本文对1984年1月—1989年12月住院确诊的66例心包炎临床资料进行分析,结果表明,心包炎病因构成比,居前三位者依次为结核性、肿瘤性、非特异性。心包积液的早期诊断,2D—E 的检出率最高,且能单独作出肯定性诊断,是目前对渗出性心包炎的诊断和鉴别诊断最可靠的方法。对于病因一时未明的心包炎试验性抗痨治疗有效,可作为结核性心包炎诊断的间接依据。慢性非特异性心包炎,也可能发展为缩窄性病变,应引起重视。 The clinical data of 66 cases of pericarditis diagnosed in our hospital from January 1984 to December 1989 were analyzed. The results showed that the top three causes of pericarditis were tuberculous, neoplastic and nonspecific. The early diagnosis of pericardial effusion, 2D-E the highest detection rate, and can make a positive diagnosis alone, is currently the diagnosis and differential diagnosis of exudative pericarditis the most reliable method. For the etiology of unknown peritonitis experimental anti-tuberculosis treatment is effective, can be used as an indirect basis for the diagnosis of tuberculous pericarditis. Chronic nonspecific pericarditis, may also develop into constrictive lesions, should pay attention.