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临床资料患者,女,61岁。活动后心悸、胸闷、气促3个月,加重6 d,伴咳嗽、咳痰,不能平卧,无发热、胸痛和晕厥史。因症状加重并在当地医院行心脏彩色超声心动图检查提示:左心房内有一肿物,遂来本院就诊,入院查体:一般情况好,心界无扩大,心率92次/分,律齐,听诊心脏杂音不明显。C反应蛋白22.6 mg/L,血沉93 mm/h。心脏超声心动图提示:左房腔内可探及中等回声团块,基底部较宽,似累及整个房间
Clinical data Patient, female, 61 years old. Activities palpitations, chest tightness, shortness of breath 3 months, increased 6 d, with cough, sputum, can not lie down, no fever, chest pain and history of syncope. Due to the worsening of symptoms and at the local hospital cardiac color echocardiography showed: there is a tumor in the left atrium, then come to our hospital, admission examination: generally good, no expansion of heart, heart rate 92 beats / min, law Qi Auscultation heart murmur is not obvious. C-reactive protein 22.6 mg / L, erythrocyte sedimentation rate 93 mm / h. Echocardiography Tips: Left atrioventricular probe and medium echo mass, the basal wide, it seems to involve the entire room