特发性缩窄性心包炎在国内报导较少,今将我院所见1例报告如下。病历患儿,男,5岁,因食欲减退1年半,肝大11个月,胸腔积液8个月,先后3次住我院诊治。第一次住院20天,查体:右胸叩浊,呼吸音减低。心界不大,心尖搏动不明显,心率120次/分,律整,无杂音。肝于剑下及右肋下6cm,中等硬度,表面光滑,腹水征(-)。无颈静脉充盈及怒张。心电图 Idiopathic constrictive pericarditis rarely reported in China, I will see a hospital in this report is as follows. Medical records of children, male, 5 years old, due to loss of appetite for 1 year and a half, 11 months liver, pleural effusion 8 months, 3 times in our hospital. The first 20 days of hospitalization, physical examination: right chest tap turbid, decreased respiratory sounds. Small heart, apex beat is not obvious, heart rate 120 beats / min, law, no noise. Liver under the sword and the right rib 6cm, moderate hardness, smooth surface, signs of ascites (-). No jugular vein filling and rage. Electrocardiogram