracic infusion chemotherapy for lung cancer and pleural effusion can improve symptoms and improve quality of life.