Lung Cancer Complicated By Malignant Pleural Effusion Syndrome Distribution Law

PurposeUnder the guidance of TCM theory, we make research on the clinical syndrome of 150 lung cancer patients complicated with malignant pleural effusion, and hope that we can discover some rules about the typing of syndromes of lung cancer patients complicated with malignant pleural effusionMethodsEpidemiological studies the use of forward-looking approach to observe the syndrome pathomechanisms diagnosis of lung cancer patients complicated with malignant pleural effusion.We selected 150 in-patients of advanced lung cancer complicated with malignant pleural effusion in guang' an men hospital from March 2009 to April 2010. Collected symptoms and classified syndromes by"the questionnaire of prospective study on syndrome distribution of primary non-small cell lung cancer patients". we make research on the clinical syndrome of 150 lung cancer patients complicated with malignant pleural effusion, and try to find some rules.Results1 The main syndrome of advanced lung cancer patients complicated with malignant pleural effusion include deficiency of both the qi and yin, qi deficiency and phlegm dampness, qi deficiency and blood stasis, qi deficiency, phlegm heat, qi stagnation, qi stagnation and blood stasis.Their proportion are separately 40.7 percent,15.3percent,14.7 percent, 11.3percent,7.3 percent,6.0 percent and 4.7percent of the whole of the whole.2 The distribution of syndromes are not relevant to clinical pathology patterns,stages. Both scale cancer and adenocarcinoma mainly belong to qi and yin deficiency. Small cell carcinoma mainly belong to qi deficiency and blood stasis. Stageâ…¢andâ…£are qi and yin deficiency, followed by stageâ…¢to qi deficiency more, accounting 14.0%,â…£more of qi deficiency and phlegm dampness, about23.0%. Showing no statistical significant difference.3. Clinical observation of 107 cases of patients with a small amount of pleural effusion, accounting for 71.3%, the volume of pleural effusion in 21 cases, accounting for 14.0%, large pleural effusion in 22 cases, accounting for 14.7%. Water distribution and chest syndrome was not related, both are qi and yindeficiency type, followed by a large number of patients with qi deficiency and dampness type large pleural effusion, accounting for 18.2%, the volume of pleural effusion belongs to qi deficiency, accounting for 14.3%, a small amount of pleural effusion belongs to qi deficiency and blood stasis, accounting for 16.8%.Conclusion1 The deficiency of qi, deficiency of yin, blood stasis, phlegm dampness, phlegm heat, qi stagnation, are the basic factors of the 150patients. They all belong to the excessive and the deficiency syndrome, of which qi and yin deficiency are the most. Secondly, syndrome type phlegm and blood stasis type more common2 Malignant pleural effusion complicated by lung cancer syndrome in patients with no significant correlation with breast volume, are qi and yin deficiency syndrome type more common, in case of that drink stop in the chest, water metabolic imbalance associated liquid. Syndrome in the second, the syndrome of massive pleural effusion heavier when wet deficiency phlegm type is more common evil, evil wet gradually with the decrease in chest volume in patients with mild to document qi deficiency Syndromes of patients with a small pleural effusion mainly belong to qi deficiency and blood stasis.