先天性心包缺损的临床诊断较困难,我院遇见1例,现报告如下。患者,男,10岁。因消瘦体检时发现“心脏病”,于1988年8月10日入院。体检:消瘦外观。两肺无异常。胸骨左缘第二肋间有Ⅲ级收缩期杂音,向锁骨下传导,P_2亢进。X线检查:两肺呈中度肺血增多,心影不正常,心胸比率0.56,肺动脉段旁有一较淡肿物 The clinical diagnosis of congenital pericardial defects more difficult, I met 1 hospital, are as follows. Patient, male, 10 years old. Because of weight loss examination found “heart disease”, in August 10, 1988 admission. Physical examination: thin appearance. No abnormal lungs. Sternal left margin of the second intercostal Ⅲ systolic murmur to the subclavian conduction, P 2 hyperthyroidism. X-ray examination: two lungs showed moderate pulmonary blood flow, abnormal heart shadow, cardiothoracic ratio 0.56, pulmonary artery segment has a lighter tumor