恶性心包积液,是恶性肿瘤转移到心包的一种表现,一般认为极少见。现将我们遇到的经病理细胞学检查证实为恶性心包积液的4例,报告如下:例1,女、40岁。咳嗽4个月、胸痛20天于83年7月23日入院。查体:颈静脉无怒张,右肺呼吸音减弱,语颤增强,心界不大,肝脾未触及。胸片示右肺内侧带及部分中侧带为广泛性大片状阴影。入院第4天咳嗽加剧,气促不能平卧,颈静脉怒张,奇脉,心界向两侧扩大,肝右肋下1.5cm,静脉压290mmH_2O,超声示心包积液及胸腔积液。心包积液及胸水均为血性并找到腺癌细胞。用 VCR、5—Fu、CT X 化疗3周因病情逐 Malignant pericardial effusion is a manifestation of malignant tumor metastasis to the pericardium and is generally considered to be rare. We have now encountered four cases of pathological cytology confirmed malignant pericardial effusion, the report is as follows: Example 1, female, 40 years old. Cough for 4 months and chest pain for 20 days were admitted on July 23, 83. Physical examination: There was no engorgement of the jugular vein, and the breath sound of the right lung was weakened. The lingual tremulousness was enhanced, the heart was small, and the liver and spleen were not touched. The chest radiograph showed a wide, large, lamellar shadow on the medial and right side of the right lung. On the 4th day of hospitalization, cough increased, airiness could not lie flat, jugular veins engorged, Qimai veins, heart boundary expanded to both sides, liver right ribs 1.5cm, venous pressure 290mmH2O, ultrasound showed pericardial effusion and pleural effusion. Pericardial effusion and pleural fluid are bloody and find adenocarcinoma cells. With VCR, 5-Fu, CT X chemotherapy for 3 weeks due to illness