患者,男性,10岁。1979年2月2日因主诉腹痛、气急,一周入院。入院前曾发高热,伴咳嗽、胸闷、气急,在外诊断为心包积液,作心包穿刺两次,抽得血性液体约160毫升,并经抗菌素等治疗,症状好转出院。两周后症状复现转来我院。 体检:颈静脉怒张,左肺呼吸音明显降低;心尖搏动弥散,心界位于左侧乳头线外0.5厘米,右侧胸骨缘外2.5厘米;心音低沉,血沉64毫米/小时。胸 Patient, male, 10 years old. On February 2, 1979, she was admitted to the hospital one week after complaining of abdominal pain and shortness of breath. Before admission, he developed high fever with cough, chest tightness, and shortness of breath. He was diagnosed with pericardial effusion on the outside and used as a pericardial puncture twice. He received about 160 ml of bloody fluid and was treated with antibiotics. His symptoms improved and he was discharged. Two weeks later, symptoms reappeared in our hospital. Physical examination: jugular vein engorgement, left lung breath sounds significantly reduced; apex beats diffused, the heart boundary is 0.5 centimeters outside the left papillary line, 2.5 centimeters outside the right sternal margin; heart sounds are low, ESR is 64 mm/hour. chest