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目的提高对原发性肺动脉肉瘤(PAS)的认识和早期诊治率。方法结合首都医科大学附属北京安贞医院2001-10-26—2007-06-05收治的3例手术病理证实的肺动脉肉瘤患者的临床资料和有关文献,对肺动脉肉瘤的临床表现、诊断和治疗方法进行分析。结果肺动脉肉瘤的临床表现和肺血栓栓塞症相似,CT肺动脉造影、彩色多普勒超声心动图等有助于诊断,确诊需手术。手术是治疗肺动脉肉瘤的主要方法。结论肺动脉肉瘤易被误诊为肺血栓栓塞症,临床医生应提高认识,以早期诊断和治疗肺动脉肉瘤。
Objective To improve the understanding and early diagnosis and treatment of primary pulmonary sarcoma (PAS). Methods Combined with the clinical data and related literatures of 3 patients with pulmonary artery sarcoma confirmed by surgery and pathology in Beijing Anzhen Hospital Affiliated to Capital Medical University from 2001-10-26-2007-06-05, the clinical manifestations, diagnosis and treatment of pulmonary sarcoma Analyze. Results The clinical manifestations of pulmonary sarcoma were similar to those of pulmonary thromboembolism. CT pulmonary angiography and color Doppler echocardiography were helpful for the diagnosis and confirmed the operation. Surgery is the main method of treatment of pulmonary sarcoma. Conclusions Pulmonary artery sarcoma is easily misdiagnosed as pulmonary thromboembolism. Clinicians should raise their awareness to diagnose and treat pulmonary artery sarcoma early.