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本文介绍了近10年来我院90例经病理及细胞学证实的恶性胸水患者。经用粗管闭式引流胸内药物治疗后在控制胸水复发及延长患者生存期上均取得了较以往单纯胸穿抽液或周身及局部化疗为佳的疗效。其中尤以49例用四环素药物治疗者更为明显.其有效率达92％。生存期为2～19个月.中位生存期7个月。盐酸氮芥控制胸水有效率达65％,中位生存7个月. 作者认为本疗法操作简便:安全、副作用甚微.显效迅速.确有推广应用的价值。
This article describes 90 cases of malignant pleural effusions confirmed by pathology and cytology in our hospital in the past 10 years. After the use of thick tube closed drainage of intrathoracic drug treatment in the control of pleural effusion recurrence and prolong the survival of patients have achieved better than the previous pure thoracic fluid or whole body and local chemotherapy better. Among them, 49 patients treated with tetracycline were more obvious. The effective rate was 92%. The survival period is 2 to 19 months. The median survival period is 7 months. The effective rate of pleural effusion control was 65%, and the median survival was 7 months. The authors believe that this therapy is simple, safe, with few side effects, and rapid and effective. It has the value of promotion and application.