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放射治疗是食管癌治疗的重要手段之一,放射时射线对心脏的损伤是难免的,尤其是中下段的食管癌,心脏受照射的体积较大,照射剂量较高,心脏损伤的程度较重。我院自1989年以来共收治中下段食管癌160例,其中8例放疗后出现心包积液,现报告如下: 1 临床资料 8例食管癌均为男性,年龄40～58岁,食管病变长度4cm～7cm,均在中下段,病理证实为鳞癌。6例用6MV-X线三野同中心照射,D_T68Gy/50～55天,
Radiation therapy is one of the important methods for the treatment of esophageal cancer. Radiation damage to the heart during radiation is unavoidable. Especially in the middle and lower esophageal cancer, the heart is irradiated with a larger volume, the irradiation dose is higher, and the degree of heart damage is heavier. . In our hospital since the beginning of 1989, we have treated 160 cases of middle and lower esophageal cancer, of which 8 cases had pericardial effusion after radiotherapy. The current report is as follows: 1 Clinical data 8 cases of esophageal cancer were male, aged 40 to 58 years, and the length of esophageal disease was 4cm. ~ 7cm, are in the middle and lower segment, pathologically confirmed as squamous cell carcinoma. Six patients were treated with 6MV-X line three-field concentric irradiation, D_T68Gy/50-55 days,