UC San Diego School of Medicine, San Diego, California.
Pediatr Blood Cancer. 2014 Jun;61(6):1118-20. doi: 10.1002/pbc.24919. Epub 2014 Jan 29.
Malignant effusions may cause significant morbidity and mortality for cancer patients. Indwelling tunneled PleurX® catheter placement for intermittent drainage of malignant effusions has been shown to be efficacious in adults but has not been studied in children. We performed a retrospective review of nine children and young adults who underwent PleurX® catheter placement for the palliation of symptoms associated with malignant effusions. Eight of nine demonstrated symptomatic improvement and seven of nine were discharged from the hospital after catheter placement. No patients experienced catheter-associated complications. PleurX® catheter placement should be considered for palliation of symptoms due to malignant effusions in pediatric oncology patients.
恶性胸腔积液可能会给癌症患者带来严重的发病率和死亡率。对于恶性胸腔积液的间歇性引流,留置隧道式 PleurX®导管已被证明在成人中是有效的,但尚未在儿童中进行研究。我们对 9 名接受 PleurX®导管放置以缓解恶性胸腔积液相关症状的儿童和青年进行了回顾性研究。9 名患者中有 8 名症状得到改善,9 名患者中有 7 名在导管放置后出院。没有患者发生导管相关并发症。对于儿科肿瘤患者因恶性胸腔积液引起的症状,应考虑使用 PleurX®导管进行姑息治疗。