以心包积液为首发表现的肺癌12例分析

Analysis of 12 Cases of Lung Cancer with Pericardial Effusion as the InitialManifestation

本文报告１２例以心包积液为首发表现的肺癌。确诊以细胞学检查为主。以腺癌多见，其次为小细胞癌和鳞癌。此类病人预后较差。治疗以全身化疗和心包穿刺注射抗癌药物为主，可减少心包积液量和延长患者生命。

cases of lung cancer with pericardial effusion as the initial manifestation were dis-cussed.The pericardial effusion was the main reason that the patients saw the doctors,and diagnosed aslung cancer mainly through cytologic examination. The malignant pericardial effusion was frequentlycaused by adenocarcinoma,then small cell lung cancer and squamous cell carcinoma respectively.The prog-nosis of the patients was poor. The anti-cancer drugs can reduce the effusion through pericardial paracen-tesis and prolong the patient′s life.