左房粘液瘤脱落导致梗阻性休克1例

A case of obstructive shock caused by shedding of left atrial myxoma

心脏粘液瘤是最常见的原发性良性心脏肿瘤,其脱落可导致栓塞事件发生,如栓塞大血管可导致梗阻性休克。一位腰背痛伴双下肢乏力、麻木患者,外院诊断为脊髓病变,给予对症治疗后病情无好转,入本院后经心脏彩超及主动脉血管彩超检查诊断为左房粘液瘤脱落并腹主动脉栓塞,最终因顽固性休克,发生心脏呼吸骤停事件。

Myxomatosis is the most common primary benign cardiac tumor,and its detachment can lead to embolism events.For example,embolism of large blood vessels can lead to obstructive shock.A patient with low back pain and deficiency of both lower limbs and numbness was diagnosed with spinal cord disease in the outer hospital.After treatment,the condition did not improve.After entering the hospital,she was diagnosed with left atrial myxoma and abdominal aortic embolism.However,refractory shock has occurred and eventually cardiac arrest has occurred.