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心脏肿瘤的外科治疗(附35例报告)

Surgical Treatment of Cardiac Tumor: A Report of 35 Cases

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【作者】 韦世锋付乾昌郑陈光何巍彭青云谭庆龙周华富温仁祝覃家锦罗玉忠

【Author】 Wei Shi-feng; Fu Qian-chang; Zheng Chen-guang; et al.(Department of Thoracocardiac Surgery. The 1st University Hospital, Guaugxi Medical Univevsity. 530027.)

【机构】 广西医科大学附一院胸心外科

【摘要】 自1980年2月到1990年2月,我院收住35例心脏肿瘤。男性12例,女性23例,年龄7岁至58岁。原发性心脏肿瘤30例,其中左心房粘液瘤26例,右心房粘液瘤8例,多发性的(包括左房、左心室)粘液瘤1例。心脏转移肿瘤5例,心包恶性瘤心脏转移8例,腺癌心脏转移2例。手术切除肿瘤23例,存活18例,早期死亡5例,晚期死亡1例。手术探查未能切除肿瘤4例,这4例均出院后8个月内死亡。4例因住院等待手术突然猝死。4例拒绝手术,出院后6~18个月内死亡。作者认为心脏肿瘤应当早期诊断,早期手术治疗。

【Abstract】 From Feb. 1 986 to Feb, 1990.35 patients with cardiac tumor were admitted into our hopital,There were 12 males and 23 females with age from 7 to 58 years old. Of these patients,30 cases were primary cardiac tumor including 26 myxoma in left atrium, 3 in right atrium and 1 in multiple sites, There were 5 patients with metastasized cardiac tumor including 3 malignant pericardial tumor and 2 adenocarcinoma.23 cases had their ,tumor resected.4 case had exploratory operation,4 had sudden death during the periods waiting for operation,and the other 4refused ot be operated.There were 5 early death and 1 late death in the resected group,17 patients had long survival in this group.But in the exploratory group and non operated group,the patient died between 6 and 18 months after operations or diagnosing. Therefore , the authors suggest that cardiac tumor should be early diagnosed and Operated.

  • 【文献出处】 中国胸心血管外科临床杂志 ,CHINESE JOURNAL OF CLINICAL THORACIC AND CARDIOVASCULAR SURGERY , 编辑部邮箱 ,1994年01期
  • 【分类号】R732.1
  • 【下载频次】23
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