患者女,27岁。因发热伴胸闷、胸痛4天于1989.3.13入院。发病后体温38.5～39.5℃,胸痛为持续性,呼吸时加重,无放射及压榨感。入院查体:体温35.8℃,脉搏108次。呼吸20次,血压96/74mmHg,心界不大,心率108次,律齐,心音遥远,心尖区第一心音低钝,P_2>A_2,胸骨左缘4cm平第四肋间可闻及心包摩擦音。肺部未见异常。肝脾未扪及,神经系统未见异常。实验室检查:WBC7000,N80％ Female patient, 27 years old. Due to fever with chest tightness, chest pain 4 days in 1989.3.13 admission. After the onset of body temperature 38.5 ~ 39.5 ℃, chest pain was persistent, exacerbated breathing, no radiation and squeezing flu. Admission examination: body temperature 35.8 ℃, pulse 108 times. Breathing 20 times, blood pressure 96 / 74mmHg, heart is not big, heart rate 108 times, law Qi, distant heart sounds, apex of the heart sound low blunt, P_2> A_2, sternum left 4cm flat fourth intercostal can be heard and pericardial Friction. No abnormal lungs. No palpable liver and spleen, nervous system no abnormalities. Laboratory tests: WBC7000, N80%