左心房黏液瘤误诊为系统性血管炎的临床分析  

Two cases of left atrial myxoma misdiagnosed as systemic vasculitis and review of literature

作　　者：于织波[1] 张立涛[2] 董春霞[3] 张风肖[1] 

机构地区：[1]河北省人民医院风湿免疫科,石家庄医学硕士研究生050051 [2]河北省人民医院急诊科,石家庄050051 [3]河北省人民医院肾内科,石家庄050051

出　　处：《医学研究生学报》2013年第12期1289-1291,共3页Journal of Medical Postgraduates

摘　　要：目的心脏黏液瘤是最常见的心脏肿瘤,临床表现多种多样,误诊率高。文中分析左心房黏液瘤误诊为系统性血管炎的原因,以提高对系统性血管炎的鉴别诊断能力。方法回顾性分析误诊为系统性血管炎的2例左心房黏液瘤患者的病历资料,并以"左心房黏液瘤"为关键词,应用中国知网数据库系统检索相关文献,对其临床表现进行分析。结果 2006年1月至2012年8月文献报道左心房黏液瘤总例数828例。其中最常见的临床症状为胸闷、心悸,共有618例,占74.64%,肢体动脉栓塞的报道例数为18例,占2.17%。结论肢体动脉栓塞为左心房黏液瘤的少见表现,系统性血管炎的诊断需与左心房黏液瘤鉴别,心脏超声为有效的鉴别诊断方法。Objective Cardiac myxoma is the most common tumor of heart, with a variety of clinical manifestations and the high rate of misdiagnosis. The purpose of the study is to analyze the causes of left cardiac myxoma misdiagnosed as systemic vasculitis. Methods Two cardiac myxoma patients were reviewed in our department, ＂left cardiac myxoma＂ was choosen as the key words at www cnki. net, the lectures were analyzed. Results We reviewed a total of 828 cases of cardiac myxoma from January 2006 to August 2012. The most common symptom was dyspnea and palpitation（74.64% ）. While limbs arterial embolism was observed in 18 patients （2.17%）. Conclusion Limbs arterial embolism was a rare performance of left atrial myoxoma. Systemic vasculitis should be idendified from left atrial myoxoma and the most effective method was echocardiography.

关 键 词：左心房黏液瘤 系统性血管炎 动脉栓塞 

分 类 号：R732.1[医药卫生—肿瘤]