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[心脏黏液瘤所致发热、乏力、肌痛及杂音]

[Fever, asthenia, myalgia and murmur due to cardiac myxoma].

作者信息

Giménez Roca C, Felipe Villalobos A, Cambra Lasaosa F J, Prada Martínez F, Caffarena Calvar J M, Jou Muñoz C

机构信息

Unidad de Cuidados Intensivos Pediátricos, Hospital Universitari Sant Joan de Déu, Universitat de Barcelona, Esplugues de Llobregat, Barcelona, España.

出版信息

An Pediatr (Barc). 2013 Oct;79(4):257-60. doi: 10.1016/j.anpedi.2013.02.018. Epub 2013 Apr 6.

Abstract

Cardiac tumours are rare, especially in children, and most of them are benign. Myxomas are unusual in children, being more common among adults. They are usually located in the left atrium, with 25% appearing in the right. The clinical signs and symptoms depend mainly on where the tumour is located. A feature of these tumours is that they can be accompanied by constitutional symptoms and laboratory abnormalities. Echocardiography is the study of choice, and a prompt resection is required to prevent serious complications. We present a case of a 10 year-old girl diagnosed with right atrial myxoma who presented with a fever, myalgia, asthenia and laboratory abnormalities. Diagnosis was made by echocardiography, and the early surgical resection of the tumour ran smoothly and showed a good postoperative recovery.

摘要

心脏肿瘤很少见,尤其是在儿童中,而且大多数是良性的。黏液瘤在儿童中不常见,在成人中更为常见。它们通常位于左心房,25%出现在右心房。临床体征和症状主要取决于肿瘤的位置。这些肿瘤的一个特点是它们可能伴有全身症状和实验室检查异常。超声心动图是首选的检查方法,需要及时切除以预防严重并发症。我们报告一例10岁女孩诊断为右心房黏液瘤,她出现发热、肌痛、乏力和实验室检查异常。通过超声心动图做出诊断,肿瘤的早期手术切除过程顺利,术后恢复良好。

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