近年来心包积液患者越来越多,而且年龄跨度大,病因种类繁多,可能存在多种病因情况。本文所提心包积液就有两种病因,早期存在漏诊;故提醒临床医生再遇相似病例,诊断思路可扩展,避免出现类似情况,以最大程度较少患者病痛。1临床资料患者男,17岁,学生。以“反复发热,咳嗽乏力2个月,加重伴胸痛3 d”为主诉于2013-03-17入院。院前曾在当地诊断为肺结核并予4联抗结核治疗十余天,仍有反复发 In recent years, more and more patients with pericardial effusion, and age span, a wide range of causes, there may be a variety of causes. In this paper, there are two causes of pericardial effusion, early diagnosis of missed diagnosis; so to remind clinicians encountered similar cases, diagnostic ideas can be extended to avoid similar situations, to the greatest extent less patient pain. 1 clinical data patient male, 17 years old, student. To “repeated fever, cough fatigue 2 months, aggravated with chest pain 3 d ” chief complaint in 2013-03-17 admission. Prehospital diagnosis of tuberculosis in the local and to 4 anti-TB treatment of more than ten days, there are still repeated