CAJ | 학술논문

目的：观察胸腹腔灌注香菇多糖联合热疗对老年恶性胸腹腔积液的临床效果。方法对68例老年患者，采用中心静脉导管腔内置管术充分引流胸腹水后注入香菇多糖4～6 mg，联合胸腹腔局部热疗。结果完全缓解12例、部分缓解37例、稳定18例，进展1例，总有效率72．1％；治疗后，所有患者胸闷、胸痛或腹胀均有不同程度的缓解。主要不良反应为低热、轻度胸痛和胃肠反应。无胸腹腔感染发生。结论对老年恶性胸腹腔积液采用腔内灌注香菇多糖联合热疗，疗效可靠，局部及全身不良反应小，有临床研究及应用价值。
목적：관찰흉복강관주향고다당연합열료대노년악성흉복강적액적림상효과。방법대68례노년환자，채용중심정맥도관강내치관술충분인류흉복수후주입향고다당4～6 mg，연합흉복강국부열료。결과완전완해12례、부분완해37례、은정18례，진전1례，총유효솔72．1％；치료후，소유환자흉민、흉통혹복창균유불동정도적완해。주요불량반응위저열、경도흉통화위장반응。무흉복강감염발생。결론대노년악성흉복강적액채용강내관주향고다당연합열료，료효가고，국부급전신불량반응소，유림상연구급응용개치。
Objective Observe pleural and abdominal cavity perfusion lentinan combined heat the clinical effect of malignant pleural and abdominal cavity perfusion cavity perfusion of the age.Methods 68 cases of elderly patients, with central venous catheter lumen built-in tube, adequate drainage chest after water injection lentinan 4~6 mg joint Pleural and Abdominal cavity local heat treat-ment.Results CR 12 cases, PR 37 cases, 18 cases, NC PD1 example, the total effective rate was 72.1%; After treatment, all pa-tients chest tightness, chest pain or abdominal distension have varying degrees of ease.Main adverse reaction is low thermal, mild chest pain and gastrointestinal reaction;No infections occur.Conclusion In elderly malignant pleural and abdominal cavity perfusion with int-racavity perfusion lentinan combined heat treatment, curative effect is reliable, small local and systemic adverse reactions, clinical re-search and application value.