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左心房黏液瘤(作者译)

[Myxoma of the left atrium (author's transl)].

作者信息

Ibrahim Z, Heni F, Sadowski P

出版信息

Dtsch Med Wochenschr. 1977 Jul 8;102(27):997-8. doi: 10.1055/s-0028-1105452.

Abstract

Clinical picture, course and routine cardiological diagnostic methods may give important clues indicating the presence of myxoma of the left atrium, but a definite diagnosis can only be made using echocardiography or cineangiography. The former is free of risk and thus should always precede the latter. Three patients were observed with a stalked myxoma of the left atrium which could be demonstrated echocardiographically. Every proven myxoma should be operated on as soon as possible as otherwise sudden unexpected complications leading to death may occur. In patients with changing cardiological signs and changing clinical symptoms this tumour should be excluded promptly by echocardiography. Necropsy statistics do not accurately reflect the incidence.

摘要

临床表现、病程及常规心脏诊断方法可能为提示左心房黏液瘤的存在提供重要线索,但只有通过超声心动图或心血管造影术才能做出明确诊断。前者无风险,因此应始终先于后者进行检查。观察到3例左心房带蒂黏液瘤患者,可通过超声心动图显示。每一例确诊的黏液瘤都应尽快手术,否则可能会发生导致死亡的突发意外并发症。对于有心脏体征变化和临床症状改变的患者,应通过超声心动图及时排除该肿瘤。尸检统计数据不能准确反映其发病率。

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