Mori Takeshi, Yoshioka M, Kadooka Y, Kobayashi H, Iwatani K, Yoshimoto K
Department of Thoracic Surgery, Kumamoto University Graduate School of Medical Sciences, Kumamoto, Japan.
Kyobu Geka. 2005 Dec;58(13):1166-8.
A 20-year-old woman was admitted to another hospital due to schizophrenia in July 2003. The patient felt chest pain and palpitation in August, and she was referred to our hospital. Chest computed tomography (CT) showed a mass in the left thoracic cavity and a pleural/pericardial effusion. Since general condition did not improved in spite of aggressive supportive treatment, surgical treatment was chosen. An operation was performed via median sternotomy in September. The tumor was found to have adhered firmly to the surrounding organs. Pericardial fenestration was performed; then the tumor was resected with the left phrenic nerve due to tight adhesion. The patient received respiratory support in the intensive care unit for 5 days after surgery, uneventfully. Twenty-three months after surgery, she is surviving and free from schizophrenic symptoms without medication.
一名20岁女性于2003年7月因精神分裂症入住另一家医院。患者于8月感到胸痛和心悸，随后被转诊至我院。胸部计算机断层扫描（CT）显示左胸腔有一肿块及胸腔/心包积液。尽管进行了积极的支持治疗，但患者的一般状况并未改善，因此选择了手术治疗。9月通过正中胸骨切开术进行了手术。发现肿瘤与周围器官紧密粘连。进行了心包开窗术；然后由于粘连紧密，连同左膈神经一起切除了肿瘤。术后患者在重症监护病房接受了5天的呼吸支持，过程顺利。手术后23个月，她存活下来，未服用药物且无精神分裂症症状。
