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心脏原发平滑肌肉瘤1例

陈若为,刘英娜,游昕,周建国

CHINESE JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY（2005）

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Abstract
病人女,40岁.阵发性晕厥半年,加重1个月.查体:体重93 kg,血压:130/94 mm Hg(1 mm Hg=0.133 kPa),四肢水肿不明显.心率92次/min,律齐.胸骨左缘2、3肋间可闻及3/VI级收缩期杂音,P2不清.心电图示右室肥厚,电轴+120°,T波异常.X线胸片示心影扩大,心胸比率0.63,肺血少.超声心动图示右室增大,右室流出道末端至主肺动脉内显示一略高回声的实质性肿块,约6.1 cm×2.0 cm,与管腔右侧壁粘连,远端显示不清.左侧仅有4 mm的间隙(图1).术前诊断:右室流出道、肺动脉新生物,性质待定.
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