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患者 男 ３６岁，主诉“面、颈部肿胀３个月，伴活动后胸闷，憋气”，曾在外院以“肾脏疾病”治疗无效，后行超声心动图检查疑为心脏肿瘤而入我院。查体：心率９０次／分，血压１２０／９８ｍｍＨｇ，面部肿胀，颈增粗，颈静脉怒张，胸廓饱满，未见胸壁静脉曲张，心界不大，
The patient was 36 years old and complained of “swelling of the face and neck for 3 months. Her chest tightness was associated with activity and hernia.” She had been treated as a “kidney disease” in an outside hospital and was admitted to our hospital with an echocardiogram suspected of having a heart tumor. Physical examination: heart rate 90 beats/min, blood pressure 120/98 mmHg, facial swelling, thick neck, jugular vein engorgement, full chest, no chest wall varicose veins, little heart boundary,