Minimally invasive closed chest tube drainage infusion bleomycin treatment of clinical observation of 34 cases of malignant pleural effusion.docVIP

 PAGE \* MERGEFORMAT 5 Minimally invasive closed chest tube drainage infusion bleomycin treatment of clinical observation of 34 cases of malignant pleural effusion [Keywords:] closed chest tube drainage in minimally invasive bleomysin malignant pleural effusion The incidence of malignant pleural effusion general hospital accounted for 25% of cases of pleural effusion 50%, which is a common complication of advanced cancer, without treatment the average survival time of only 6 months [1]. Our hospital from January 2002 to October 2005, using minimally invasive thoracic cavity closed drainage catheter infusion bleomycin in the treatment of malignant pleural effusion satisfactory outcome, the report is as follows. A clinical data 1.1 General information on 34 cases of patients were 20 males and 14 females; aged 26 to 69 years. Were confirmed by pathology or cytology of all cases of pleural effusion were found in cancer cells. In which 25 cases of lung cancer, breast cancer, 8 cases of rectal cancer 1 case; were moderate to large pleural effusion, the chest before treatment were not received within a local treatment. 1.2 Materials drainage tube Arrow products ESO4706 used by the U.S. central venous catheter; a one-time wear chest pack; 2ml syringes; a drainage bag. 1.3 Methods seat, B super-positioning puncture point, after the conventional local anesthesia with a needle under negative pressure slowly into the needles, syringes, when the influx of pleural effusion lacking a metal wire of the guide wire along the syringe slowly into the thoracic cavity hole 6 ~ 8cm exit needle and syringe, and then placed in the chest catheter along the guide wire catheter into the chest to 8 ~ 10cm is appropriate, quit after the guide wire catheter drainage bag, intermittent drainage 48h, by B-ultrasound proved to be a very small amount of pleural effusion After 2% lidocaine through the catheter into the pleural 5ml to anesthesia, and then slowly injected bleomycin 60mg dexame