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临床资料患者,女,61岁。以右侧面部少汗6个月入院,CT示:右肺尖平面脊柱旁可见一囊性密度结节影,边缘较光整,大小约20 mm×27 mm;考虑为纵隔肿瘤。排除胸内广泛播散及远处转移后,行右后上纵隔肿瘤切除术,术中出血300 ml,术中见脊柱旁有一大小约4 cm×3 cm×3 cm的肿块,质韧,表面轻度充血,包膜完整,与右交感神经链关系密切,右肺斜裂、水平裂发育良好。手术顺利,术后第1d患者平稳。术后第2 d偶有一过性血氧饱和度下降;复查床旁胸部X线片示:右胸第2、3、4肋间有弧形致密影,病灶轮廓不规则(图1);
Clinical data Patient, female, 61 years old. To the right side of the face less sweat 6 months admission, CT showed: Right apex of the spine can be seen next to a cystic density nodules, edge finishing, the size of about 20 mm × 27 mm; considered as mediastinal tumors. Excluding the widespread disseminated intrathoracic and distant metastasis, the right posterior mediastinum tumor resection, intraoperative bleeding 300 ml, intraoperative see the spine a size of about 4 cm × 3 cm × 3 cm mass, toughness, the surface Mild hyperemia, complete capsule, and the right sympathetic chain is closely linked to the right lung oblique split, horizontal well developed. The operation was smooth and the patient was stable on the first day after operation. The occasional transient oxygen saturation decreased on the 2nd day after operation. The chest X-ray of the bedside examination showed that there was an arc-shaped dense shadow on the right chest, and the irregular contour of the lesion (Fig. 1).