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150例心脏原发肿瘤的诊断和治疗

DIAGNOSIS AND TREATMENT OF PRIMARY CARDIAC NEOPLASM

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【作者】 阎德民修宗谊谷春久杨耀晨

【Author】 Yan Demin,Xiu Zhongyi,Gu Chunjiu,et al.Department of cardiac Surgery,The First Affiliated Hospital,China Medical University,Shenyang 110001

【机构】 中国医科大学第一临床医学院心脏外科

【摘要】 总结150例心脏原发肿瘤诊断和治疗经验。方法通过病史、体征、X线、心电图和超声心动图进行诊断,148例手术治疗,145例用低温体外循环方法,同期4例行二尖瓣置换,1例行肺动脉瓣置换,2例3个肢体经股动脉取瘤栓。结果2例等待手术时死亡,148例手术病人中10例死亡(1993年后60例无死亡),经手术切除者137例得到治愈。结论超声心动图是检出心腔内心脏肿瘤最有效方法,心腔外心脏肿瘤主要靠X线或CT检查,一旦确定诊断应尽早手术治疗。

【Abstract】 Objective:Sum up the experiences in diagnosis and treatment of primary cardiac neoplasm in 150 cases.Methods:Made the affirmative diagnosis through comprehensive data of history,Signs and auxilliary examination including chest X ray,electrocardiogram and ecocardiography.Nearly all of the patients accepted surgical procedures.Results:2 patients were dead preoperatively,8 patients of 148 ones undergone surgical treatment were dead,137 patients were cured completely.Conclusion:Ecocardiography is one of the most effective methods through which the neoplasm in cardiac cavity is detected out,while inspection of the neoplasm out of cardiac cavity mainly depends on chest X ray and CT Scan.Once the diagnosis is confirmed,the patients should accept surgical treatment as soon as possible.

  • 【分类号】R732.1
  • 【被引频次】4
  • 【下载频次】49
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