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患者女,40岁。因活动后胸闷半年、食欲不振半月就诊。既往无结核病史。查体:T36.8℃,P105次/分,R19次/分,BP15.96/1.97kPa(120/90mmHg)。颈静脉充盈,双肺呼吸音清,无干湿性罗音。心界向两侧扩大。心率110次/分,律整,心音遥远,无杂音。肝肋下3cm,剑下4.5cm,肝颈静脉回流征阳性,脾未触及。无移动性浊音。双下肢轻度水肿。ECG:窦性心动过速,低电压。胸部X线片:心脏呈烧瓶样向两侧扩大,两肺门可见钙化点。M型超声心动图:心包积液。
Female patient, 40 years old. After six months of activity because of chest tightness, half an hour loss of appetite treatment. No past history of tuberculosis. Examination: T36.8 ℃, P105 beats / min, R19 beats / min, BP15.96 / 1.97kPa (120 / 90mmHg). Jugular vein filling, lung breath sounds clear, no wet and dry rales. Heart to expand on both sides. Heart rate 110 beats / min, law, heart sounds far, no noise. Liver ribs 3cm, under the sword 4.5cm, positive hepatic jugular vein reflux, spleen not touched. No shifting dullness. Lower extremity mild edema. ECG: sinus tachycardia, low voltage. Chest X-ray: the heart was flask-like expansion to both sides of the two hilar calcification. M-mode echocardiography: Pericardial effusion.