论文部分内容阅读
某男,19岁,以劳累后心前区疼痛3年,加重伴间断性晕厥10天于1998—11—26日入院,患者3年前开始出现劳累后心前区疼痛,10天前劳累后出现头昏、心悸、气急及上腹疼痛,随即意识不清跌倒,约10分钟后清醒,伴恶心呕吐,呕吐物为胃内容物。无大小便失禁,5分钟后又出现意识不清,3分钟后清醒。当地县医院给对症治疗好转,心脏超声提示:左房粘液瘤,现来我院收住心外科。 查体:一般情况良好,颈软,胸廓对称,双肺呼吸音清,未闻及干湿性罗者。心界无明显扩大,心率80次/分,律尚
A man, 19 years old, suffered from pain in the precordial area after exertion for 3 years, and he was admitted to the hospital with an intermittent syncope for 10 days from 1998 to 11 to 26. The patient began to experience pain in the precordial area 3 years ago and was tired after 10 days. There was dizziness, palpitations, shortness of breath, and pain in the upper abdomen. He fell unconsciously and fell awake after about 10 minutes. He was awake with nausea and vomiting. The vomit was stomach contents. No incontinence occurred, and consciousness appeared unclear after 5 minutes. After 3 minutes, she became awake. Local county hospitals improved symptomatic treatment. The echocardiography revealed that left atrial myxoma was admitted to our hospital for cardiac surgery. Physical examination: Generally good condition, soft neck, symmetrical chest, breath sounds clear in both lungs, unheard of dryness and wetness. No significant expansion of the heart community, heart rate 80 beats/minute