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患者男,6岁。因“感冒”进行X线检查,X线片表现:左肺门部有一圆形阴影,直径约3cm,轮廓光整并有不规则钙化,圆形阴影密度均匀。透视下可见有轻度搏动(传导性搏动可能性大),双肺纹理轻度增强,心脏形态正常,诊断为;左肺门畸胎瘤。到上级医院手术治疗,术中发现该肿块源于左下肺动脉,随心脏波动而波动,穿刺抽出血液,术中诊断肺动脉瘤,行手术切除。术后病理报告:先天性肺动脉瘤。
Patient male, 6 years old. Due to the “cold” for X-ray examination, X-ray film performance: the left hilum has a circular shadow, diameter of about 3cm, contouring and irregular calcification, circular shadow density uniformity. Under fluoroscopy, there was a slight pulsation (possibility of conductive pulsation), slight enhancement of both lungs and normal cardiac morphology, and diagnosis of left hilar teratoma. To the higher hospital surgical treatment, intraoperative findings of the tumor from the left lower pulmonary artery, with fluctuations in the heart, puncture out of blood, intraoperative diagnosis of pulmonary aneurysms, surgical resection. Postoperative pathology report: congenital pulmonary aneurysm.