患者男,16岁,住院号257810。1993年4月中旬无原因出现胸痛、呼吸困难、发热(39℃),在当地医院就诊按感染对症治疗无效,于1993年5月1日突然发生休克,经胸部Χ线检查发现心包积液,急诊于胸骨左缘3～4肋间隙行心包穿刺,共抽取金黄色心包积液1300 mL,诊断为心包积液,于5月8日转我科。追问病史1990年患者曾在外院做过肝包虫摘除术。入院后查体:体温35.5℃,血压10/6 kPa,急性病容,颈静脉不怒张,叩诊心界向两侧扩大,心音低钝遥 Patient male, 16 years old, hospital number 257810. In mid-April 1993, there was no cause of chest pain, difficulty breathing and fever (39 ℃). The symptomatic treatment was not effective at the local hospital. On May 1, 1993, a sudden shock occurred. Chest x-ray examination revealed pericardial effusion, emergency 3 to 4 intercostal space pericardial puncture on the left edge of the sternum pericardium puncture, a total of 1300 mL of gold-colored pericardial effusion was diagnosed as pericardial effusion on May 8 to my department. History of the patient questioned in 1990, the patient had done liver hydatid removal. After admission, physical examination: body temperature 35.5 ℃, blood pressure 10/6 kPa, acute disease, jugular vein does not anger, percussion heart widening to both sides of the heart sound low blunt