儿童心前区撞击伤后引起心包积血,轻者起病隐匿,经过缓慢,但临床表现较为严重,而且常被误诊为化脓性心包炎.国内鲜见报道,现将本院近5年遇到的4例报告如下.1 病例介绍例1 男,9岁.4周前与同学打架,左胸被拳击中.面色日渐苍白,疲乏无力,上腹发胀.检查:呼吸急促.颈静脉充盈,心界扩大,左侧更甚,心音遥远.腹部膨隆,肝剑下6cm、肋下4cm,边钝,肝颈回流征(+),双下肢轻度水肿.血及心包液培养未见细菌生长.心电图示窦性心动过速,低电压.Χ线胸片:心影呈烧瓶 Pericardial area of ​​children in front of the impact of injury caused by pericardial hemorrhage, the light occult onset, slow, but the clinical manifestations of more serious, and often misdiagnosed as purulent pericarditis rarely seen in the country now hospital nearly 5 years Reported to the 4 cases are as follows .1 cases introduced in Example 1 male, 9 years old .4 weeks ago with his classmates fight, left chest was boxing in. Gradually pale face, tired and weak, swollen abdomen .Examination: Shortness of breath .Jugular vein filling , The heart of the expansion, the left even more, distant heart sounds. Abdominal bulging, Liver Sword 6cm, ribs 4cm, blunt, liver reflux syndrome (+), lower extremity mild edema. Growth. Electrocardiogram shows sinus tachycardia, low voltage. X line chest X-ray: heart shadow was flask