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目的 观察单药鸦胆子油治疗恶性体腔积液的近期临床疗效;方法 对76例恶性体腔积液患者常规穿刺,尽可能抽尽液体,随即腔内注射:生理盐水(NS)20ml+利多卡因5ml+地塞米松5mg,然后腔内注射单药鸦胆子油20-80ml (一般腹腔80ml,胸腔50ml,心包20m1),一周1-2次,连续4次为一疗程;结论 单药鸦胆子油治疗恶性体腔积液疗效确切,毒副作用小,临床值得推广。
Objective To observe the short-term clinical efficacy of single drug Brucea javanica oil in the treatment of malignant effusion.Methods Seventy-six patients with malignant effusion were routinely punctured and fluid was drawn as far as possible. Immediately after intracavity injection of NS 20ml plus lidocaine 5ml + Dexamethasone 5mg, and then intracavitary injection of Brucea javanica oil 20-80ml (general abdominal 80ml, chest 50ml, pericardial 20ml), 1-2 times a week for 4 times for a course of treatment; Efficacy of fluid effusion accurate, small side effects, clinical worth promoting.