肺癌术后胸腔积液的治疗体会  

Management of Postoperative Pleural Effusion in Lung Cancer

作　　者：李谦平[1,2] 王建军[1] 江科[1] 杨光海[1] 郭海周[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院胸外科,武汉430022 [2]郧阳医学院附属太和医院胸心外科

出　　处：《肿瘤防治研究》2011年第5期557-558,共2页Cancer Research on Prevention and Treatment

摘　　要：目的探讨肺癌术后胸腔积液的治疗。方法收集2006年1月—2009年6月期间在我院诊治的肺癌术后胸腔积液68例,通过纤维支气管镜吸痰、调整抗生素、经胸管胸腔内注入滑石粉、注入50%葡萄糖、胸腔清理同时行支气管残端心包或奇静脉包埋、胸腔注入顺铂、乳糜胸结扎胸导管治疗胸腔积液。结果只有2例未能拔除胸管,带管出院,其余均治愈。结论胸腔积液是肺癌术后一种常见的并发症,积极治疗,效果较好。Objective To study the treatment of postoperative pleural effusion in lung cancer.Methods Sixty-eight cases of lung cancer with postoperative pleural effusion were collected from January 2006 to June 2009 in Union hospital of Tongji Medical College.The treatment methods of pleural effusion included bronchoscopy,antibiotics adjustment,pleurodesis with talcum,DDP and 50% glucose through a transchest catheter,chest clearance and simultaneously bronchial stump embedment with pericardium or azygos vein.Results Sixty-six patients were cured,although 2 patients failed to remove pleural effusion.Conclusion Postoperative pleural effusion,a common complication induced by surgery in lung cancer,was able to be controlled by strongly treatment.

关 键 词：非小细胞肺癌 肺癌根治术 胸腔积液 

分 类 号：R730.6[医药卫生—肿瘤] R734.2[医药卫生—临床医学]