16例心脏和心包恶性肿瘤的诊断和治疗

目的 总结16例心脏和心包恶性肿瘤的诊断和外科治疗的临床经验。方法 对心脏和心包恶性肿瘤患者有突发病史、胸片、心脏彩色超声心动图，必要时可作CT或磁共振（MRI）检查即可确诊，本组16例14例均在 温体外循环下手术。结果 手术14例中13例肿瘤切除，1例术中终止手术，2例手术死亡；1例术前死亡，1例放弃手术。结果 超声心动图和胸片是最常用和有效的检查，一旦确诊手术是解除恶性肿瘤引起心脏通道阻塞的唯一方法。

THE DIAGNOSIS ANDTREATMENT OF CARDIAC AND PERICARDIUM MALIGNANT TUMORS

Objective To review the diagnosis and surgical treatment of 16 cases of cardiac and pericardial malignant tumors. Methods The patients of cardiac and pericardial malignant tumors had transient medical history, and the clinical presentataon of these patients was alwasy unexpected. Plain chest roentgenograms and echocardiography were frequently used to help the diagnosis. Computerized topography scanning and magnetic resonance imaging were also successfully employed. The 14 of these 16 cases were operated under moderate hypothermia cardiacpulmonary by pass. Results Surgical resection was carried out in 13 cases, the operation was given up during the procedure in 1 cases. The operative mortality was 14 % (2/14). Conclusion Echocardiography and chest roentgenograms are the most common and effective ways of diagnosis. The surgical resection is the only method to relieve the outflow obstruction caused by the malignant tumors.