任建伟,彭万富,白珏,吴观生
REN Jianwei,PENG Wanfu,BAI Jue,WU Guansheng

• 1:贵州医科大学
• 2:贵州医科大学附院心外科

摘要(Abstract)：

目的:分析心脏肿瘤的病理学及超声心动图特征。方法:收集46例心脏肿瘤患者的临床资料,统计发生血流动力学障碍、动脉栓塞、全身反应及心电图异常的病例数、肿瘤性质及生长部位,肿瘤发病年龄。结果:发生血流动力学障碍以胸闷气促(76.1%)为主,6例发生动脉栓塞(13.0%),全身反应以血沉增高(血沉>50 mm/h,34.8%)和贫血(血红蛋白<10 g,39.1%)为主,心电图异常主要以窦性心动过速(28.3%)为主;46例心脏肿瘤患者36例(78.3%)病理诊断为良性者超声心动图提示瘤体均有较大活动度,且生长部位全部吻合,良性肿瘤以原发性左房粘液瘤最多见(76.1%),恶性多发生于右心;心脏肿瘤的发病年龄以41~70岁年龄段最高,而恶性肿瘤发病年龄多在31~60岁。结论:心脏肿瘤以良性黏液瘤为主,临床表现多样。
Objective: To investigate the pathology and UCG features of 46 cases with cardiac tumors. Methods: Collecting the clinical data( hemodynamic dysfunction,embolism,systemic symptom,abnormal on ECG and the relationship between the nature of tumor and age) of 46 cases,and the relationship between the location,movement on echocardiography and the nature in pathological diagnosis. Results: The most common symptoms were chest tightness and shortness of breath( 76. 1%),6cases with arterial embolism( 13. 0%), increased blood sedimentation( 34. 8%) and anemia( 39. 1%),and tachycardia of sinus( 28. 3%) was very common in ECG abnormal. 36 cases of 46 patients were diagnosed pathologically with benign tumors( 78. 3%),benign tumors possessed great extent of activity,and the locations all consistent with pathology diagnosis. The left atrium benign myxoma( 76. 1%) was the most to be seen in benign tumors,while malignant tumors were more to be seen on right side. Heart tumors were mostly to be seen for patients aged from 41 to 70 years old,while malignant tumors were more to be found for patients aged from 31 to 60 years old. Conclusion: Cardiac tumors were most to be seen in left atrium,more female patients possess such symptoms than male,with varied clinical diversity and better prognosis; malignant tumors were less common,which were more to be seen in right atrium and worse prognosis.

关键词(KeyWords)： 心脏肿瘤;血流动力学;黏液瘤;病理学;超声检查,多普勒,彩色
cardiac tumors;hemodynamic dysfunction;cardiac myxoma;pathology;ultrasound,doppler,color

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 任建伟,彭万富,白珏,吴观生
REN Jianwei,PENG Wanfu,BAI Jue,WU Guansheng

DOI: 10.19367/j.cnki.1000-2707.2016.04.016

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