Minimalª²trauma tube installation in treatment of malignant thoracic and pericardiac effusion

    FAN Li, ZHANG Liª²Wang, LIU Duª²Hu, YU Zhaoª²Cai, PAN Boª²Rong

    Centre of Oncology, Xijing Hospital, Fourth Military Medical University, Xi¬ðan 710033, China

    ¡¾Abstract¡¿ AIM: To explore the method and effect of central venous duct installation in treating patients with malignant thoracic and pericardiac effusion. METHODS: Fiftyª²nine patients, who were diagnosed as having malignant thoracic (n= 46) or pericardiac effusion (n=13), were divided into two groups at random: Minimalª²trauma tube installation group (n=29) and routine puncturing group (n=30). Cisplatin (45mg or 10 mg/m2) was injected into the cavities of the subjects. RESULTS: For the patients with malignant thoracic effusion, the therapeutic effects of minimalª²trauma tube installation group were superior to those of routine puncturing group(86.4% vs 54.2%, P<0.05), while for the patients with pericardiac effusion, there was no remarkable statistical significance(71.4% vs 50.0%, P>0.05). But for all patients, the side effects and complications of minimalª²trauma tube installation group were lower than those of routine puncturing group, and minimalª²trauma tube installation could improve the quality of patients¬ð life(86.2% vs 53.3%, P<0.01). CONCLUSION: Central venous duct installation is proved to be simple and effective in treating patients with thoracic and pericardiac effusion. Central venous duct installation not only causes minimal trauma but also improves the quality of patients¬ð life. ......