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目的:本文报告了37例晚期恶性肿瘤并发上腔静脉综合征的急诊处理。方法:分别对14例肺癌,4例恶性胸腺瘤,3例非霍奇金淋巴瘤(NHL)给予急诊放疗;对10例肺癌,3例恶性胸腺瘤,3例NHL给予急诊化疗。结果:急诊放疗组肺癌缓解率为92.9％,胸腺瘤为100％,NHL为66.7％;急诊化疗组肺癌缓解率为70％,胸腺瘤为66.7％,NHL为100％。急诊放疗3天缓解率为52.4％,而急诊化疗则无3天缓解率。结论:急诊放疗对肺癌、胸腺瘤优于急诊化疗,3天缓解率显著高于急诊化疗。对NHL及小细胞肺癌急诊化疗效果较好。
Objective: This article reports the emergency treatment of 37 cases of advanced malignant tumor complicated by superior vena cava syndrome. METHODS: Emergency radiotherapy was given to 14 cases of lung cancer, 4 cases of malignant thymoma, and 3 cases of non-Hodgkin’s lymphoma (NHL). Emergency chemotherapy was performed on 10 cases of lung cancer, 3 cases of malignant thymoma, and 3 cases of NHL. Results: The response rate of lung cancer in emergency radiotherapy group was 92.9%, thymoma was 100%, and NHL was 66.7%. The rate of remission of lung cancer in emergency chemotherapy group was 70%, thymoma was 66.7%, and NHL was 100%. The rate of remission in emergency radiotherapy for 3 days was 52.4%, while there was no remission rate in emergency chemotherapy for 3 days. Conclusion: Emergency radiotherapy is superior to emergency chemotherapy in the treatment of lung cancer and thymoma, and the remission rate is significantly higher than emergency chemotherapy in 3 days. It is effective for emergency treatment of NHL and small cell lung cancer.