Ariza S, Castillo Camacho J A, Torres de la Rubia M, Morillo Gotor A
An Esp Pediatr. 1976 Nov;9(8):86-92.
Heart tumors in children are rare. Though of benign pathology they are clinically malignant and should be diagnosed early and promptly treated by surgery in spite of the poor results usually obtained. Any heart enlargement in the absence of congenital heart disease accompanied by rhythm and conduction troubles must be considered as suspect. Five cases of heart tumor are reported and clinically described. Four occurred in newborns and the remaining one before the age of one. Heart enlargement was a constant finding. The ECG findings were: W.P.W. syndrome, intraventricular conduction troubles and ventricular tachycardia, wandering pacemaker (one case each) and ventricular hypertrophy with surprisingly low voltages in the corresponding chest leads (two cases).
儿童心脏肿瘤较为罕见。尽管其病理性质为良性,但临床上具有恶性特征,即便手术结果通常不佳,仍应尽早诊断并及时进行手术治疗。在无先天性心脏病的情况下,任何伴有节律和传导障碍的心脏扩大都应被视为可疑情况。本文报告并临床描述了5例心脏肿瘤病例。其中4例发生于新生儿,其余1例发生在1岁之前。心脏扩大是一个常见的表现。心电图表现为:预激综合征、室内传导障碍和室性心动过速、游走心律(各1例)以及心室肥厚伴相应胸导联电压出奇地低(2例)。