原发性心包间皮瘤罕见,很易误诊。笔者查阅的22例资料,入院时无1例诊断正确,其中13例误诊为结核性心包炎。我们于1976年经尸检证实的有1例。 患者男,29岁。因不规则发热、心前区痛、心悸、全身水肿、尿少,于1976年2月20日入院。1975年10月出现间歇性发热,体温38℃左右,同时伴有心前区疼痛,心慌,阵发性呼吸困难,夜间不能平 Primary pericardial mesothelioma is rare and is easily misdiagnosed. In the 22 cases reviewed by the author, none of the cases were correctly diagnosed on admission, of which 13 cases were misdiagnosed as tuberculous pericarditis. One case we confirmed by autopsy in 1976. Male patient, 29 years old. He was admitted to hospital on February 20, 1976 for irregular fever, precordial pain, palpitations, systemic edema, and oliguria. Intermittent fever in October 1975, body temperature around 38 °C, accompanied by precordial pain, palpitation, paroxysmal dyspnea, and at night can not be level