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临床资料 一、病例选择 男3例,女2例,最小年龄28岁,最大年龄68岁。均为大量胸腔积液。门脉性肝硬化1例,心源性肝硬化1例,肺部感染引起液气胸1例,肺癌伴胸膜腔转移形成癌性胸水2例。 二、治疗方法 常规胸腔穿刺,抽胸水每次600～1000ml,(速度不易过决)。然后胸腔内注入1%利多卡因10～20ml后再注入四环素200～250mg加生理盐水30ml,再用30ml生理盐水冲洗注射器后注入胸腔。嘱病人翻身反复变动体位,其目的是使胸膜充分与药物接触。一周二次为宜。 三、治疗结果:经上述治疗后,大部分病人胸水一周内即可消失。如胸水生长迅速,临床症状较重,注射2周后胸水迅速消失。如果胸水再次出现,用此法效果仍佳。
Clinical data A case selection of 3 males and 2 females, the youngest age of 28 years, the maximum age of 68 years. Are a large number of pleural effusion. 1 case of portal cirrhosis, 1 case of cardiogenic liver cirrhosis, 1 case of pneumothorax caused by pulmonary infection and 2 cases of metastatic lung cancer with pleural cavity. Second, the treatment of conventional thoracentesis, pumping pleural effusion every 600 ~ 1000ml, (speed is not easy to over). Then inject 1% lidocaine 10 ~ 20ml into the thoracic cavity and then inject tetracycline 200 ~ 250mg plus normal saline 30ml, rinse the syringe with 30ml normal saline and then inject into the chest. Instruct the patient to stand up repeatedly changing position, the purpose is to make full contact with the drug pleura. Two times a week is appropriate. Third, the treatment results: After the above treatment, most patients can disappear within one week pleural effusion. Such as rapid growth of pleural effusion, severe clinical symptoms, pleural effusion disappeared rapidly after 2 weeks of injection. If the pleural effusion reappears, the effect is still good with this method.