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患者女,11岁。因胸闷、乏力1年余入院,入院查体:双肺呼吸音清晰,未闻及明显干湿性啰音和心脏杂音。胸部X线片示:右侧前纵隔右心缘处见一直径约7 cm的囊状肿块影,胸部CT检查示:右前中纵隔有囊性占位性病变,大小约8 cm×7 cm×6 cm,右心房受压变窄(图1),囊肿邻近的肺组织受压,诊断“心包囊肿”。彩色超声心动图提示:左心房顶部心包外探及一无回声区,大小约8 cm×7 cm×6 cm,右心房受挤压,诊断为“纵隔囊肿”。术前临床诊断:右前纵隔占位,心
Female patient, 11 years old. Due to chest tightness, fatigue more than 1 year admitted to hospital, admission examination: clear lung breath sounds, no obvious and wet and dry rales and heart murmur. Chest X-ray showed: Right anterior mediastinum at the right edge of the heart to see a diameter of about 7 cm cystic mass, chest CT examination showed: right anterior mediastinum cystic lesions, the size of about 8 cm × 7 cm × 6 cm, narrowing of the right atrium (Figure 1), compression of the lung tissue adjacent to the cyst, diagnosis of “pericardial cyst”. Color echocardiography Tip: the top of the left atrial topography and a non-echo pericardial area, the size of about 8 cm × 7 cm × 6 cm, the right atrium was squeezed, diagnosed as “mediastinal cysts.” Preoperative clinical diagnosis: right anterior mediastinal mass, heart