肿瘤性心包炎近来报告增多,而此类心包积液诊断较困难,我们所见二例均曾误诊为结核性。现报告于下。 例1 男,23岁。胸闷、气急4月,下肢浮肿1月入院。入院前曾在外院多次抽心包液及胸水,行抗痨治疗。查体:颈静脉怒张,气促,有左侧胸腔积液、心包积液体征。肝肋下3.5cm,剑突下5cm。下肢浮肿。入院后继续抗痨治疗,抽胸水14次,共9890ml;心包穿刺23次共抽液13,570ml,初为淡黄色,后转为血性。1月后心包渗液增多,多次出现心包填塞征,每次抽液多达1120ml。心包液多次找癌细胞均阴性。最后取右锁骨上黄豆大淋巴结活检,诊断为淋巴母细胞性淋巴瘤(非何杰金淋巴 Recent reports of tumor-associated pericarditis have increased, and the diagnosis of such pericardial effusion is more difficult. We have seen two cases that were misdiagnosed as tuberculous. Now reported below. Example 1 Male, 23 years old. Chest tightness, shortness of breath in April, edema of the lower limbs was admitted to hospital in January. Prior to admission, he had received pericardial effusion and pleural effusion at the external hospital several times for antispasmodic treatment. Examination: jugular vein engorgement, shortness of breath, left pleural effusion, pericardial fluid sign. Liver ribs 3.5cm, xiphoid 5cm. Lower extremity edema. After hospitalization, anti-tuberculosis treatment was continued, and pleural effusion was performed 14 times for a total of 9890 ml. After pericardial puncture, a total of 13,570 ml of fluid was pumped for 23 times. At the beginning, it was pale yellow, and later it became bloody. After 1 month, the pericardial effusion increased, and pericardial tamponade signs appeared many times, with up to 1120 ml of fluid per session. Pericardial fluid was repeatedly found negative for cancer cells. Finally, a large lymph node biopsy of the right clavicle was taken to diagnose lymphoblastic lymphoma (non-Hodgkin’s lymph