男,8岁。低热、咳嗽17天,气急、心慌10天。在当地发现右胸腔积液及颈淋巴结肿大,予抗炎抗结核治疗无好转、继之出现心包积液而转入我院。患儿系第1胎第1产,否认有结核病史及接触史,平素体质较弱。父母系二代表亲。体检:T36.5℃,R48次/分,P120次/分,BP12/9kpa。不能平卧,眼睑及面部浮肿,颈两侧扪及多个直径1.5～2cm淋巴结,质中,无压痛,相互融合,颈静脉显露。左肺正常,右胸腔积液体征,左心界在左乳线外2cm,心音低钝不明 Male, 8 years old. Low fever, cough for 17 days, shortness of breath, palpitation for 10 days. Locally found right pleural effusion and cervical lymph node enlargement, no improvement in anti-inflammatory anti-tuberculosis treatment, followed by pericardial effusion and transferred to our hospital. The patient was the first child born in the first child, denied a history of tuberculosis and contact history, and was generally weak in physical fitness. Parents are two parents. Physical examination: T36.5°C, R48 beats/min, P120 beats/min, BP12/9kpa. Can not lie flat, eyelids and facial edema, bilateral cervical neck and a plurality of diameter 1.5 ~ 2cm lymph nodes, quality, no tenderness, mutual fusion, jugular vein exposure. Left lung normal, right pleural effusion fluid sign, left heart boundary 2cm outside the left breast, low heart sound blunt