CAJ | 학술논문

目的：探讨胸腔闭式引流术对恶性胸水的治疗价值和临床意义。方法：以2004年11月－2012年10月收治的肺癌并恶性胸水患者64例为研究对象，治疗前均经 B 超检查以了解胸水量，并标记出参考胸腔穿刺点，并结合胸腔内给药、内科支持治疗等措施，胸水引流干净或治疗后2个月观察评估不良反应及气促症状、血气分析及胸水治疗效果。结果：本组64例患者中，3例发生胸膜不良反应，无1例严重；术后气促症状明显改善者58例（90．6％）；术后动脉血氧分压明显改善者38例（59．4％）；胸水引流管拔除后胸水得到控制，其中有3例胸水控制达1年以上无复发。结论：胸腔闭式引流术治疗肺癌合并的恶性胸水简便有效，大多数病例可改善气促症状，少部分病例可获长期缓解。
목적：탐토흉강폐식인류술대악성흉수적치료개치화림상의의。방법：이2004년11월－2012년10월수치적폐암병악성흉수환자64례위연구대상，치료전균경 B 초검사이료해흉수량，병표기출삼고흉강천자점，병결합흉강내급약、내과지지치료등조시，흉수인류간정혹치료후2개월관찰평고불량반응급기촉증상、혈기분석급흉수치료효과。결과：본조64례환자중，3례발생흉막불량반응，무1례엄중；술후기촉증상명현개선자58례（90．6％）；술후동맥혈양분압명현개선자38례（59．4％）；흉수인류관발제후흉수득도공제，기중유3례흉수공제체1년이상무복발。결론：흉강폐식인류술치료폐암합병적악성흉수간편유효，대다수병례가개선기촉증상，소부분병례가획장기완해。
Objective:To explore the value and clinical significance of closed drainage of pleural effusion for malignant pleural effusion. Methods: 64 patients with lung cancer complicated with malignant pleural were studied and treated by closed drainage of pleural effusion from Nov 2004 to Oct 2012.B ultrasound was performed before pleurocentesise to know the volume and sign the site of puncture.We performed intracavitary administration ,some cases were performed intracavitary chemotherapy. The adverse reactions,the symptom of tachypnea,arterial analysis and curative effect of hydrothorax were observed after the treatment two months or hydrothorax disappeared.Results: Among the 64 cases, there were 3 adverse effects but no serious. After the operation, 58 cases (90.6%) relieved the symptom of tachypnea,38 cases raised the arterial PO2 significantly. Clinical manifestation of hydrothorax was treated better,3 cases did not recur for more than one year. Conclusions: The closed drainage of pleural effusion is a convenient , safe and effective treatment for patient with lung cancer complicated malignant pleural effusion , the symptom of most cases relieved and a little case have a long time remission.