恶性包裹性胸腔积液临床证候特点分析

An analysis of clinical TCM syndrome of the malignant pleural encapsulated effusion

恶性包裹性胸腔积液是恶性胸腔积液特殊进展类型,临床治疗十分棘手。笔者通过回顾80例恶性包裹性胸腔积液患者的中医证候分型特点及规律,发现病程早中期以实证为主的患者较虚证多见,实证和虚证分别以痰瘀凝结和阴虚为主,恶性包裹性积液中医证候有一定规律,证候和疗效存在关联性。

Malignant pleural encapsulated effusion is a special progressing type of malignant pleural effusion;clinical treatment isvery intractable.The author reviewed the data of80patients with malignant pleural encapsulated effusion of TCM syndrome classificationcharacteristics and rule,and found that patients with excess syndrome on early and middle stage are more than deficiency syndrome,excesssyndrome and deficiency syndrome respectively by condensation of phlegm and blood stasis syndromes and Yin deficiency.TCM syndromeof malignant pleural encapsulated effusion has certain regularity;there is an association between syndrome and curative effects.