龙源期刊?/p>
http://www.qikan.com.cn
奈达铂胸腔灌注治疗恶性胸腔积液的临床?/p>
?/p>
作者:盛晶
来源:《中国医药科学?/p>
2011
年第
08
?/p>
[
摘要
]
目的
观察胸腔内注射奈达铂治疗恶性胸腔积液的临床疗效及安全性?/p>
方法
59
例恶
性胸腔积液患者,应用
1
次性单腔中心静脉导管行胸腔穿刺置管和闭式引流术排尽胸水后,?/p>
胸腔内药物注射。随机分治疗组和对照组:治疗?/p>
34
例奈达铂
100mg/
次,
0.9%
氯化钠注射液
40mL
稀释;对照?/p>
25
例,顺铂
80mg/
次,
0.9%
氯化钠注射液
40mL
稀释注入胸腔?/p>
1
周后?/p>
次注药,共计不超?/p>
3
次?/p>
结果
治疗?/p>
CR 12
例,
PR 14
例,有效率为
76.5%
;对照组
CR 4
例,
PR 9
例,有效率为
52.0%
。两组比较差异有统计学意义(
P
?/p>
0.05
)。两组患者腔内治?/p>
均无气胸、胸腔感染、胸壁种植等严重并发症发生?/p>
结论胸腔置管闭式引流后注入奈达铂?/p>
是一种治疗恶性胸腔积液有效、安全的方法?/p>
[
关键?/p>
]
奈达铂;恶性胸腔积液;疗效
[
中图分类?/p>
] R730.5[
文献标识?/p>
] B [
文章编号
] 2095-0616
?/p>
2011
?/p>
08-83-02
Therapeutic Effect of Nedaplatin in the Treatment of M alignant Hydrothorax
SHENG Jing
Department of Oncology
?/p>
Nanyang Central Hospital
?/p>
Nanyang 473000
?/p>
China
[Abstract] Objective To study the efficacy of nedaplatin
?/p>
NDP
?/p>
in the treatment of m alignant
hydrothorax. Methods 59 patients with m alignant hydrothorax used disposable single lumen central
venous catheter do chest puncture catheter and close-type drainage of row after all hydrothorax is
drain
?/p>
injection drug in the thoracic cavity. The patients were divide into 2 groups. One group of 34
patients were treated with NDP
?/p>
100mg
?/p>
diluted to 40
?/p>
50mL with NS
?/p>
The other group of 25
patients were treated with DDP
?/p>
80mg
?/p>
diluted to 40mL with NS. They were respectively injected
into pleural cavity. According to the illness
?/p>
the medicine would be injected after 5
?/p>
7 days
?/p>
the
totalize is less than 3 times. Results In the NDP's group
?/p>
the complete remission are 12 cases
?/p>
the
partial remission are 14 cases
?/p>
the response rates was 76.5%
?/p>
in the DDP’s group
?/p>
there were 4
cases of complete remission
?/p>
9 cases with partial remission
?/p>
the response rates was 52.0%. Two
groups of comparative difference were statistically significant
?/p>
P
?/p>
0.05
?/p>
. There were light in toxic