目的观察榄香烯乳治疗难治性胸腔积液的临床效果。方法对 32例难治性胸腔积液患者 ,放尽胸水后 ,夹闭胸管 ,采用榄香烯乳2 0 0～ 30 0 mg/ m2加 2 %利多卡因 5～ 10 ml胸腔内注射 ,嘱患者反复变换体位 ,2～ 3小时后开放胸管。结果完全缓解 10例 ,占 31.3% ,部分缓解 17例 ,占 5 3.1% ,无效 5例 ,占 15 .6 % ,缓解率 84.4%。结论榄香烯乳不仅能治疗恶性胸水 ,而且对其他不明原因的难治性胸腔积液也有较好的治疗作用 Objective To observe the clinical effect of elemene in refractory pleural effusion. Methods Thirty-two patients with refractory pleural effusion were treated with thoracic fluid, chest tube was closed, and intrathoracic injection of 5 ~ 10 ml of elemene with 200 ~ 300 mg / m 2 and lidocaine 2% Zhu Huanzhe change position repeatedly, 2 to 3 hours after opening the chest tube. Results The complete remission in 10 cases, accounting for 31.3%, partial remission in 17 cases, accounting for 5 3.1%, 5 cases ineffective, accounting for 15.6%, the response rate was 84.4%. Conclusion Elemene can not only treat malignant hydrothorax, but also have a better therapeutic effect on other unexplained and refractory pleural effusions