临床病理资料证明,尸检诊断心包疾病远较临床诊断心包炎为多。这种差异,与临床上对心包疾病的表现不够重视,以及继发于其他疾病的心包炎往往被原发病的症状所掩盖而难以觉察等因素有关。本文对我院内科近15年来确诊急性心包炎124例的病因进行分析,以期引起临床对心包炎的关注。一般资料本组124例中,男性74例,女性50例。年龄 5～66岁。经临床诊断为心包炎者120例(其中6例在入院时曾误诊为其它疾病),病因诊断的依据:病史、症状及体征(心包摩擦音、心包积液或心脏压塞征);心电图、X线和或超声心动图(部分病例);同位素心脏血池扫描(少数病例)、心包穿刺,心包液检验(48例),以及对特异治疗的效应。临床未诊断为心包炎者4例,其中3例 Clinical pathology data show that autopsy diagnosis of pericardial disease is far more than clinical diagnosis of pericarditis. This difference, and the clinical manifestations of pericardial disease is not enough attention, as well as secondary to other diseases pericarditis is often overshadowed by the symptoms of the primary disease and other factors are not aware of. This article analyzes the causes of 124 cases of acute pericarditis diagnosed in our hospital in the past 15 years in order to arouse the clinical concern about pericarditis. General information The group of 124 cases, 74 males and 50 females. Age 5 to 66 years old. The clinical diagnosis of pericarditis in 120 cases (6 cases were misdiagnosed as other diseases on admission), the cause of diagnosis based on: history, symptoms and signs (pericardial friction sound, pericardial effusion or cardiac pressure sign); ECG, X Line and or echocardiography (in some cases); isotope cardioplegia scan (in a few cases), pericardiocentesis and pericardial fluid examination (48 cases), and the effect on specific treatment. No cases of clinical diagnosis of pericarditis in 4 cases, of which 3 cases