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临床资料患者,男,63岁,活动后疲乏、气促20余d入院。入院查体:体温36.4℃,脉搏84次/分,呼吸18次/分,血压128/92 mm Hg。神志清楚,心律齐,心尖区闻及双期杂音。心电图示窦性心律,左心室高电压。术前经食管超声心动图(TEE)检查示左心房内异常团块回声大小约2.0 cm×3.0 cm×1.5 cm,稍弱回声,附着于二尖瓣前叶根部,基底较宽,团块部分与二尖瓣前叶粘连,舒张期部分团块随心
Clinical data Patients, male, 63 years old, tired after the event, shortness of breath more than 20 d admission. Admission examination: body temperature 36.4 ℃, pulse 84 beats / min, breathing 18 beats / min, blood pressure 128/92 mm Hg. Conscious mind, heart rate Qi, apex area smell and double noise. Electrocardiogram sinus rhythm, left ventricular high voltage. The preoperative transesophageal echocardiography (TEE) showed that the size of the abnormal mass in the left atrium was 2.0 cm × 3.0 cm × 1.5 cm, slightly weaker echo, attached to the root of the anterior mitral valve, the base was wider and the mass With the anterior mitral valve adhesions, diastolic part of the heart block