患女,48岁。胸闷,气短五个月,心悸,双下肢浮肿,不能平卧二个月,于1991年2月7日入院。5月前,突发胸闷,气短,晕厥,平卧后缓解,心慌、胸闷逐日加重,二月前不能平卧,双下肢水肿,X 线胸片示左侧胸腔积液,抗痨治疗二月无效,多次突发晕厥抢救苏醒。查体:呼吸困难不能平卧,颈静脉怒张,左侧语颤消失,叩诊实音,左侧第二前肋以下呼吸音消失,心尖区可闻舒张期粗糙杂音,腹 She is 48 years old. Chest tightness, shortness of breath five months, palpitations, edema of both lower extremities, can not lie for two months, admitted to hospital on February 7, 1991. 5 months ago, sudden chest tightness, shortness of breath, syncope, remission after supine, palpitation, chest tightness increased daily, can not lie flat before February, double lower limb edema, X-ray shows left pleural effusion, anti-tuberculosis treatment in February Invalid, many sudden syncope rescue. Physical examination: dyspnea can not lie flat, jugular vein engorgement, left phalanx disappear, percussion sound, respiratory sounds below the left anterior rib disappear, apical area can hear rough diastolic murmur, belly