缩窄性心包炎较为常见,但多发生于成年人,15岁以下儿童少见。本文报告两例分别表现为长期持续性颜面及双下肢浮肿和顽固性腹水的儿童缩窄性心包炎。【例1】男13岁,自1986年1月晨起颜面浮肿未介意,同年9月双下肢浮肿,10月加重而入院。查体:颜面及双下肢明显浮肿,血压98/60mmHg,脉搏100次/分,颈静脉轻度怒张,心音.呼吸音正常,肝大1横指,无脾大及腹水,血液生化检查除低蛋白血症外无其他异常,结核菌素试验阴性,各种病毒抗体无升高,胸部 X 线心胸比45%,心脏无扩大,心电图提示心房负荷增加。相应的检查排除了内分泌性、肝性及肾性浮肿,超声心动图示左房扩大,左室后壁心外膜回 Constrictive pericarditis is more common, but occurs in adults, children under the age of 15 rare. This article reports two cases of constrictive pericarditis in children with long-term persistent facial and bilateral lower extremity edema and refractory ascites. [Example 1] Male 13 years old, since January 1986 morning face edema did not mind, the same year in September both lower extremity edema, October increased admission. Physical examination: facial and lower extremities were significantly edema, blood pressure 98 / 60mmHg, pulse 100 beats / min, mild jugular jugular tone, heart sound, normal breathing, liver and transverse aspiration, splenomegaly and ascites, blood biochemical tests except Hypoproteinemia no other abnormalities, negative tuberculin test, no increase in all kinds of virus antibodies, chest X-ray ratio of 45%, no expansion of the heart, ECG prompted an increase in atrial load. The corresponding examination excluded endocrine, hepatic and renal edema, left atrial enlargement by echocardiography, left ventricular posterior wall epicardial back