临床误诊误治2018，Vol.31Issue(3)：4-6,3.DOI:10.3969/j.issn.1002-3429.2018.03.002
心房黏液瘤长时间延误诊治分析
Analysis of Delayed Diagnosis and Treatment of Cardiac Myxoma
杨芳 1李军 2曹锋生 3陈丹 1李作贵1
作者信息
- 1. 441800 湖北 老河口,老河口市第一医院老年病科
- 2. 441021 湖北 襄阳,襄阳市中心医院影像科
- 3. 441021 湖北 襄阳,襄阳市中心医院急诊科
- 折叠
摘要
Abstract
Objective To explore the clinical features of cardiac myxoma(CM) and reasons for misdiagnosis.Methods A retrospective analysis of one patient with CM was performed.Results This patient was admitted to the hospital for sudden right limb hemiplegia accompanied by alalia.She was hospitalized 1 month before for cerebral infarction.Based on nature of multiple stroke at different places and time and results of medical examinations,she was preliminarily diagnosed as having multiple sclerosis (MS),and discharged with a better health condition after treatment.In the second year,the patient was rehospitalized with sudden dizziness and right limb weakness accompanied by aphasis.Color doppler echocardiography revealed a mass with 40mm × 30mm in size attached to the atrial septum in the left atrium and pulsating with the heart.She was diagnosed as having CM,which was then surgically removed.During follow-up for over 10 years,she reported no dizziness or right limb hemiplegia,but right hemiplegia and incomplete mixed aphasia.Conclusion The clinical manifestations of CM are complex,therefore,improved understanding and early medical examinations can assist to avoid or reduce CM misdiagnosis.关键词
心房黏液瘤/脑梗死/误诊/多发性硬化Key words
Cardiac myxoma/Brain infarction/Misdiagnosis/Multiple sclerosis分类
医药卫生引用本文复制引用
杨芳,李军,曹锋生,陈丹,李作贵..心房黏液瘤长时间延误诊治分析[J].临床误诊误治,2018,31(3):4-6,3.
