[心房黏液瘤：呼吸科医生面临的挑战]
[Atrial myxoma: a challenge for the pneumologist].
作者信息
Potre Rodica, Ularu D, Tudorache V, Bertici Nicoleta
机构信息
Clinica de Pneumologie U.M.F.-Timişoara.
出版信息
Pneumologia. 2003 Jan-Mar;52(1):54-7.
It presents a 59 years old woman with atypical symptoms, which orientated the diagnostic thinking during one year to a reccurrent pneumonitis, bronchial asthma, colagenosis, interstitial pulmonary fibrosis and so on. The appearance of pulmonary edema determined a couple of cardiologic exams which came to obiectivate as the main cause, the existence of a left atrial mixoma who was invaginated in left mitral cusp. Surgical intervention permitted not only specific determination of histological type of tumor, but lead to healing of the patient. It is a discussion over epidemiology, clinical areas of manifestation and methods of diagnostic of atrial tumors.
该病例为一名59岁女性，有非典型症状，在一年时间里，诊断思路指向复发性肺炎、支气管哮喘、胶原病、间质性肺纤维化等。肺水肿的出现促使进行了一系列心脏检查，最终确定主要病因是存在一个左房黏液瘤，该瘤突入二尖瓣左瓣叶。手术干预不仅明确了肿瘤的组织学类型，还使患者得以治愈。本文讨论了心房肿瘤的流行病学、临床表现领域及诊断方法。
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