(Disclaimer: This article is only for scientific purposes, in order to protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: 33-year-old male patient reported that 2 months ago, after the activity, suddenly appeared to suffocate asthma, chest pain, the discomfort is light and heavy, can be alleviated after resting, the dry cough is obvious at night, take their own home medication, the specific name of the drug, the dosage of the drug is not known, a day before the discomfort becomes heavier, and then went to the hospital! Treatment: The patient’s physical signs and clinical symptoms were combined with those of the patient. Combined with the patient’s signs, clinical symptoms and ultrasound results, the diagnosis was acute pericarditis, and the condition was controlled by medication. Basic information] Male, 33 years old [Type of disease] Acute pericarditis [Hospital] The First Affiliated Hospital of Xi’an Jiaotong University [Date of consultation] May 2022 [Treatment plan] Oral medication (indomethacin tablets, isoniazid tablets, ethambutol hydrochloride tablets, rifampicin tablets) [Period of treatment] In-hospital treatment for 8 days, followed by follow-up consultations for discomfort [Effect of treatment] Condition is under control, with symptoms of chest pain, wheezing and dry cough disappearing. When I first saw the patient, the patient complained that 2 months ago, after the activity, suddenly appeared breathlessness, chest pain symptoms, serious walking 500 meters on level ground or climb 2 floors after the breathlessness, can be alleviated after resting, the dry cough at night obvious, no fever, headache, dizziness, impaired consciousness, etc., take their own medication at home, the specific name of the drug, the dosage is not known, a day before the discomfort became worse, denied that they have high blood pressure, diabetes, heart disease, etc. He denied the existence of hypertension, diabetes mellitus, heart disease and other chronic diseases. During the examination, he was found to have thick breath sounds in both lungs, low breath sounds in the right lung, no pericardial friction and murmur, and ultrasound examination showed that the patient had enlarged heart and pericardial effusion, and he was diagnosed as having acute pericarditis and was admitted to the hospital. After the patient was admitted to the hospital, he cooperated with the relevant examinations, and antacid bacilli were extracted from the pericardial effusion, so the patient was tuberculous pericarditis in acute pericarditis, and anti-tuberculosis and non-steroidal anti-inflammatory drugs should be adopted for targeted treatment, and the patient agreed to apply the above treatment plan after listening to the patient. For Mycobacterium tuberculosis, I prescribed anti-tuberculosis drugs for the patient with triple drug therapy, i.e. isoniazid tablets, rifampicin tablets, and ethambutol hydrochloride tablets. In addition, the patient’s symptoms of chest pain were more obvious, and I also asked the patient to take indomethacin tablets to achieve the purpose of anti-inflammatory and pain relief, which also helped to relieve the patient’s discomfort. Third, the effect of treatment The first day of in-hospital treatment, after questioning the patient’s chest pain, wheezing, dry cough symptoms have been relieved compared with the previous, there are no other obvious abnormal symptoms, continue to give the patient anti-tuberculosis, non-steroidal anti-inflammatory drugs for targeted treatment. On the 8th day of in-hospital treatment, the patient reported that the symptoms of chest pain, breathlessness and dry cough disappeared, the patient’s temperature was 36.5℃, heart rate was 73 beats/min, spirit, sleep and diet were normal, and the color ultrasound did not show any abnormalities of pericardial effusion, so the condition was under control and the patient was discharged from the hospital. Fourth, notes When the patient was discharged from the hospital happily, my heart also felt very pleased. When the patient was discharged from the hospital, I repeatedly advised the patient that the anti-tuberculosis drugs prescribed by me should be taken in full quantity and for a full course of treatment, and should not be discontinued in the middle of the course of treatment, so as to avoid recurrent episodes of the disease due to incomplete treatment, which is unfavorable to his own health. In terms of diet, I suggest that patients should choose high-protein, high-vitamin foods, such as fish, chicken, cucumber, tomatoes, etc., and increase the daily nutritional intake appropriately to replenish the nutrients and energy consumed due to the disease, as well as pay attention to reasonable increase or decrease of clothing in conjunction with the weather, and take more rest, and immediately consult the doctor if you find that you have any uncomfortable symptoms, which in turn will help you to improve your disease. V. Personal perception Due to the diversity and complexity of the disease, it is easy to confuse multiple diseases, such as the case of the 33-year-old male patient, who initially felt wheezing and chest pain, took medication at home on his own without timely medical examination, resulting in the progression of the disease, which made the patient’s symptoms of wheezing and chest pain worse, and had a certain impact on the patient’s life, but fortunately, the timely use of anti-tuberculosis, non-steroidal anti-inflammatory drugs, which made the patient’s life easier. But fortunately, the timely use of anti-tuberculosis, non-steroidal anti-inflammatory drugs, so that the condition has been better controlled, so it is recommended that daily more obvious or persistent abnormal symptoms, should consult a doctor in a timely manner.