病历摘要患者男,40岁。因“咳嗽、胸痛1个月,胸闷半月余”于2003年12月18日入院。患者自2003年11月起,无诱因出现咳嗽、咯白痰,伴双侧胸部隐痛,与呼吸及体位无关,持续数分钟至数小时可缓解,未诊治。12月初渐感胸闷加重,坐位减轻,不能平卧,发热伴夜间盗汗,在当地医院行超声心动图(UCG)检查示大量心包积液,遂转入我院急诊。当时体温 Medical record summary Patient male, 40 years old. He was admitted to hospital on December 18, 2003 for “cough, chest pain for 1 month, chest tightness for more than half a month.” Since November 2003, the patient had no incentive to have cough, sputum, sputum, pain on both sides of the chest, and had nothing to do with breathing or body position. He had been relieved for several minutes to several hours without treatment. At the beginning of December, he felt aggravated his chest tightness, and his seat was relieved. He could not lie supine and had fever and night sweats. The echocardiogram (UCG) at the local hospital showed a large number of pericardial effusions and he was transferred to our hospital for emergency treatment. Body temperature at that time