论文部分内容阅读
1 病例报告患者男,23岁。胸闷,气急,心前区隐痛3月余,加重1月入院。经胸片及心脏超声检查示:有心包积液。先后行心包穿刺6次,共抽液2200ml,由淡红变深红色。细胞学检查阴性。心电图示室性早搏和房性早搏,异常Q波,患者频发心绞痛。再查心脏超声提示:心脏多发性肿瘤,粘连性心包炎伴少量心包积液。胸部CT示:左房粘液瘤可能性大。决定行剖胸探查术。
1 case report patient male, 23 years old. Chest tightness, shortness of breath, pre-cardiac pain more than 3 months, increased admission in January. Transthoracic and echocardiographic examination showed pericardial effusion. He had pericardial puncture 6 times, a total of 2200ml of fluid, changed from dark red to dark red. Negative cytology. ECG shows premature and atrial premature beats, abnormal Q wave, the patient frequently has angina. Check the echocardiography again: cardiac multiple tumors, adhesive pericarditis with a small amount of pericardial effusion. Chest CT showed that the possibility of left atrial myxoma. Decided to perform thoracotomy exploration.