胸腔镜下单纯滑石粉喷洒在恶性胸腔积液治疗中的应用
Chinese Journal of Primary Medicine and Pharmacy(2015)
Abstract
目的 观察胸腔镜下单纯干粉状滑石粉喷洒粘连胸膜治疗恶性胸腔积液的疗效及安全性.方法 对74例接受胸腔镜下单纯干粉状滑石粉喷洒粘连胸膜治疗的恶性胸腔积液患者的临床资料进行回顾性分析.结果 术中干粉状滑石粉使用量为1~5g,平均2.18g.术后胸膜完全粘连成功、肺完全复张达完全缓解者45例(60.8%),术后胸膜部分粘连、肺大部分复张达部分缓解者14例(18.9%),术后达稳定者10例(13.6%),术后粘连不成功为无效者5例(6.7%),术后胸膜粘连总有效率93.3% (69/74).术后并发症:胸痛95.9% (71/74),发热64.8% (48/74),气促28.4% (21/74),纵隔、皮下气肿12.2% (9/74),恶心、呕吐5.4% (4/74),腹胀4.1% (3/74),切口感染0.0% (0/74),大出血0.0% (0/74),急性肺水肿0.0% (0/74),肺栓塞0.0% (0/74).结论 胸腔镜下单纯滑石粉喷洒粘连胸膜治疗恶性胸腔积液疗效确切,具有安全、创伤小等特点.
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Key words
malignant pleural effusion,medical thoracoscopy,simple powdery talcage
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