白血病性心包炎(心包积液)临床少见,尤其是继发性血性心包积液更为罕见。我院于1984年收住一例急性早幼粒细胞性白血病,并发心包炎,继发血性心包积液,因心包填塞而致死,现介绍如下:病例报告患者黄××,男39岁,干部住院号19053,以发热20天,心前区疼痛伴心悸气促五天,于1984年11月5日入院。20天前因咽喉痛发热(38℃)到附近医院看病按“急性扁桃腺炎”治疗,咽痛略减轻,但体温持续未降。入院前5天出现心前区疼痛,无放射以呼吸平卧位时加重,坐位时减轻,伴有轻度心悸气促。三天前体温高达39.8℃,上述症状加剧不能平卧方来住院。患者于1976年患“银屑病”。从1982年开始服用“双酮嗪” Leukemic pericarditis (pericardial effusion) clinical rare, especially secondary to hemorrhagic pericardial effusion is more common. Our hospital in 1984 admitted to a case of acute promyelocytic leukemia, complicated by pericarditis, secondary hemorrhagic pericardial effusion, due to pericardial tamponade and death, are as follows: Case Report Patient Huang × ×, male, 39 years old, cadres hospitalized No. 19053, to fever 20 days, precordial pain with heart palpitations Stimulation for five days, on November 5, 1984 admission. 20 days ago because of sore throat fever (38 ℃) to the nearby hospital by pressing “acute tonsillitis” treatment, sore throat slightly reduced, but the body temperature did not drop. Pre-admission 5 days before the onset of pain in the anterior heart region, no radiation to increase supine position when breathing, sitting reduced, accompanied by mild palpitations. Three days ago, body temperature up to 39.8 ℃, the above symptoms can not be supine to hospital. Patient suffering from “psoriasis” in 1976. Since 1982, taking “double ketazine ”