1　临床资料患者男 ,5 3岁。因左侧胸痛 2周伴腹胀 10d于 2 0 0 2 -10 - 2 5入院。患者入院前 2周无明显诱因出现左侧腋下持续性胸痛 ,平卧位、左侧卧位和深吸气时 ,疼痛加重。 10d前起腹部逐渐膨隆 ,腹胀明显。病后患者诉乏力、纳差、心悸、胸闷 ,消瘦较明显。无明显畏寒、发 1 Clinical data were male, 5 3 years old. Because of left chest pain 2 weeks with abdominal distension 10d in 2020 -10 - 2 5 admission. Two weeks prior to admission, the patient had no obvious cause of persistent chest pain on the left side of the infraorbital muscles, and the pain worsened in the supine, left lateral decubitus, and deep inspiration. 10 days before the abdominal bulging, abdominal distension. After the illness, the patient complained of fatigue, anorexia, palpitations, chest tightness, and weight loss was obvious. No obvious chills, hair