主任:老年人退行性心瓣膜病在临床上易被漏诊或误诊为冠心病、高血压性心脏病、心肌病、冠心病与梅毒性心脏病,因此近10年来已逐渐引起临床医生的重视。今就1例主动脉瓣钙化性狭窄(中度)并关闭不全(轻度)、心衰并双侧胸腔积液与少量心包积液,曾误诊为结核性胸膜炎进行讨论,以吸取经验与教训。请报告病历。 Director: Degenerative valvular heart disease in the elderly is easily missed or misdiagnosed as coronary heart disease, hypertensive heart disease, cardiomyopathy, coronary heart disease and syphilitic heart disease in the clinic. Therefore, clinicians have gradually attracted the attention of clinicians in the past 10 years. One case of aortic valve calcification stenosis (moderate) and closed incomplete (mild), heart failure and bilateral pleural effusion and a small amount of pericardial effusion, had been misdiagnosed as tuberculous pleurisy to learn from experience and lessons learned . Please report the medical record.