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7例右心粘液瘤(占本院同期心脏粘液瘤的10.1%),其中右房3例,右室3例,多发性1例。描述瘤体部位、大小与临床特征。本组合并肺梗塞1例,肺高压4例,晕厥1例,肺动脉瓣或右室流出道梗阻3例,三尖瓣关闭不全或伴三尖瓣口梗阻4例,心包积液1例。全部病例均做心超声波检查,符合率100%,被认为是确诊本病最可靠安全的方法。本组6例手术治疗,存活5例,近远期疗效良好。本文还讨论了本病的发病率,临床表现,临床和影像学诊断,手术治疗及注意点。
Seven cases of right heart myxoma (accounting for 10.1% of cardiac myxoma in the same period in this hospital), including right atrial 3 cases, right ventricular 3 cases, multiple cases 1 case. Describe tumor site, size, and clinical features. The combination of pulmonary infarct in 1 case, 4 cases of pulmonary hypertension, syncope in 1 case, pulmonary valve or right ventricular outflow tract obstruction in 3 cases, tricuspid regurgitation or tricuspid ostium obstruction in 4 cases, pericardial effusion in 1 case. All the patients underwent an ultrasound examination with a rate of 100%. It was considered to be the most reliable and safe method for diagnosis of the disease. In this group of 6 cases of surgical treatment, 5 cases survived, with good results in the near and far. This article also discusses the incidence of the disease, clinical manifestations, clinical and imaging diagnosis, surgical treatment and attention points.