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患者女,49岁。7个月前出现无明显诱因右上腹隐痛不适,持续约半小时,疼痛可自行缓解。无胸闷、气促及呼吸困难。体检:生命体征正常,心脏不大,心尖区闻及收缩期杂音。超声检查:下腔静脉明显增宽,内见低回声团块,大小约120 mm×56 mm,并与右房大小约26 mm×18 mm团块相通。主、肺动脉内径正常,各瓣膜形态、活动未见异常,左室壁不增厚,活动未见明显异常。诊断:右房及下腔静脉占位性病变。
Female patient, 49 years old. 7 months ago no obvious incentive to appear right upper quadrant pain and discomfort, lasted about half an hour, the pain can relieve itself. No chest tightness, shortness of breath and difficulty breathing. Physical examination: vital signs are normal, the heart is not big, apex area smell and systolic murmur. Ultrasonography: Inferior vena cava significantly widened, see the hypoechoic mass within the size of about 120 mm × 56 mm, and right atrial size of about 26 mm × 18 mm clumps connected. The main pulmonary artery diameter normal, the valve morphology, activity no abnormalities, left ventricular wall thickening, activity no obvious abnormalities. Diagnosis: Right atrium and inferior vena cava occupying lesions.