多房性恶性胸腔积液中胸膜内注射链激酶

Intrapleural streptokinase in multiloculated malignant pleural effusion.

作者信息

Dixit Ramakant, Dixit Kalpana, Bansal Rani

机构信息

Department of Respiratory Medicine, Himalayan Institute of Medical Sciences, Dehradun, (Uttaranchal), India.

出版信息

Indian J Chest Dis Allied Sci. 2004 Jan-Mar;46(1):59-62.

PMID:14870872

Abstract

Intrapleural administration of fibrinolytic agents has been shown to be effective and safe in the treatment of loculated parapneumonic effusions. Its use in multiloculated malignant pleural effusions has been rarely reported. We report a case of malignant multiloculated pleural effusion who failed to respond to standard chest tube drainage but showed dramatic and complete resolution with intrapleural streptokinase.

摘要

胸膜腔内注射纤维蛋白溶解剂已被证明在治疗局限性类肺炎性胸腔积液方面是有效且安全的。其在多房性恶性胸腔积液中的应用鲜有报道。我们报告一例多房性恶性胸腔积液患者，该患者对标准胸腔闭式引流无反应，但经胸膜腔内注射链激酶后积液显著且完全消退。