病例:女,42岁,农民。一年前无任何诱因突然出现心慌、气促,不能平卧、双下肢浮肿,心包穿刺抽出少许淡黄色液体,经抗痨治疗好转,出院后持续抗痨。三月后症状复发,入北京某医院,多次心包穿刺,均抽出淡血性液体,有两次查到结核杆菌,按结核性心包炎治疗两月余,病情再次缓解。但不久心慌、下肢浮肿等症状第三次发作,在以后半年多时间内,多次转诊于武汉三家大医 Case: Female, 42 years old, farmer. A year ago without any incentive suddenly panic, shortness of breath, can not lie down, both lower extremity edema, pericardiocentesis out of a little yellow liquid, the anti-tuberculosis treatment improved, continued anti-tuberculosis after discharge. Symptoms recur in March, into a hospital in Beijing, multiple pericardial punctate, were drawn pale bloody liquid, twice found Mycobacterium tuberculosis, tuberculous pericarditis treated more than two months, the condition re-ease. But soon palpitation, lower extremity edema and other symptoms of the third episode in more than six months later, repeatedly referred to three major medical in Wuhan