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目的总结心脏占位性病变的诊断与治疗经验。方法回顾总结我院2000年1月至2011年6月心脏占位性病变患者资料,其中心脏黏液瘤46例,原发恶性心脏肿瘤5例,癌性瘤栓16例,血栓60例,感染性赘生物50例,共计177例。结果全组中65例曾有就诊过程中误诊及漏诊史,占37%。全组患者例进行外科手术的156例,占88%,无围术期死亡;未手术的3例,占1.7%;无需手术的18例,占10.3%。结论提高对心脏占位性病变的认识,减少误诊及漏诊。心脏占位性病变大多需要外科手术治疗。
Objective To summarize the experience of diagnosis and treatment of heart-occupying lesions. Methods The data of patients with heart-occupying lesions in our hospital from January 2000 to June 2011 were retrospectively reviewed. Among them, 46 cases of cardiac myxoma, 5 cases of primary malignant cardiac tumor, 16 cases of malignant tumor suppository, 60 cases of thrombus, infectivity Neoplasms in 50 cases, a total of 177 cases. Results In the whole group, 65 cases had a history of misdiagnosis and missed diagnosis during the treatment, accounting for 37%. Of the 156 patients (88%) who underwent surgical operations in the entire group, there were no perioperative deaths, 3 (1.7%) without surgery, and 18 (10.3%) without surgery. Conclusions to improve the understanding of occupying lesions of the heart, reduce misdiagnosis and missed diagnosis. Most heart-occupying lesions require surgical treatment.