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目的观察总结心包腔内置管联合白介素-2治疗肺癌心包转移所致心包积液的疗效。方法 40例肺癌合并恶性心包积液患者均行B超引导下置入中心静脉导管,充分引流后心包内注入白细胞介素-2、地塞米松、利多卡因以抑制心包积液生成。结果 40例患者中完全缓解18例,部分缓解17例,进展3例,有效率92%。结论心包内置管联合白介素-2治疗肺癌心包转移所致心包积液安全,疗效显著。
Objective To observe the efficacy of pericardial intubation and interleukin-2 in the treatment of pericardial effusion caused by pericardial metastasis of lung cancer. Methods Forty cases of lung cancer with malignant pericardial effusion underwent B-guided central venous catheterization. After drainage, the pericardium was infused with interleukin-2, dexamethasone and lidocaine to inhibit pericardial effusion. Results In 40 patients, 18 cases were completely relieved, 17 cases partially relieved, and 3 cases were improved. The effective rate was 92%. Conclusion Intrapericardial catheter combined with interleukin-2 in the treatment of pericardial effusion caused by pericardial metastasis of lung cancer is safe and effective.