摘要
目的 总结 2 7例右心肿瘤外科治疗经验。方法 右房原发肿瘤 18例 ,转移性肿瘤 3例 ,右室原发肿瘤 6例 ;恶性肿瘤 10例 ,占 3 7%。结果 手术死亡 1例。 1例因术中出血 ,肿瘤未能完全切除。 3例转移性肿瘤仅做解除梗阻手术。 2例肿瘤切除同时进行三尖瓣置换术。结论 ( 1)术中应注意插管方法 ,防止瘤体脱落 ,必要时采用深低温停循环方法 ;( 2 )切除瘤体时应注意心脏功能和结构的完整性。
Objective Twenty seven patients with right heart tumor under surgical treatment were reviewed.Methods Eighteen cases had primary right atrium tumor. Metastatic tumor was in 3 cases. Six cases had primary cardiac tumor. Ten tumers were malignant (30%). Results Operation death was in one case. Tumor was uncompletely resected in one case due to bleeding. Obstruction reslease was in 3 malignant cases. Tricuspid valve replacement in 2 cases.Conclusion (1) The method of cannulating in CPB should be carefully applied, avoiding the fall of tumor emboli. (2) The heart function and structure should be considered in operation.
出处
《中华心血管病杂志》
CAS
CSCD
北大核心
1999年第4期298-299,共2页
Chinese Journal of Cardiology