患者,女,40岁。近20年来曾偶有左前胸疼痛,多次X光片检查,发现心脏呈球形长大,疑为大量心包积液,但经多次超声心动图检查,诊断为右位心,其心脏房室大小正常,无心包积液。 近年来,因痛经来我院就诊。查体:发现气管轻度右移。X胸片检查,心脏球形长大(图1),诊断为大量心包积液,急查超声心动图,发现心脏位于右胸腔,垂位,心尖偏左(图2),房、室大小正常,无心包积液。彩色多普勒超声未见异常血流及血流频谱。双侧胸腔探查,于左侧胸腔内查见20cm×18cm大小的 Patient, female, 40 years old. In the past 20 years, there was occasional left anterior chest pain, multiple X-ray examination and found that the heart spherical spheroid growth, suspected a lot of pericardial effusion, but after multiple echocardiography, diagnosed as right centroid, the heart atrioventricular Normal size, no pericardial effusion. In recent years, due to dysmenorrhea to our hospital. Examination: Found that the trachea mild right shift. X chest X-ray examination, heart spherical growth (Figure 1), diagnosed as a large number of pericardial effusion, echocardiography echocardiography, found the right chest in the heart, down, apical left (Figure 2) Centerless package fluid. Color Doppler ultrasound showed no abnormal blood flow and blood flow spectrum. Bilateral chest exploration, in the left chest check see 20cm × 18cm size