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右心房粘液瘤是儿童期少见病,好发年龄是30～60岁,多见女性,男女之比为1:3,临床上易被误诊为慢性心肌炎。本病特点:病人在急性发作期自动采取半卧位。临床表现反复发烧、恶心、胸痛、易疲乏及贫血貌、伴有右心衰竭,是由于粘液瘤阻碍了右房、右室的充盈,致使心排血量降低,故颈静脉怒张、颈静脉搏动∝波明显,肝脾肿大、腹水、水肿等。心脏杂音因时间、体位不同而变化不定,胸骨左缘第3肋间有一柔和的收缩期杂音,呈
Right atrial myxoma is a rare childhood disease, the age of the onset is 30 to 60 years old, more common in women, male to female ratio of 1:3, clinically misdiagnosed as chronic myocarditis. The characteristics of the disease: The patient automatically takes a semi-supine position during an acute attack. Clinical manifestations of repeated fevers, nausea, chest pain, fatigue and anaemia appearance, accompanied by right heart failure, is due to myxoma hinder the filling of the right atrium and right ventricle, resulting in reduced cardiac output, so the jugular vein engorgement, jugular vein The pulsating waves are obvious, hepatosplenomegaly, ascites, edema, etc. The heart murmur varies with time and posture, and there is a soft systolic murmur on the third intercostal space of the left sternal border.