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目的:加强及完善西宁地区心脏粘液瘤外科治疗。方法:我院自1991年3月—2007年4月共收治32例心脏粘液瘤,其中30例左心房粘液瘤,2例右心房粘液瘤。均在全麻、体外循环下行粘液瘤摘除术,5例同时三尖瓣成形术。结果:无围术期死亡,无心功能衰竭,随诊3个月~16年。手术后无复发。结论:西宁地区地处高海拔地区,心脏粘液瘤发展迅速,病程时间短,一经确诊应立即手术,效果好、安全。超声心动图对心脏粘液瘤诊断有极其重要的作用。
Objective: To strengthen and improve surgical treatment of cardiac myxoma in Xining area. Methods: From March 1991 to April 2007, 32 cases of cardiac myxoma were treated in our hospital, including 30 cases of left atrial myxoma and 2 cases of right atrial myxoma. All under general anesthesia, myxoma removal under cardiopulmonary bypass, 5 cases of simultaneous tricuspid valve plasty. Results: No perioperative death, no heart failure, followed up for 3 months to 16 years. No recurrence after surgery. Conclusion: Xining area is located in high altitude area, cardiac myxoma is developing rapidly, the course of time is short, once diagnosed immediately surgery, effective and safe. Echocardiography has an extremely important role in the diagnosis of cardiac myxoma.