患者女，47岁，三年前曾患心包炎住院治疗，病愈出院。一年来，劳累后曾有心慌、气短现象，但休息后症状消失，未引起重视，也未用药物治疗。近日劳累后心质、气短现象加重，胸闷难忍来诊，查体：血压130／90mmHg，神清，双肺呼吸音清，心界无明显扩大，心率94次，律齐，心尖部 The patient, 47 years old, suffered from pericarditis hospitalization three years ago and was discharged from hospital. In the past year, she had flustered and shortness of breath after exertion. However, the symptoms disappeared after rest and no attention was paid to it and no medication was used. After recent exertion, the heart condition and shortness of breath became worse, and the chest tightness was unbearable. The physical examination showed blood pressure of 130/90 mmHg, Shen Qing, breath sounds clear in both lungs, no significant expansion of the heart world, heart rate of 94 times, regularity, and apex of the heart.