心包原发性恶性肿瘤很少见,在心包原发性恶性肿瘤的全部患者中,半数以上是间皮瘤,剩余的是其他种类肉瘤。截止1970年 Hansson 等报道,心包血管肉瘤总计只有13例。本文报告2例。现举其中1例:男性,20岁。始发症状鼻衄、咯血。4个月后因乏力、发热、右膝、上腹部及右季肋部等处疼痛入院。初诊为病毒感染。1周内出现两侧胸腔积液和下肢水肿,静脉压升高到胸骨角上方10厘米,血压95/70毫米汞柱。有胸膜及心包摩擦音,无心杂音,肝肿大至肋缘下5厘米,诊断为心 Primary pericardial malignancies are rare. In all patients with primary pericardial malignancies, more than half are mesothelioma, and the rest are other types of sarcomas. As of 1970 Hansson et al. reported that there were only 13 cases of pericardial angiosarcoma. This article reports 2 cases. Here are 1 examples: male, 20 years old. Initial symptoms are nasal discharge and hemoptysis. Four months later, she was admitted to hospital because of fatigue, fever, right knee, upper abdomen and right rib. Newly diagnosed as a viral infection. Pleural effusion and edema of the lower extremities occurred on both sides within 1 week. The venous pressure rose to 10 cm above the sternal angle and the blood pressure was 95/70 mm Hg. There are pleural and pericardial friction sounds, no heart murmur, hepatomegaly to 5 cm below the costal margin, diagnosed as heart