论文部分内容阅读
1 病历简介患者,男,39岁。近1年来右胸壁阵发性钝痛,并能触及肿块,肿块生长缓慢,入院前20天疼痛加重,呈持续性,深吸气时加重,夜间可影响呼吸。无发热、胸闷、心悸、气短。查体:全身浅表淋巴结未见肿大。胸廓无畸形。于右胸第7前肋间可触及6cm×4cm×4cm 肿块,质硬,不活动,压痛明显,边界清楚,表面皮肤颜色正常,无肿胀。心肺未见异常。肝脾未触及。CT 所见:平扫于右胸腔腋前线第6～7肋间水平肋胸膜与膈肌之间见梭形高密度灶。约6cm×4cm×2.5cm,边界清晰,肿块密度不均,大部分 CT 值为200Hu 以上,局部为86Hu(图1,2)。手术所见:取右胸外侧切口,横断第7肋进胸,
1 medical history patient, male, 39 years old. In the past 1 year, paroxysmal dull pain in the right chest wall, and can touch the mass, the growth of the mass is slow, the pain worsened 20 days before admission, and it is persistent. When it is deeply inhaled, it can affect breathing at night. No fever, chest tightness, palpitations, shortness of breath. Physical examination: There was no swelling of the superficial lymph nodes. The thorax is not deformed. A mass of 6cm x 4cm x 4cm can be reached in the intercostal space of the right anterior 7th chest, which is hard, inactive, tender, with clear boundaries, normal skin color, and no swelling. No abnormalities in heart and lung. Liver and spleen are not touched. CT findings: Spinal scans were performed on the 6th to 7th intercostal level of the right thoracic anterior iliac crest between the pleura and the diaphragm. About 6cm × 4cm × 2.5cm, the boundary is clear, uneven density of the tumor, most of the CT value is more than 200Hu, local 86Hu (Fig. 1, 2). Surgical findings: Take a lateral incision in the right chest and cross the 7th rib into the chest.