Cheng Hui-Wen, Hung Kuo-Chun, Lin Fun-Chung, Wu Delon
Second Section of Cardiology, Department of Medicine, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taipei, Taiwan.
J Am Soc Echocardiogr. 2004 Apr;17(4):394-6. doi: 10.1016/j.echo.2003.11.010.
Intramyocardial hematoma is an uncommon entity and may occur after myocardial infarction, coronary balloon angioplasty, cardiac operation, or chest trauma. It has even been noted to occur spontaneously. This report describes a 62-year-old woman who presented with a recent exacerbation of exertional dyspnea and without a history of chest pain or trauma. Echocardiography and computerized tomography revealed a large intramyocardial hematoma of the right ventricle, masquerading as a cardiac tumor. The accurate diagnosis was finally made at the time of surgical intervention.
心肌内血肿是一种罕见的病症，可能发生在心肌梗死、冠状动脉球囊血管成形术、心脏手术或胸部创伤后。甚至有人注意到它会自发发生。本报告描述了一名62岁女性，她近期出现劳力性呼吸困难加重，且无胸痛或创伤史。超声心动图和计算机断层扫描显示右心室有一个巨大的心肌内血肿，伪装成心脏肿瘤。最终在手术干预时做出了准确诊断。
