CAJ | 학술논문

目的：探讨左房黏液瘤致脑栓塞的临床表现及诊治特点。方法回顾性分析徐州医学院附属医院2011年6月至2013年5月收治的11例左房黏液瘤致脑栓塞患者的临床资料，总结其临床特点。结果本文11例患者男女比例1：1.2，平均年龄51.1岁；均急性起病，神经功能缺损症状明显，缺乏能提示心脏疾病的症状及体征；头颅影像学显示多发脑缺血性改变；心脏彩超及病理检查诊断心房黏液瘤的符合率为100%。结论左房黏液瘤致脑栓塞具有发病年龄小，起病急，临床表现多样及漏诊率高等的特点，临床医师应提高警惕。
목적：탐토좌방점액류치뇌전새적림상표현급진치특점。방법회고성분석서주의학원부속의원2011년6월지2013년5월수치적11례좌방점액류치뇌전새환자적림상자료，총결기림상특점。결과본문11례환자남녀비례1：1.2，평균년령51.1세；균급성기병，신경공능결손증상명현，결핍능제시심장질병적증상급체정；두로영상학현시다발뇌결혈성개변；심장채초급병리검사진단심방점액류적부합솔위100%。결론좌방점액류치뇌전새구유발병년령소，기병급，림상표현다양급루진솔고등적특점，림상의사응제고경척。
Objective?To?investigate?the?the?clinical?manifestations?and?diagnosis?of?cerebral?embolism?caused?by?left?atrial?myxoma.?Methods?By?retrospective analysis of patients with cerebral embolism in 11 cases of left atrial myxoma in Afifliated Hospital of Xuzhou Medical College from June 2011?to?May?2013?to?summarize?its?clinical?characteristics.?Results?In?this?paper,?the?proportion?of?men?and?women?is?1:1.2,?with?mean?age?51.1years?old.?All?cases?were??acute?onset.?Neuroimaging?showed?multiple?cerebral?ischemic?changes.?The?coincidence?rate?of?cardiacultrasonography?and?pathological?diagnosis?of?atrialmucous?tumor?is?100%.?Conclusion?Cerebral?embolism??induced?by?leftatrial?myxoma?often?occur?in?the?young?people,?and?has?the?characteristic?of?acute?onset,?clinical?manifestation?and??high?missed?diagnosis?rate.