肺癌心脏转移的线索与超声诊断  

CLINICAL CLUES AND ECHOCARDIOGRAPHIC DIAGNOSIS OF CARDIAC METASTASES IN LUNG CANCER

作　　者：张树彬[1] 欧阳福珍[1] 王利生 何萍[1] 祁芸云[1] 

机构地区：[1]北京医科大学第一临床医院内科

出　　处：《中华肿瘤杂志》1995年第3期205-207,共3页Chinese Journal of Oncology

摘　　要：总结近１５年来经胸片、支气管镜检、心包积液细胞学及超声心动图检查确诊为肺癌心脏转移的１８例患者的临床表现及超声心动图资料。超声心动图表现：呈巨大类圆形团块，外压心脏１例；心腔内转移２例；有心包积液且心包腔内见团块影２例；有不等量心包积液１３例，特点是抽液后液体增长快。结合文献探讨肺癌心脏转移时心脏受累的主要临床线索及超声心动图表现。提示对肺癌或其它恶性肿瘤患者，一旦出现原因不明的心律不齐、心力衰竭、心脏扩大或新近出现杂音等，应考虑心脏转移的可能，并做超声心动图协助了解心脏受累的部位及其受累的严重程度。AbstractWe analysed the clinical manifestations and echocardiographic findings of cardiac metastasesin 18 lung cancer cases treated in our hospital in fifteen years, All cases were chest x-ray andbronchoscopy proved lung cancer patients with cardiac metastases diagnosed by pericardial effu-sion cytology and echocardiographic examinations.The echocardiographic findings were as fol-lows :1 case with a large round-like mass constricting heart exteriorly, 2 cases with intracardiacmetastases, 2 cases with both effusion and mass within the pericardial space,13 cases with vari-ous amount of pericardial effusion characterized by quick fluid re-accumulation after pericardio-centesis.Finally ,we integrate with the documents and probe into the main clinical clues and e-chocardiographic findings of cardiac involvements in lung cancer patients with cardiac metastases.We warn the dlinical practitioners that if the diagnosed lung cancer or other malignant tumor pa-tients exibit cardiac arrhythmia,heart failure , enlargement of heart or development of a newheart murmur etc. with unknown causes in clinical practice , the possibility of cardiac metastasesshould be suspected and echocardiography should be done to help diagnose the sites of cardiac in-volvements and the degree of severity.

关 键 词：心脏肿瘤 肺肿瘤 超声波诊断 

分 类 号：R734.204[医药卫生—肿瘤] R732.104[医药卫生—临床医学]