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目的观察铜绿假单胞菌注射液治疗恶性胸腔积液和心包积液的疗效。方法共治疗恶性胸腔积液、心包积液26例。所有患者先行中心静脉导管置管进行积液引流,引流后注入铜绿假单胞菌注射液2～5ml和地塞米松5mg,2%利多卡因10ml,夹闭引流管48h,再开放引流管,根据引流情况连续注药2～3次。结果治疗恶性胸腔积液20例,有效18例(90.0%);恶性心包积液10例均有效,不良反应为胸痛、气短、发热。结论铜绿假单胞菌注射液应用于恶性胸腔积液、心包积液的治疗,疗效较满意。
Objective To observe the efficacy of Pseudomonas aeruginosa injection in the treatment of malignant pleural effusion and pericardial effusion. Methods A total of 26 cases of malignant pleural effusion and pericardial effusion were treated. All patients were treated with catheterization of the central venous catheter for drainage and drainage. After drainage, 2 ~ 5ml of Pseudomonas aeruginosa injection and 5mg of dexamethasone and 10ml of 2% lidocaine were infused, and the drainage tube was closed for 48 hours. According to the drainage of continuous injection of medicine 2 or 3 times. Results The treatment of malignant pleural effusion in 20 cases, 18 cases (90.0%); malignant pericardial effusion in 10 cases were effective, adverse reactions were chest pain, shortness of breath, fever. Conclusion Pseudomonas aeruginosa injection for malignant pleural effusion, pericardial effusion treatment, the effect is satisfactory.