风湿性心脏病合并心脏黏液瘤的临床诊断探讨

Analysis on clinical diagnosis of rheumatic heart disease with cardiac myxoma

目的探讨风湿性心脏病(简称风心病)合并心脏黏液瘤的诊断特点。方法对3例临床资料进行回顾性临床分析。结果风湿性心脏病合并心脏黏液瘤以风湿病史为特点常伴有突发晕厥,间歇性特异性心脏瓣膜杂音与栓塞等综合征。且血浆ASO、ESR及粘蛋白在二者并存时常有不同程度的增高表现,心电图(EKG)、心脏二维超声(2-DE)及磁共振(MRI)等检查均有助于诊断。结论根据仔细的病史询问并结合血生化检查及相关物理检查如EKG、2-DE、MRI等有助于提高风心病合并心脏黏液瘤的诊断。

Objective To investigate the diagnostic features of rheumatic heart disease （RHD） with cardiac myxoma. Methods Three cases of clinical data were retrospectively analyzed. Results The history of RHD with cardiac myxoma was characterized by sudden syncope with intermittent noise and specific heart valve disease embolizatlon. And plasma ASO, ESR and mucin increased by varying degree, electrocardiogram, heart two - dimensional ultrasound （ 2 - DE） and Magnetic Resonance （MRI） and other diagnostic examination were helpfour for the chagnosis. Conclusion Careful history taking with the relevant blood tests and physical examination such as EKG,2 - DE, MR may contribute to the diagnosis of rheumatic heart disease with cardiac myxoma.