心包叩击音是由于缩窄的心包限制了心室的舒张,在舒张早中期心室急速充盈阶段中,舒张过程即被骤然停止而产生,现报告2例不典型缩窄性心包炎,因心音图发现心包叩击音而确诊。并分析10例确诊为缩窄性心包炎患者心包叩击音心音图的特点。一、病历介绍【例1】女性,37岁。因心慌、气短、胸闷两年余,后出现下肢浮肿与腹水,曾诊断为“充血性心肌病”,但治疗效果不满意而入院。入院时查体:脉搏80次/分,血压13.33 Pericardial percussion sound is due to the narrowing of the pericardium to limit ventricular diastolic, early and mid-diastolic rapid ventricular filling phase, the diastolic process is a sudden stop arising, are reported in 2 cases of atypical constrictive pericarditis, due to phonocardiogram Found pericardial sound percussion diagnosis. Ten patients with constrictive pericarditis were analyzed for pericardial percussion sound. First, the medical records [Example 1] Female, 37 years old. Due to palpitation, shortness of breath, chest tightness more than two years, after the emergence of lower extremity edema and ascites, had a diagnosis of “congestive cardiomyopathy”, but the treatment is not satisfied and admitted to hospital. Admission examination: pulse 80 beats / min, blood pressure 13.33