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为了提高对心脏心包转移瘤的认识,我们将210例尸检中发现的6例分析报告如下。病例摘要例1 女,67岁。纳差、消瘦2月,咳嗽、气短、胸闷3天。患者强迫半卧位。心脏向左扩大,心率120次/分,心律齐,心音低弱。右肺中下野语颤及呼吸音消失。肝大肋缘下4cm,质中,光滑。左上腹轻压痛。胸片示两肺转移瘤及两侧胸腔积液。心电图示窦性心动过速,低电压。临床以支持及抗菌素治疗
In order to improve the understanding of heart pericardium metastases, we analyzed the results of 6 cases found in 210 autopsies as follows. Case Summary Example 1 Female, 67 years old. Anorexia, weight loss 2 months, cough, shortness of breath, chest tightness for 3 days. The patient forced a semi-supine position. The heart expands to the left with a heart rate of 120 beats per minute, a heart rhythm, and a weak heart sound. The right lung midfield wild language trembling and breath sounds disappeared. The liver is 4 cm below the costal margin, and it is smooth and smooth. Left upper quadrant light tenderness. The chest radiograph shows metastatic lung tumors and pleural effusion on both sides. ECG shows sinus tachycardia, low voltage. Clinical support and antibiotic treatment