【摘要】 目的 研究经皮置入细导管持续心包引流治疗肺癌合并心包积液的疗效。方法 32例患者，经皮穿刺将细导管置入心包腔，引流后注入顺铂、VP-16、5-氟尿嘧啶等化疗药物。结果 32例患者中，18例完全缓解，11例部分缓解，3例无效。不良反应：无一例发生气胸、出血、低血压、心律失常等异常反应。结论 此法治疗肺癌合并心包积液方便、有效、相对安全、无严重并发症。

    【关键词】 肺癌；心包积液；引流

    Percutaneous tubing and drainage for the treatment of lung cancer hydropericardium：a report of 32 cases

    ZHANG Ze-bai,LIU Jun-ling,TANG Guo-lin,et al.

    Guangxi Longtan Hospital,Liuzhou 545005,China

    【Abstract】 Objective To study the effectiveness of inserting tube was inserted into pericardial cavity for the drainage and treatment of lung cancer hydropericardium.Methods Pericardial puncture was followed by insertion of drainage tube through the puncture needle.After hemotherapeutic agents was administered.Results Among thirty-two patients,complete remission was seen in 18 cases,and partial remission in 11 cases,no change in 3 cases,no pneumothorax,bleeding,hypotension,arrhythmia appeared.Conclusion This method is convenient,effective relative safe for the treatment of lung cancer hydropericardium and without apparent complications. ......