超声诊断右侧房室沟处横纹肌肉瘤1例

发布时间：2018-04-13 21:52

本文选题：房室沟 + 三尖瓣口　；参考：《中国超声医学杂志》2017年05期

【摘要】：正患者男,53岁。胸闷不适3年伴呼吸困难1年入院。心脏超声示(图1):右侧房室沟处见一中低回声肿块,形态尚规则,肿物与室壁分界不清,大小约3.8cm×4.2cm×2.3cm,心包腔内并可见无回声区,左室后壁后方约1.8cm,心尖部约2.3cm。CDFI(图2):二、三尖瓣口可见少量蓝色反流信号。超声提示:(1)右房室沟处心脏占位,恶性肿瘤?(2)二、三尖瓣少量反流。(3)心包积液。入院查体:生命体征平稳,心前区触及震颤和心包摩擦
[Abstract]:The patient is 53 years old.Chest tightness, 3 years with dyspnea, 1 year in hospital.Echocardiography (Fig. 1) showed a moderate and hypoechoic mass at the right atrioventricular sulcus, with a regular shape and unclear boundary between the mass and the ventricular wall. The size of the mass was about 3.8cm 脳 4.2cm 脳 2.3 cm, and there was no echo area in the pericardium, about 1.8 cm behind the posterior wall of the left ventricle, and about 2.3 cm. CDFI (Fig. 2: 2) in the apical region.A few blue regurgitation signals were seen at the tricuspid orifice.Ultrasound suggested that 1) the right atrioventricular sulcus occupied the heart, malignant tumor 2) 2, tricuspid regurgitation 3) pericardial effusion.Admission to the hospital: stable vital signs, precardiac area touch tremor and pericardial friction
【作者单位】：南昌大学第三附属医院超声科;青岛市立医院超声科;
【分类号】：R445.1;R738.7

【相似文献】