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巨大型纵隔畸胎瘤较少见,现将经X线诊断并经手术证实的一例报道如下: 患者,女,42岁。8个月前无明显诱因出现左侧胸痛、胸闷、气短,左侧卧位时咽喉部似有异物感,外院诊断:“结核性胸膜炎,包裹性胸腔积液”。抗痨治疗8个月无好转。体检:胸廓对称无畸形,胸式呼吸存在,左侧呼吸动度较右侧弱,未触及胸膜摩擦感,左肺叩实音,左肺呼吸音弱。右侧正常,心前区无隆起,心尖搏动不弥散。X线检查;胸廓对称,左侧中下
Huge mediastinal teratomas are rare, and one case has been reported with X-ray diagnosis and confirmed by surgery as follows: The patient, female, is 42 years old. 8 months ago there was no obvious cause of chest pain, chest tightness, shortness of breath on the left side, the left side of the supine position when the throat seems to have a foreign body sensation, the outer hospital diagnosis: “tuberculous pleurisy, encapsulated pleural effusion.” Anti-spasm treatment did not improve for 8 months. Physical examination: Thoracic symmetry is not deformed, chest breathing is present, left respiratory motion is weaker than right side, pleural friction is not touched, left lung is dulled, and left lung is breathless. The right side is normal, and there is no bulge in the precordial area, and the apex beat is not diffused. X-ray examination; thoracic symmetry, left and right middle and lower