1临床资料患者女性,57岁;20年前行左侧乳腺癌根治术,并行放射治疗(剂量不详)。近因“间断性胸闷、气促,伴全身水肿10个月”入院,常规血液学、肝肾功能检查未见异常。胸部计算机断层摄影术(CT)及超声心动图检查,示双侧胸腔及腹腔积液,左肺尖斑片影,右肺中叶及双肺下叶磨玻璃、索条状影,纵隔淋巴结增大,左侧胸膜增厚;心血管表现为心包腔内有纤维素沉着可能,二尖瓣少中量反流,三尖瓣中大量反流。主动 1 Clinical data Female patients, 57 years old; left breast cancer radical surgery 20 years ago, concurrent radiotherapy (dose unknown). Proximity due to “intermittent chest tightness, shortness of breath, with systemic edema 10 months ” admission, conventional hematology, liver and kidney function tests were normal. Chest computed tomography (CT) and echocardiography showed bilateral pleural and peritoneal effusions, left punctate patches, middle and right lung lobes, ground glass, clasps, and mediastinal lymph nodes , Left pleural thickening; cardiovascular manifestations of pericardial cavity may have cellulite, mitral regurgitation in a small amount, a large number of tricuspid regurgitation. initiative