Walsh F W, Alberts W M, Solomon D A, Goldman A L
Department of Internal Medicine, University of South Florida College of Medicine, Tampa 33612.
South Med J. 1989 Aug;82(8):963-5, 972.
This study describes our experience using a percutaneously placed small-bore catheter for drainage of malignant pleural effusions and subsequent instillation of a sclerosing agent to obliterate the pleural space. We treated 15 consecutive patients with known metastatic cancer and a symptomatic pleural effusion. Twelve patients survived for more than four weeks after the procedure; 11 of these 12 patients had a successful objective clinical response. The procedure was well tolerated, with little or no discomfort during catheter placement and the maintenance period. No serious complications were encountered. We conclude that the use of a small-bore percutaneously placed "pneumothorax" catheter in the management of malignant pleural effusions is an effective and more comfortable alternative to large-bore closed-tube thoracostomy.
本研究描述了我们使用经皮置入的细导管引流恶性胸腔积液并随后注入硬化剂以闭塞胸膜腔的经验。我们连续治疗了15例已知有转移性癌症且有症状性胸腔积液的患者。12例患者在手术后存活超过四周；这12例患者中有11例有成功的客观临床反应。该操作耐受性良好，在导管置入和维持期间很少或没有不适。未遇到严重并发症。我们得出结论，在恶性胸腔积液的治疗中，使用经皮置入的细“气胸”导管是一种比大口径闭式胸腔引流术更有效且更舒适的替代方法。
