恶性胸腔积液的诊治进展

Progress in diagnosis and treatment of malignant pleural effusion

恶性胸腔积液是许多恶性肿瘤晚期常见的表现,通常由肿瘤细胞、炎症细胞和脉管系统之间相互作用形成。恶性胸腔积液常常代表疾病晚期,预后普遍较差,目前症状性恶性胸腔积液的治疗除了积极处理原发病以外,主要集中在缓解呼吸困难等症状和改善患者生活质量。本文对恶性胸腔积液的发病机制、诊断及治疗进展做一综述。

Malignant pleural effusion is a common manifestation of many advanced malignant tumors, usually formed by the interaction between tumor cells, inflammatory cells and vascular system.Malignant pleural effusion often represents the late stage of the disease and the prognosis is generally poor.At present, the treatment of symptomatic malignant pleural effusion mainly focuses on relieving symptoms such as dyspnea and improving the quality of life of patients in addition to actively dealing with the primary disease.In this paper, the pathogenesis, diagnosis and treatment progress of malignant pleural effusion.