病例摘要患儿 ,女 ,1 2岁。因咳嗽、气促、腹胀 2 0ｄ入院。院外胸片、Ｂ超、上腹ＣＴ发现双侧胸腔、心包、腹腔、盆腔积液 ,胸腹水检查为黄色渗出液 ,诊为结核感染引起的全身性反应 ,予抗痨、抗感染等治疗无好转 ,转我院。病后患儿无发热、皮疹、关节肿痛 ,无胸闷、心悸、腹痛 Case Summary Children, female, 12 years old. Due to cough, shortness of breath, abdominal distension 20d admission. Abdominal chest radiography, B ultrasound, abdominal CT found bilateral pleural, pericardial, peritoneal, pelvic fluid, pleural effusion as yellow exudate, diagnosed as tuberculosis infection caused by systemic reactions to anti-tuberculosis, anti-infective treatment No improvement, turn our hospital. Children without fever after fever, rash, joint swelling and pain, no chest tightness, heart palpitations, abdominal pain