摘要
目的:总结60例心脏肿瘤的临床特征,探讨误诊情况以提高诊断准确率。方法:回顾性分析60例心脏肿瘤患者的临床资料,着重分析临床特征、误诊情况。结果:60例患者均为超声心动确诊。误诊12例,误诊率20%,误诊时间4天～5个月,最多是脑栓塞。手术治疗50例,术后死亡1例,手术成功率98%,术后无并发症,转院2例,自动出院6例。结论:缺乏心脏黏液瘤的认识,未进行心脏彩超检查是其误诊的主要原因。其有效治疗为手术切除黏液瘤。
Objective： To summarize the 60 cases of the clinical features of cardiac tumors, misdiagnosis and surgical experience. Methods：To retrospective analysis 60 cardiac tumors＇ cases of our hospital from March 2003 to January 2011, analyzed the clinical features, misdiagnosis and surgical methods. Results ： 60patients were diagnosed by echocardiography. Surgical treatment of 50 cases,including 2 cases of thoracoscopic resection, 1 patient died after surgery, surgical success rate was 98% （49/50） ,no postoperative complications, 2 patients Transferred ,6 patients discharged, 2 patients was dead in few hours in hospital. 9 cases were misdiagnosed, misdiagnosis rate was 15% （9/60）, longest misdiagnosis time was 5 months, and most of them were caused by brain embolism. Conclusion： Cardiac myxoma are mostly common in Cardiac tumor, specially in women and left atrial;the most common misdiagnosis was cerebral embolism ;surgery are the primary means of cardiac myxoma, the prognosis is excellent, the key of the surgery are early, complete, thorough resection. The future of minimally invasive treatment on cardiac myxoma is VATS.
关键词
心脏肿瘤
误诊
诊断
Cardiac tumors
Misdiagnosed
Diagnose
