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对11例癌性胸膜炎患者,采用新的蒽环类抗癌药物──吡柔比星(THP)40mg/body作胸腔灌注治疗。所有病例均只进行了一个疗程,11例的疗效和副作用皆可评价,总有效率为81.8%,6例CR。3例PR,2例无效。副作用主要是:发热(73%),胸痛(36.4%,)食欲不振(18.2%),恶心(18.2%),骨髓抑制9%,无1例脱发。所有副作用患者皆可耐受,而且在停药后逐渐消失,本研究表明THP胸腔内灌注疗法,对癌性胸膜炎是一种无严重副作用,可行的治疗方法。
In 11 patients with cancerous pleurisy, a new anthracycline anti-cancer drug, THP 40 mg/body, was used for perfusion. Only one course of treatment was performed in all cases. Efficacy and side effects were evaluated in 11 patients. The total effective rate was 81.8% and 6 cases were CR. In 3 cases of PR, 2 cases were invalid. The main side effects were: fever (73%), chest pain (36.4%), loss of appetite (18.2%), nausea (18.2%), myelosuppression (9%), and no hair loss. All patients with side effects were tolerated and gradually disappeared after discontinuation. This study shows that THP intrathoracic infusion therapy is a viable treatment for cancerous pleurisy without severe side effects.