患者男,65岁。右颈部肿瘤病史5年,1个月前外院行穿刺病理检查,诊断为右颈前纤维母细胞瘤。入院查体:心率90次/分,呼吸21次/分,血压130/90 mm Hg。神志清楚,自动体位,颈静脉不怒张,右锁骨上窝有7 cm×7 cm×5 cm大小肿物,质硬固定,边界尚清,皮肤棕褐色,顶端破溃有渗液,可见鱼肉样坏死物,三尖瓣区闻及Ⅲ/6级收缩期吹风样杂音,余瓣膜听诊区未闻及杂音,双下肢无水肿。 Male patient, 65 years old. Right neck cancer history of 5 years, 1 month ago outside the hospital line biopsy, diagnosis of right neck fibroblastoma. Admission examination: heart rate 90 beats / min, breathing 21 beats / min, blood pressure 130/90 mm Hg. Conscious, automatic position, jugular vein does not anger, the right supraclavicular fossa 7 cm × 7 cm × 5 cm size of the tumor, the qualitative fixed, the border is clear, the skin tan, ulceration exudate top, showing the fish Like necrosis, tricuspid valve area and grade Ⅲ / 6 systolic hair-like murmur, remaining valve auscultation area no smell and noise, both lower extremity no edema.