Fred Herbert L
Department of Internal Medicine, The University of Texas Health Science Center at Houston, Houston, Texas 77030, USA.
Tex Heart Inst J. 2010;37(1):82-4.
A previously healthy middle-aged person presents with excruciating left-sided chest pain of 6 hours' duration. The pain has come on abruptly, without warning, and is located in the lower part of the chest anteriorly. It radiates to the neck and left shoulder and worsens on deep inspiration. The patient appears seriously ill, with tachypnea, tachycardia, and diaphoresis. Otherwise, the physical examination is unremarkable. The electrocardiogram shows sinus tachycardia. Results of conventional blood studies and the chest radiograph are within normal limits. Three days later, a follow-up chest radiograph shows a 3.5 x 4-cm mass adjacent to the left side of the heart near the diaphragm.
一位既往健康的中年人出现了持续6小时的左侧胸痛，疼痛难忍。疼痛突然发作，毫无预兆，位于胸前下部。疼痛放射至颈部和左肩，深呼吸时加重。患者病情严重，呼吸急促、心动过速且多汗。除此之外，体格检查无异常。心电图显示窦性心动过速。常规血液检查结果和胸部X线片均在正常范围内。三天后，胸部X线片复查显示心脏左侧靠近膈肌处有一个3.5×4厘米的肿块。
