12 cases of malignant pericardial effusion on clinical.docVIP

 PAGE \* MERGEFORMAT 8 12 cases of malignant pericardial effusion on clinical Study: Fujian Tao Wang Shuhua Cheng Chi Pang Wen-Fu Tang Jiquan [Abstract] Objective To investigate the clinical treatment of malignant pericardial effusion. Methods 12 cases of hospital patients based on chest CT in 9 patients bedside direct line of puncture, and 3 cases in the ultrasound-guided puncture. Results 12 patients were the first puncture management success, successful puncture in patients without symptoms. Conclusion central venous catheter drainage of pericardial cavity and the cavity of chemotherapy treatment of malignant pericardial effusion, the method is simple, a significant effect, safety, side effects, it is in the clinical application. [Keywords:] Intrapleural malignant pericardial effusion Clinically, malignant pericardial effusion is not uncommon, mostly malignant tumors with pericardial metastasis, a rare primary malignant pericardial effusion [1]. Pericardial effusion by imaging very easy to make a diagnosis, the nature of the need for pericardial effusion fluid cytology. now our hospital diagnosed in 2009-2010 by cytology report of 12 cases of malignant pericardial effusion as follows. 1 Materials and Methods 1.1 General Information of this group were 8 males and 4 females, aged 42-70 years, mean age 47 years. Cytologic examination combined with clinical diagnosis of malignant pericardial are transferred. (Adenovirus type 5 cases of lung cancer, squamous lung cancer, 3 cases small cell lung cancer in 2 cases, 2 cases of unknown primary lesions are associated with varying degrees of symptoms and signs of cardiac tamponade, dyspnea, palpitation, dyspnea or orthopnea paroxysmal cough, heart community to expand, hepatomegaly and so on. 1.2 Treatment diagnosed, according to a large number of pericardial effusion chest CT can directly puncture the bed. A small amount of pleural effusion, or puncture a doctor with less experience m