Dorsey J S, Cogordan J A
Can J Surg. 1984 Nov;27(6):598-9.
Intractable pleural effusion secondary to malignant disease is often managed by thoracentesis or sclerotherapy, painful time-consuming procedures that may be ineffective. An alternative technique is to place a pleuroperitoneal shunt as in a 73-year-old man, described in this paper, who had recurrent right and left pleural effusions secondary to inoperable squamous cell carcinoma of the right lung. In his case, sclerotherapy was not attempted on the left side because a pericardial window was functioning. The left pleural effusion was successfully managed by inserting a pleuroperitoneal (LeVeen) shunt.
恶性疾病继发的难治性胸腔积液通常通过胸腔穿刺术或硬化疗法进行处理，这些操作既痛苦又耗时，而且可能无效。另一种技术是放置胸膜腹膜分流管，如本文所述的一名73岁男性，他因右肺无法手术切除的鳞状细胞癌继发反复出现左右胸腔积液。在他的病例中，由于心包开窗术仍在起作用，左侧未尝试硬化疗法。通过插入胸膜腹膜（LeVeen）分流管成功处理了左侧胸腔积液。
