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患者女,27岁。1980年5月在外院诊断为风心病,抗风湿治疗2月无效。1981年11月体检发现面部满布黑褐色雀斑。胸骨左缘第3～4肋间闻及SM及DM,伴S_4。超声诊断为右房粘液瘤。1982年1月在体外循环下行粘液瘤及其基底房间隔组织切除术。术后症状、杂音及雀斑均消失。1983,1984年复查心脏超声正常。1986年12月复发,Doppler彩超示:双房粘液瘤,左房者位于房隔,右房者位于后壁。
Female patient, 27 years old. In May 1980, it was diagnosed as rheumatic heart disease in an external hospital. Anti-rheumatic therapy was ineffective in February. In November 1981, a physical examination revealed a dark brown freckled face. The 3rd to 4th intercostal space on the left sternal border smells SM and DM, with S_4. Ultrasound diagnosis of right atrial myxoma. In January of 1982, myxoma and its basal atrial septum tissue were removed under extracorporeal circulation. Postoperative symptoms, murmurs, and freckles all disappeared. In 1983 and 1984, echocardiography was normal. Relapse in December 1986, Doppler color ultrasound showed: double room myxoma, the left atrium was located in the atrial septum, and the right atrium was located at the posterior wall.