合并心脏损伤急性心包填塞，是开放性膈肌损伤的致死原因之一。但发生在伤后１９天，并发急性胰腺炎的治疗过程中，突发延迟性急性心包填塞病例，文献罕见报道。本院１９９２年５月抢救成功１例。本文报道监护治疗体会。一、病例资料病人男，４７岁，因进食后剧烈上腹痛４小时 Acute cardiac tamponade combined with cardiac injury is one of the leading causes of open diaphragm injury. But occurred in 19 days after injury, complicated by acute pancreatitis in the course of treatment, sudden delayed acute tamponade cases, the literature rarely reported. Our hospital in May 1992 a successful rescue. This article reports the experience of custody treatment. First, the patient information Male patient, 47 years old, due to severe abdominal pain after eating four hours