患者男性 ,5 2岁。因心悸、气短 ,胸闷 ,腹胀 ,尿少1周 ,于 1 999年 6月 1日收入院。查体 :端坐体位 ,口唇紫绀 ,脉搏微弱 ,奇脉 ,颈静脉怒张 ,心界向双侧扩大 ,心音低钝 ,未闻及病理性杂音 ,肝肋下 4 0ｃｍ ,触痛阳性 ,肝颈静脉回流征阳性。心脏彩超示 :大量心包积液。腹部Ｂ The patient was male, 52 years old. Because of heart palpitations, shortness of breath, chest tightness, abdominal distension, and less urine for 1 week, she was admitted to the hospital on June 1, 1959. Physical examination: sitting posture, lips purpura, weak pulse, odd pulse, jugular vein engorgement, expansion of the heart boundary to both sides, low heart sound blunt, no pathological murmur, liver subcostal 40cm, tenderness positive, liver Jugular venous return was positive. The color of the heart shows: a lot of pericardial effusion. Abdomen B