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恶性心包积液最常见的病因是肺癌心包转移。其特点是积液增长速度快,全身化疗效果差。而且迅速增长的心包积液常常引起心脏压塞,使得病情进行性恶化。1988年以来我们采用心包抽液解压,心包内注入四环素及阿霉素治疗大量恶性心包积液6例,有效的解除了心脏压塞,控制了积液增生,延长了患者存活时间,报告如下。临床资料 1 病例选择 6例患者全部经X线及细胞病理学检查确诊,超声心动图证实有大量心
The most common cause of malignant pericardial effusion is lung cancer pericardium. It is characterized by rapid effusion growth and poor systemic chemotherapy. And the rapidly growing pericardial effusion often causes heart tamponade, which makes the condition progressively worse. Since 1988, we have used pericardial pumping to decompress, pericardial infusion of tetracycline and adriamycin to treat a large number of malignant pericardial effusion in 6 cases, effectively relieved cardiac tamponade, controlled effusion proliferation, and prolonged survival time of patients. The report is as follows. Clinical data 1 Case selection All 6 patients were diagnosed with X-ray and cytopathology. Echocardiography confirmed a large number of hearts