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| 1 | 胃印戒细胞癌心包转移、心包填塞致死:附1例报告并文献复习显示文摘1病例介绍
女性,49岁,以"咳嗽、气促、不能平卧2天"入院。近10年来反复咳嗽,入院前2天咳嗽加重,夜间不能平卧,卧位时症状加重伴气促,活动后明显,伴有剑突下疼痛。入院时胸部DR片示:心影稍增大,双侧少量胸腔积液。入院后予雾化吸入,抗感染补液等对症治疗,入院第2天病情加重,端坐呼吸。胸部彩超示:右侧胸腔积液。心脏彩超示:左室舒张功能减退,心包中~大量积液。 | 陈涛 黄君彦 姜海平 | 2011 | 岭南现代临床外科2011，11，2： | 3 |
| 2 | 主要胃的图章戒指房间癌作为心脏的 tamponade 介绍显示文摘Primary gastric signet ring cell carcinoma presenting as cardiac tamponade is difficult to diagnosis early.Patients are generally asymptomatic until the disease is advanced.General practitioners usually focus on the initial symptoms related to pericarditis and pericardial effusion.We report a case of signet-ring cell carcinoma of the stomach presenting as cardiac tamponade with pericarditis and pericardial effusion but without any gastrointestinal symptoms.A 49-year old woman was admitted because of progressive dyspnea and cough.Chest X-ray revealed an increased cardiothoracic ratio and a small amount of bilateral pleural effusion.Two dimensional ultrasonographic echocardiography pericardial effusions with atrial and right ventricular early diastolic collapse were found,establishing the diagnosis of cardiac tamponade.Pericardiocentesis was performed and 420 mL of bloody fluid was taken.The patient died of respiratory failure and cardiac arrest on October 28,2009.Post-mortem examination revealed diffuse gastric mucosa erosion and edema with stomach mucosa incrassation in the greater curvature.The primary lesion was histopathologically diagnosed as signet-ring cell carcinoma of the stomach. | Jun-Yan Huang Hai-Ping Jiang Dan Chen Han-Lin Tang | 2011 | World Journal of Gastrointestinal Oncology2011，3，4： | 0 |
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