23 Cases Of Malignancy In Patients With Superior Vena Cava Syndrome Syndromes Studied

Objective: Malignancy superior vena cava syndrome (SVCS) patients with TCMsyndrome, and analysis the risk factors of the syndrome for disease and deathfactors, in order to improve the clinical symptoms better, making diseaseprogression slower and improve quality of life in patients with.Materials and methods: Collect the data from patients who December2005to March2012in the Affiliated Hospital of Liaoning University of TraditionalChinese Medicine. Cluster analysis of these data, according to the clusteringresults, TCM, and pathological factors from traditional Chinese medicine,state ratings, mortality analysis of its syndromes evolution and prognosticfactors.Results:1.Analysis of23cases of superior vena cava syndrome symptoms and frequency:42.86%of patients with upper limb edema, anorexia the slightly white sputum,lose of Shenpi, fatigue, greasy moss, pulse slippery, chest tightness, loosestools.40.48%of the cases of cough, shortness of breath, upper limb edema,anorexia, chest ecchymosis, the fatigue Shenpi, tongue dark dysphoria hot,bloody sputum, headache, voice hoarse, then dry, sore throat, night sweats.2.Dialectical results: Resistance of phlegm turbidity syndrome (42.86%), ofthe lung with pulmonary Yin damage certificate (40.48%), qi deficiency and bloodstasis syndrome cases accounted for16.67%.3.The results of the analysis: In2cases and lung Yin deficiency patientsgod faint, delirious speech, red-faced, yellow viscous sputum symptoms,4casesof lung Yin deficiency patients with lumbar genu ache, double lower limbs edema,4cases of phlegm turbidity resistance pulmonary syndrome in patients with chestpain, coughing up blood, the tongue is a little like performance.1patientswith qi deficiency blood stasis appear bosom frowsty, dizziness, nausea, cough up phlegm quantity more signs. Dialectical analysis to the above performancefurther, the dialectical results for the four types of syndrome typesrespectively: lung Yin deficiency and phlegm fire disturbing; Lung Yindeficiency and kidney deficiency; Lung and blood stasis, phlegm turbidityresistance; Qi deficiency and blood stasis and phlegmy wet.4.The result of the analysis of death related factors:23patients and deathin patients with a total of9cases, among them appear and8cases of does notappear and1case of the death of the patients; From the early ZPS score onadmission analysis, ZPS <3in4cases, ZPS3or5cases. After statistics analysisand the mortality in patients with a higher (P <0.05), the mortality of thepatients with SVCS has nothing to do with the ZPS score (P≥0.05).Conclusion:1.Patients with SVCS dialectic can be part into three kinds of certificate,which are lung syndrome, phlegm turbidity resistance loss lung Yin deficiencysyndrome, and qi deficiency blood stasis type.2.With the development of the primary tumor, tends to lead to the emergenceof a new pathological factors and certificate.3.Appearance and card often hint when the illness is aggravating, should benoticed clinically.4.SVCS is an acute complications of the disease belongs to the tumor, illnessdevelopment is swift and violent, state better patients died because of illnesssuddenly ran can also development, therefore does not relax monitoring statescore is better for patients and treatment.