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目的探讨一次性腹腔引流导管引流联合顺铂治疗恶性胸腔积液的疗效。方法选择云南省第二人民医院呼吸科2009年1月—2014年2月收治的恶性胸腔积液患者69例,行一次性腹腔引流导管引流并行顺铂胸腔内灌注化疗。结果 69例恶性胸腔积液患者完全缓解20例,部分缓解38例,总有效率为84.05%。结论一次性腹腔引流导管引流联合顺铂治疗恶性胸腔积液的疗效确切,症状缓解明显,患者痛苦小,毒副作用少,可延长生存时间,改善生活质量,且操作简便。
Objective To investigate the curative effect of one-time abdominal drainage catheter drainage combined with cisplatin in the treatment of malignant pleural effusion. Methods Sixty-nine patients with malignant pleural effusion admitted to Department of Respiratory Diseases, Second People’s Hospital of Yunnan Province from January 2009 to February 2014 were treated with one-off intraperitoneal drainage catheter and concurrent cisplatin intrapleural chemotherapy. Results In 69 patients with malignant pleural effusion, 20 patients were completely relieved and 38 patients partially relieved. The total effective rate was 84.05%. Conclusion One-time drainage of abdominal drainage catheter combined with cisplatin in the treatment of malignant pleural effusion is effective, and the symptoms are relieved. The patient has less pain and less side effects, prolongs the survival time, improves the quality of life, and is easy to operate.