原发性恶性心包间皮瘤罕见。占恶性间皮细胞瘤0.7％。文献报道共120例,生前确诊者不到25％。本文报道尸验2例和手术治疗1例。 例1,男,47岁。1975年12月25日入院。主诉突然心慌、气促。三周入院。外院曾因心影扩大、右肺中叶有浸润灶。经抗炎抗痨治疗无效。且心影继续扩大, Primary malignant pericardial mesothelioma is rare. Occupies 0.7% of malignant mesothelioma. A total of 120 cases were reported in the literature, and less than 25% were diagnosed before their lifetime. This article reported 2 cases of autopsy and 1 case of surgical treatment. Example 1, male, 47 years old. December 25, 1975 admitted. The chief complaint suddenly became flustered and short of breath. I was admitted to the hospital three weeks later. The outer court once had an infiltrating area in the middle of the right lung due to enlargement of the heart. The anti-inflammatory and anti-spasm treatment is ineffective. And the heart continues to expand,