【摘要】 作者单位近３０年中，收治的３２００例心脏手术中，经术后病检确诊为原发性心外膜肿瘤７例：属良性者５例，恶性２例。肿瘤完全切除５例，部分切除１例，心包开窗减压１例。原发性心外膜肿瘤的术前确诊率极低，往往易误诊为结核性心包炎。超声心动图、ＣＴ和ＭＲＩ检查为诊断此症提供了有益的依据。该症应早期手术治疗并根据术中所见肿瘤的部位、大小和性质选择适当的手术方法，用或不用心肺转流。尽可能切除肿瘤，必要时重建心房室壁，以保持心脏的生理血流动力学状态。本症的预后决定于肿瘤的病理性质和累及范围。更多还原

【Abstract】 Sevencasesofprimaryepicardialtumorsof3200cardiacoperationcaseswerediagnoseddefinitely,includingbenignin5,malignantin2.Amongthem,readicalresectionwasperformedin5cases,partialresectionin1,anddecompressionofpericardiumin1.Dataofthisserieswereoftenre-gardedastuberculouspericarditisorothersincorectly.UCC,CTandMRIwerehelpfulindiagnosis.Theauthorsemphasizeearlysurgicaltreatmentassoonaspossibleandusingthediferentmethodsofoperationwhethertoutilizecardiopulmonarybypassornotaccordingtosite,sizeandcharacteristicsoftumorstoresecttumors,ifnecessary,reconstructiontheheartwaltomaintainbloodfolowdynamics.Theprognosisofthediseaseswasrelatedtothepathologyandtheareaofinvasionoftumors.更多还原