患者 ,男 ,5 8岁。以反复胸闷、气短 2年 ,加重 5d ,于 2 0 0 2年 1 1月 1 8日入院。 2年前 ,患者劳累后出现胸闷、气短、心悸、乏力 ,休息不能缓解 ,且夜间不能平卧、纳差、腹胀 ,但无咳嗽、咳粉红色泡沫样痰。在外院求治 ,心脏B超示大量心包积液 ,心包穿刺示漏出液 ,病因不详 Patient, male, 58 years old. To repeated chest tightness, shortness of breath for 2 years, increased 5d, January 18, 2002 admission January 18. 2 years ago, the patient tired chest tightness, shortness of breath, palpitations, fatigue, rest can not be alleviated, and at night can not be supine, anorexia, bloating, but no cough, cough pink foam-like sputum. In the hospital for treatment, a large number of heart B ultrasound showed pericardial effusion, pericardial puncture showed leakage of fluid, etiology is unknown