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ID:9990933
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页数:8页
时间:2018-05-20
《顺铂+il-2胸腔内灌注治疗老年晚期肺腺癌恶性胸腔积液》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、顺铂+IL-2胸腔内灌注治疗老年晚期肺腺癌恶性胸腔积液【摘要】目的:观察顺铂+il-2胸腔内灌注联合培美曲塞全身化疗治疗老年晚期肺腺癌恶性胸腔积液的临床疗效及毒副反应。方法:老年肺腺癌并胸腔积液患者共51例,采用顺铂40mg/m2及il-2150万u胸腔灌注保留,每周一次,共2周,同时应用培美曲塞,第1天,每3周重复,完成2个周期。治疗第4周评价疗效及毒副作用。结果:51例患者均可评价疗效,完全缓解者16例,部分缓解者25例,无效者6例,其有效率为80.39%,完全缓解率31.37%。结论:顺铂+il-2胸腔内灌注联合培美曲
2、塞全身化疗治疗老年晚期肺腺癌恶性胸腔积液治疗的方法疗效显著,毒性反应轻,临床使用安全。【关键词】顺铂;il-2;培美曲塞;老年;肺腺癌;胸腔积液clinicalobservationofcisplatin+il-2intrathoracicperfusionjointpemetrexeddisodiumsystemicchemotherapyforelderlypatientswithadvancedmalignantpleuraleffusionoflungcancer/wangyong-ming,jingli-jun,f
3、enggui-xin,etal.//medicalinnovationofchina,2012,9(31):018-019【abstract】objective:observationoncisplatinandil-2intrathoracicperfusioncombinedwithpemetrexeddisodiumsystemicchemotherapyforelderlypatientswithadvancedmalignantpleuraleffusionoflungadenocarcinoma’sclinica
4、lefficacyandsideeffects.method:thelungadenocarcinomainelderlypatientswithpleuraleffusionatotalof51cases,theintrathoracicinjectionofcisplatin(40mg/m2)andil-2(1.5millionu)onceaweekfor2weeksweregiven.atthesametime,pemetrexeddisodiumforinjection(500mg/m2),thefirstday,e
5、very3weeksrepeated,twocycles.the4thweekforevaluatingefficacyandsideeffects.result:51patientscouldbeevaluatedtheeffects,16caseswerecompletelyalleviated,apartofthemitigationin25cases,6casesineffective.thenitseffectiverateof80.39%,completeremissionrate31.37%.conclusio
6、n:cisplatinandil-2intrathoracicperfusioncombinedwithpemetrexeddisodiumsystemicchemotherapyisaeffectivetreatmentmethodforelderlylungadenocarcinomapatientswithadvancedmalignantpleuraleffusionwhichwerelighttoxicityandsafeclinicaluse.【keywords】cisplatin;il-2;pemetrexed
7、disodium;elderly;lungadenocarcinoma;pleuraleffusionfirst-author’saddress:no.2people’shospitalofweifanginshandong,weifang261041,chinadoi:10.3969/j.issn.1674-4985.2012.31.008恶性胸腔积液是晚期恶性肿瘤的常见并发症,临床表现为胸闷、呼吸困难、心慌、胸痛等症状,严重影响患者的生活质量。因此,有效地控制胸腔积液能更好地提高生活质量,延长生存期,在晚期肿瘤治疗中起着
8、重要作用。常用的治疗方法是胸腔闭式引流及胸腔内局部给药。但是,临床效果常不能令人满意,短期内胸水又再次出现,反复胸穿给患者带来很大痛苦;虽然提高剂量可增加疗效,但化疗副反应增大,大多数患者难以耐受。本文通过顺铂+il-2胸腔内灌注联合培美曲塞全身化疗治疗老年晚期肺腺癌恶性胸腔积液,效果较好
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