原发性心脏肿瘤26例临床分析  

Primary Tumors of Heart——A Report of 26 Cases

作　　者：乔峻[1,2] 钱中希[1,2] 马拉提 申康[1,2] 高晓明[1,2] 于湘友[1,2] 木拉提[1,2] 

机构地区：[1]新疆医学院第一附属医院,乌鲁木齐市830000 [2]新疆维吾尔自治区心血管病研究所心脏外科

出　　处：《中国肿瘤临床》1994年第3期205-206,共2页Chinese Journal of Clinical Oncology

摘　　要：本文对26例原发性心脏肿病进行了临床分析.良性者21例,其中有20例为心房粘液瘤,1例为毛细血管瘤.恶性肿瘤有5例.临床表现、X线和ECG检查类似二尖瓣和三尖瓣病.5例原发性恶性肿瘤表现缺乏特异性,但发热、食欲减退和体重减轻相当明显,并以大量心包积液为突出表现.超声心动图(u,n,G)对心脏肿瘤的诊断有很重要的价值,手术切除为首选治疗方法.Between 1981 and 1992,26 patients(12 female and 14 male)suffering from primary heart tumors, underwent surgery in the Department of Cardiovascular Surgery, No. 1 Hospital of Xinjiang Medical College. The ages of the patients ranged from 6 to 60 years. Clinical manifestations were congestive heart failure,cardiac murmurs,chest pain, arrythmias, arterial embolism, myocardial infarction and findings similar to mitral stenosis and pericarditis. Twenty-one of the tumors were benign and 5 malignant. Of the benign tumors 20 were myxoma of the atrium. Diagnoses were confirmed by echocardiography. The left atrium was affected predominantly and followed by the right atrium. Cardiopulmonary bypass was performed in all the cases. All the benign tumors were removed,and at 3 months to 8 years postoperatively no recurrences of tumors were noted and all the patients are doing well. However, malignant neoplasms were not removable and, four of the 5 patients died during the postoperative period while only one patient survived for 12 months. Surgical treatment of malignant cardiac tumors is still a matter of controversy, benign or semi-malignant ones bear a favourable prognosis when surgical intervention is performed prior to the occurrence of severe complications,such as congestive heart failure and arterial embolism. The excision of benign tumor may guarantee a normal life expectancy.

关 键 词：心房粘液瘤 心脏肿瘤 超声心动图 

分 类 号：R732.104[医药卫生—肿瘤]