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患者,女性,44岁,干部,山东人,工作居住新疆伊宁市。1991年4月20日因左上腹痛伴心慌7月余入我院普外科。入院后肝胆B超确诊为肝包虫囊肿,超声心动图发现心尖部包虫与心包膜紧密相连。X线胸片为左上肺炎,包虫破裂并感染不能除外,胃肠造影为肝左叶包虫囊肿突入胸腔继发心包包虫囊肿(图1,2)。转入心脏外科后,术前诊断心脏包虫,术中发现囊肿位于肝左叶,囊腔与肝脏相通,致左膈局限凸隆,与心包粘连,术后诊
Patient, female, 44 years old, cadre, Shandong, working in Yining, Xinjiang. April 20, 1991 due to left upper abdominal pain with palpitation in July more than into our hospital general surgery. Liver and gallbladder B ultrasound diagnosis of hepatic hydatid cysts, echocardiography found apical hydatid and pericardial closely linked. X-ray chest for the upper left pneumonia, hydatid rupture and infection can not be excluded, gastrointestinal angiography of the left lobe hydatid cyst into the chest cavity secondary hydatid hydatid cyst (Figure 1, 2). Into the heart surgery, the preoperative diagnosis of heart hydatid, cysts found in the surgery is located in the left lobe of the liver, cysts and the liver connected to the left diaphragm limitations convex, and pericardial adhesions, postoperative diagnosis