急性心包炎的诊断一般不难,但临床上有时对癌性心包积液警惕性不高,往往造成误诊。本组5例在初诊时皆诊断为其他疾患,而后经心包穿刺,心包液中找到癌细胞方诊断为癌性心包积波。临床资料本组5例中男性4例,女性1例;年龄最小16岁,最大49岁。就诊时临床主要表现:咳嗽、胸闷、痰中带血者2例,胸闷、气短、时有呼吸困难者2例,心慌气短不能平卧者1例。既往史:2例有结核性胸 The diagnosis of acute pericarditis is generally not difficult, but clinically sometimes the vigilance of cancer pericardial effusion is not high, often resulting in misdiagnosis. This group of 5 cases were diagnosed as other diseases at the time of the first diagnosis, and then the pericardial puncture was found in the pericardial fluid to find the cancerous pericardial wave. Clinical data in this group of 5 cases of 4 males and 1 female; youngest 16 years old, maximum 49 years old. At the time of treatment, the main clinical manifestations were: cough, chest tightness, bloody sputum in 2 cases, chest tightness, shortness of breath, 2 cases of dyspnea, and 1 case of palpitation and shortness of breath. Past history: 2 cases of tuberculous chest