本文分析了经手术证实的47例缩窄性心包炎患者,旨在提高诊断率,减少误诊。 47例均有X线检查异常,以心弓改变最突出,心型改变次之。心电图全部表现为T波倒置或低平,ST段下移占34％,有其他异常者46例(98％);M超声心动图异常者40例(86.5％)少量心包积液10例(21.4％),其余为非特异性改变。可见心电图和X线检者可提高本病的诊断准确性。 This article analyzes 47 cases of patients with constrictive pericarditis proved to improve the diagnostic rate and reduce misdiagnosis. 47 cases had X-ray examination abnormalities, the most prominent changes in the arch of the heart, followed by changes in the heart. Electrocardiogram showed T wave inversion or low level, ST segment down 34%, 46 cases (98%) with other abnormalities; 40 cases (86.5%) of 40 cases with abnormal M echocardiography, a small amount of pericardial effusion in 10 cases (21.4 %), The rest is non-specific changes. Visible ECG and X-ray examination can improve the diagnostic accuracy of the disease.