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临床上,心腔内的恶性肿瘤十分少见,尤其是巨大肿瘤更为罕见。现将本院经手术、尸检证实的一例报道如下: 患者男,30岁。劳累性心悸、气短、咳嗽三个月,以上腔静脉阻塞综合征待查入院。查体:急性面容,喘息状态,口唇发绀,颈静脉怒张,面部浮肿。血压15.0/10.7kPa(120/80mmHg),心率120次/分,律齐,未闻病理性杂音。ECG示窦性心动过速,电轴右偏+114°,轻度T波改变,右室肥厚。X线胸片示心外形正常,纵隔处可见一3.5×4.0cm阴影。二维超声
Clinically, malignant tumors in the heart chamber are rare, especially in giant tumors. An example of surgery and autopsy confirmed in this hospital is reported as follows: The patient is male, 30 years old. Overworked palpitations, shortness of breath, and coughing for more than three months, the above IVS obstruction syndrome is pending admission. Physical examination: acute face, wheezing, cyanosis, jugular vein engorgement, facial edema. Blood pressure 15.0/10.7 kPa (120/80 mmHg), heart rate 120 beats/min, regularity, no pathological murmur. ECG showed sinus tachycardia, right axis +114°, mild T wave changes, right ventricular hypertrophy. The X-ray showed normal heart shape and a 3.5×4.0 cm shadow at the mediastinum. Two-dimensional ultrasound