患者,女,63岁,农民。1987年10月13日因胸闷、心慌、恶心半月,不能平卧7天而住我院。血压90/80mmHg。颈静脉怒张,无异常搏动,口唇发绀。肝在肋下1.5cm,脾未触及。X线检查:①结核性心包炎;②癌性积液待除外。心包积液:外观为血性。经瑞氏染色,找到瘤细胞,该细胞大小较一致,胞浆丰富,嗜碱性,内 Patient, female, 63 years old, farmer. October 13, 1987 due to chest tightness, palpitation, nausea and half months, can not lie flat for 7 days and live in our hospital. Blood pressure 90/80mmHg. Jugular vein engorgement, no abnormal beat, lips cyanosis. The liver was 1.5 cm below the rib and the spleen was not touched. X-ray examination: 1 tuberculous pericarditis; 2 except for cancerous effusion. Pericardial effusion: The appearance is bloody. After Wright staining, find the tumor cells, the cell size is more consistent, abundant cytoplasm, basophilic, internal