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维拉帕米联合化疗药物治疗恶性胸腹水的临床观察
Clinical effect of verapamil combined with chemotherapeutics in perfusion treating hydrothorax and seroperitoneum
【摘要】 目的观察胸/腹腔灌注维拉帕米及化疗药物的疗效和毒副作用。方法57例恶性胸/腹腔积液,胸腹腔联合灌注维拉帕米及化疗药物,1个周期治疗后评价疗效及毒副反应。结果胸/腹腔灌注的有效率(CR+PR)为89.5%,其中胸水的总有效率(CR+PR)为88.9%,腹水的总有效率(CR+PR)为90.0%。Ⅰ度胃肠道反应(42.1%),2例II度消化道反应,灌注部位轻度疼痛(22.8%),发热(19.3%),白细胞下降(10.5%)。结论维拉帕米联合化疗药物胸/腹腔灌注可以提高胸腹水治疗的有效率。
【Abstract】 Aim To observe the therapeutic effect of therapeutic alliance of verapamil and chemotherapeutics splanchnocoel perfusion.Methods 57 hydrothorax and seroperitoneum were splanchonocoel perfused with verapamil and chemotherapeutics,therapeutic effect evaluated after 2 courses of treatment.Results The general effective rate of splanchnocoel perfusion was 89.5%,including hydrothorax 88.9% and seroperitoneum 90.0%.The incidence of untoward reaction were nausea and vomiting 42.1%,mild pain 22.8%,fever 19.3%,leucocyte decrease 10.5%.Conclusion Therapeutic alliance of verapamil and chemotherapeutics splanchnocoel perfusion could increase therapeutic effective rate of hydrothorax and seoperitoneum.
【Key words】 hydrothorax/seroperitoneum; verapamil; P-glycoprotein; multiple drug resistance; chemotherapeutic splanchnocoel perfusion;
- 【文献出处】 安徽医药 ,Anhui Medical and Pharmaceutical Journal , 编辑部邮箱 ,2010年04期
- 【分类号】R730.5
- 【被引频次】15
- 【下载频次】119