论文部分内容阅读
患者男性,19岁。自述2月前活动后心慌、胸闷、气促,休息后自行缓解,曾晕厥过3次,每次持续约2～3分钟,晕厥时无口吐白沫、抽搐、大小便失禁等症状。于1998年7月14日就诊。查体:心率95次/分,胸骨左缘第3、4肋间可闻及3/6级全收缩期杂音。心脏彩超提示:右心室增大,三间瓣环处有7.3cm×4.3cm大小实质性增强回声团块,位于右心室。收缩期该团块向右心房移动,但未进入右心房,舒张期向右心室方向移动。诊断为右心室粘液瘤。患者于1998年7月23日在全麻插管体外循环心内直视下行右心肿瘤切除术,术中见右心室、右心房扩大,肿瘤位于右心室,约8cm×7cm×5cm大小,有
Male patient, 19 years old. Readme 2 months ago after the event palpitation, chest tightness, shortness of breath, self-remission after a break, had fainted 3 times, each lasting about 2 to 3 minutes, syncope, no vomiting fomentation, convulsions, incontinence and other symptoms. On July 14, 1998 treatment. Physical examination: heart rate 95 beats / min, the 3rd and 4th intercostal sternum can be heard on the left margin and 3/6 full systolic murmur. Echocardiography Tip: right ventricular enlargement, the three valve ring 7.3cm × 4.3cm size substantially enhanced echo mass, located in the right ventricle. Systolic mass moving to the right atrium, but did not enter the right atrium, diastolic right ventricular movement. Diagnosis of right ventricular myxoma. Patients on July 23, 1998 under general anesthesia with cardiopulmonary bypass cardiac surgery right heart resection right heart surgery, see the right ventricle, right atrial enlargement, the tumor is located in the right ventricle, about 8cm × 7cm × 5cm size, there