摘要
目的探求恶性肿瘤所致心脏压塞的有效治疗方法。方法对我院１９８５－１９９６年收治的５４例恶性肿瘤所致的心脏压塞的诊断和治疗进行回顾性分析。５４例中心包积液未查出癌细胞者１６例（Ａ组），用单纯穿刺减压治疗；查到癌细胞者３８例（Ｂ组），穿刺后注入抗癌药物。结果Ａ组１例完全缓解，已生存１年以上，４例好转，１１例无效，平均生存时间为３３．６天；Ｂ组无效者２７例、完全缓解３例、好转８例，平均生存时间为２２．２天。结论心包穿刺是抢救恶性肿瘤所致心脏压塞的唯一有效的方法，但效果多不理想，及早诊断和治疗恶性心包积液是预防心脏压塞的关键。
Objective To seek the effective treatment of the cardiac tomponad caused by malignant. tumor. Method The diagnosis and treatment of 54 patients with cardiac tomponad caused by malignant trmor in our hospital from 1985---1996 was reviewed and analysed. In 16 cases of the patients , the cancer cells were not found out(group A) ; the patients were treated by pericardiocentesis to reduce pressure. The 38 patients with cancer cells were treated by pericadiocentesis and injecting the anticancer drugs into pericardium (B group ) . Result In the group A , the cardiac tomponad was removed for 1 case , who has been survival for more than 1 year ; 4 cases were improved ; 11 case were ineffective ; the mean time of survival was 33. 6 days. In the group B , the cardiac tomponadt was removed for 3 cases ; 8 cases were improved . 27 cases were inffective ; the mean time of survival was 22. 2 days. Conclusion The pericardiocentesis is only the effective treatment for saving the patients with cardiac tomponad caused by maligtant tumor , but the effect is mostly not ideal. Early diagnosing and treating the malignant hydrocardia is the key for preventing the cardiac tomponad.
