目的探讨老年性心包积液的超声检测价值。方法回顾性分析了468例老年性心包积液的超声特征,其中293例在超声引导下进行了心包穿刺术。结果老年组心包积液病因依次排列前4位的是恶性肿瘤、心力衰竭、结核、炎症,而高龄老年组则是心力衰竭、恶性肿瘤、炎症、结核,超声心动图诊断率100%。超声引导下心包穿刺成功率100%。结论超声是诊断老年性心包积液最简单、最可靠的方法,也是一种介入心包穿刺,术中动态监测,判断预后的方法。 Objective To investigate the ultrasonic testing value of senile pericardial effusion. Methods A retrospective analysis of 468 cases of senile pericardial effusion ultrasound features, of which 293 cases under the guidance of ultrasound pericardiocentesis. Results The causes of pericardial effusion in the elderly group ranked the top 4 in succession as malignant tumors, heart failure, tuberculosis and inflammation, while the elderly elderly patients were diagnosed as having heart failure, malignant tumor, inflammation, tuberculosis and echocardiography. Ultrasound guided pericardial puncture success rate of 100%. Conclusion Ultrasound is the simplest and most reliable method for diagnosing senile pericardial effusion. It is also a method of pericardiocentesis, intraoperative dynamic monitoring and judgment of prognosis.