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目的探讨浅低温体外循环(CPB)心脏不停跳下心房黏液瘤的手术方法及效果。方法回顾性分析2003年1月~2009年3月原发性心房黏液瘤患者的临床资料及手术方法,所有患者均在全麻浅低温CPB心脏跳动中手术。结果CPB时间19~69(42.2±14.9)m in,施行左房黏液瘤摘除37例、右房黏液瘤摘除5例、双房黏液瘤摘除2例,无脑栓、气栓等并发症及围术期死亡,均痊愈出院。随访1个月~6 a,38例得到有效随访,6例失访,均未见复发。结论心房黏液瘤诊断明确后应尽早手术,采用浅低温CPB心脏跳动中手术是切实可行的方法。
Objective To investigate the surgical method and effect of atrophic cardiomyotosis in hypothermic cardiopulmonary bypass (CPB). Methods The clinical data and surgical methods of patients with primary atrial myxomyoma from January 2003 to March 2009 were retrospectively analyzed. All patients underwent surgery in a heart beat of mild hypothermia CPB under general anesthesia. Results The CPB time ranged from 19 to 69 (42.2 ± 14.9) mins. Thirty-seven cases of left atrial myxoma, 5 cases of right atrial myxoma and 2 cases of double myxoma were excluded. Complications such as cerebral infarction and air embolism During the operation, all patients were discharged. Follow-up 1 month ~ 6 a, 38 cases were effectively followed up, 6 cases were lost, no recurrence. Conclusion The diagnosis of atrial myxoma should be as soon as possible after surgery, using mild hypothermia CPB beating surgery is a feasible method.