1病例报告患者男,72岁。因发现心包积液1年伴反复胸闷、气喘、水肿8个月入院。既往有高血压病病史。查体:精神差,端坐呼吸,重度水肿,轻度贫血貌,口唇发绀,颈静脉怒张。双肺底闻及少许湿啰音;心界不大,心率78/min,节律绝对不齐,心音强弱不等,三尖瓣可闻及2/6级收缩期杂音。腹水征阳性,双下肢重度凹陷性水肿。肾功能:尿素14mmol/L,肌酐169μmol/L,肾 1 case report patient male, 72 years old. Because of the discovery of pericardial effusion with repeated chest tightness, asthma, edema 8 months admitted. Past history of hypertension. Physical examination: poor spirit, sitting breathing, severe edema, mild anemia appearance, cyanotic lips, jugular vein engorgement. Blow at the end of the smell and a little wet rales; heart is not big, heart rate 78 / min, rhythm is absolutely missing, heart sound intensity range, tricuspid valve can smell and 2/6 systolic murmur. Positive signs of ascites, double severe lower limb edema. Renal function: urea 14mmol / L, creatinine 169μmol / L, kidney