讨论本病例起病隐袭,病程较长,应考虑到以下疾病:①缩窄性心包炎:以结核性心包炎占多数。该病特点是呼吸困难,肝大,浮肿,颈静脉怒张,脉压小,奇脉,心影大小正常或略大,常伴有钙化。但本病例无上述特点,故可排除。②尿毒症性心包炎:本病例贫血、浮肿、表情淡漠、反应迟钝、高脂血症、有心包积液,应考虑此病。但尿毒症 Discussion of the insidious onset of this case, a longer duration, should take into account the following diseases: ① constrictive pericarditis: tuberculous pericarditis accounted for the majority. The disease is characterized by dyspnea, hepatomegaly, edema, jugular vein engorgement, pulse pressure small, odd pulse, heart shadow size normal or slightly larger, often accompanied by calcification. However, this case without the above characteristics, it can be ruled out. ② urethritis pericarditis: anemia, edema, apathy, unresponsive, hyperlipidemia, pericardial effusion, should consider the disease. But uremia