Fiocco M, Krasna M J
Division of Cardiothoracic Surgery, University of Maryland Hospital, Baltimore, USA.
Hematol Oncol Clin North Am. 1997 Apr;11(2):253-65. doi: 10.1016/s0889-8588(05)70429-9.
Malignant pleural and pericardial effusions are debilitating complications of metastatic malignancy. Improper management may lead to multiple hospital admissions and loss of quality of life for patients with a short life expectancy. The majority of malignant pleural effusions are diagnosed and controlled by thoracentesis and sclerosis. Those with pericardial malignancy are best diagnosed and treated with pericardiocentesis and pericardial window. Strategies for the management of more difficult cases are also discussed in this article.
恶性胸腔和心包积液是转移性恶性肿瘤的致残性并发症。管理不当可能导致预期寿命短的患者多次住院并丧失生活质量。大多数恶性胸腔积液通过胸腔穿刺术和硬化治疗进行诊断和控制。心包恶性肿瘤患者最好通过心包穿刺术和心包开窗术进行诊断和治疗。本文还讨论了更疑难病例的管理策略。
