论文部分内容阅读
原发性心包间皮瘤是来源于浆膜层上皮细胞的罕见恶性心包肿瘤。自1953年Dawe等首先报道23例以来,至1980年国外文献共报道120余例,国内文献至1981年只报道2例。我们收集2例,均经手术病理证实,现报告如下: 例1,男,52岁。因心前区疼痛一年余,于1980年8月4日入院。入院后抽出血性心包液580毫升。体检:颈静脉轻度怒张。心浊音界明显向左扩大,心率84次/分,律齐,未闻及心脏杂音,心音低而遥远。肝肋下一横指。实验室检查:ESR55mm/h心包内液未找到肿瘤细胞。超声心动图:心脏脉动,提示左心室舒张末期压力
Primary pericardial mesothelioma is a rare malignant pericardial tumor derived from serosal epithelial cells. Since Dawe et al first reported 23 cases in 1953, more than 120 cases were reported in foreign literature by 1980, and only 2 cases were reported in domestic literature in 1981. We collected 2 cases, both confirmed by surgical pathology, are as follows: Example 1, male, 52 years old. Due to precordial pain more than a year, on August 4, 1980 admitted. After admission bleeding bloody pericardial fluid 580 ml. Physical examination: jugular vein mild rage. Obscure heart bound to expand left significantly, heart rate 84 beats / min, law Qi, did not smell heart murmur, heart sounds low and far. Liver ribs under a horizontal finger. Laboratory tests: ESR55mm / h pericardial fluid was not found in tumor cells. Echocardiography: Heart pulsation, suggesting left ventricular end-diastolic pressure