[B-ultrasonographic diagnosis of emergency complications in lung cancer patients].
OBJECTIVE
To assess the value of B-ultrasonography in the diagnosis and treatment of emergency complications in lung cancer patients.


METHODS
Thirty-five patients with lung cancer who suffered from emergency conditions were examined with B-ultrasonography. Of the 35 cases, 5 had superior vena caval syndrome due to compression by a centrally located tumor mass in the right upper lobe; 10 had moderate to large accumulation of fluid in the pericardium with cardiac tamponade; 2 had metastasis to the myocardium and pericardium with acute hemorrhagic pericardial effusion; 20 had massive pleural effusion. The ultrasonographic features of these complications were described. Patients with pericardial or pleural effusion received intervention treatment with Elemen emulsion under B-ultrasound guidance.


RESULTS
Combined with systemic chemotherapy, in 4-week period, complications were temporarily ameliorated in 82.8% and became clinically stable in 8.5% of the cases. Treatment was of no effect in 8.5%.


CONCLUSIONS
B-ultrasonography is of value in the diagnosis of emergency complications of lung cancer and is of help to guide intervention treatment.
Anhui Children's Hospital, Hefei.
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Hu
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Qiu
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging*; D004630:Emergencies; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D010490:Pericardial Effusion / Q000000981:diagnostic imaging; D013479:Superior Vena Cava Syndrome / Q000000981:diagnostic imaging*; D018084:Ultrasonography, Interventional