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患者男,63岁,于1997年末以阵发性心悸为主诉入院。既往曾患冠心病、肺结核,现心律不齐,心电图示频发房早、阵发性房颤。心脏扇扫示左室后壁心包少量积液(5mm～6mm)。X线检查示右上肺陈旧性结核灶。诊为冠心病、心律失常,结核性心包炎不能除外。经治疗,心律失常纠正。反复心脏扇扫及CT检查,心包积液有逐渐增多,心脏逐渐增大趋势。以结核性心包炎为诊断转入市结核病院,经抗结核及激素治疗24天,
Male, 63, was admitted to hospital with paroxysmal palpitations in late 1997. Previously suffering from coronary heart disease, tuberculosis, arrhythmia, frequent occurrence of early ECG, paroxysmal atrial fibrillation. The heart fan showed a small amount of effusion of the left ventricular posterior wall pericardium (5mm ~ 6mm). X-ray examination showed the right upper lung obsolete tuberculosis. Diagnosis for coronary heart disease, arrhythmia, tuberculous pericarditis can not be excluded. After treatment, correction of arrhythmia. Repeated heart fan scan and CT examination, pericardial effusion has gradually increased, the heart gradually increased trend. To tuberculous pericarditis diagnosis into the city of tuberculosis, anti-tuberculosis and hormone therapy for 24 days,