Treatment of pleural effusion

By | April 13, 2012

Treatment of pleural effusion, pleural effusion about 25% of advanced tumors of a sign.
(A) of the primary foci
1. Often from lung cancer, breast cancer, pleural mesothelioma, malignant lymphoma, ovarian cancer. With breast cancer the most common, followed by lung cancer.
2. Followed by digestive system cancer, such as esophageal cancer, liver cancer, gastric cardia cancer, colon cancer, pancreatic cancer and so on.
(B) the majority of pleural effusion pathological bloody exudate, rapid growth, large, cause lung expansion is limited, pathogenic human breathing.
Treatment of pleural effusion, (c) Clinical manifestations and diagnosis
(1) difficulty in breathing, the patient had shortness of breath, chest tightness, coughing, chest pain, a lot of people sitting respiratory disease often fluid, purple threads. Patients with more advanced cancer cachexia performance.
(2) X ray chest plain film, a small amount, in volume or large pleural effusion.
(3) B super-quantitative.
(4) CT can be quantified.
(5), pleural puncture. For cytology, the positive rate of 40% -80%.
(D) Treatment
1. Chemotherapeutic drugs according to the original cancer chemotherapy.
Treatment of pleural effusion, 2. Pleural paracentesis can relieve symptoms, about 4 after the date of re-accumulation of liquid, anti-pathogenic human protein loss after aspiration, and soon failure. After pumping chemotherapy drugs injected into the chest. If the primary cancer is breast cancer, pleural effusion may be exhausted after the election the following intrathoracic injection of drugs: eliminate mustard (nitrocaphane) 40-60mg. Nitrogen mustard 10mg thiotepa 10mg. mitomycin 6-8mg. Eiemene 200mg/mL, 1 week, 3 times available. tumor necrosis factor (TNF). interleukin-IT (IL-2). radionuclide 32p or Kam AU.

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