【摘要】 目的：分析心包积液病因变化及误诊原因。方法：病例回顾分析。结果：结核性、非特异性、肿瘤性、心力衰竭性及尿毒症性心包积液分别占６８９例心包积液的２５．５％、１２．６％、１２．２％、６．５％和６．１％，其他各种原因所致者合计占３７．１％。结核性心包积液由８０年代中期以前的２９．０％降至８０年代中期以后的２２．３％（Ｐ＜０．０５），而肿瘤性心包积液则由９．９％升至１４．１％（Ｐ＜０．０５）。结论：结核性心包积液比例明显下降，而肿瘤性心包积液所占比例则明显上升。心包积液病因误诊主要是将肿瘤性心包积液误诊为其他性质心包积液更多还原

【Abstract】 Objective:To summarize the causes of pericardial effusion and analyse the misdiagnosis. Methods:Retrospective analysis of 689 cases of pericardial effusion. Results:The percentages of tuberculous,nonspecific,tumorous,heart failure and uremigenic pericardial effusion were 25 5%,12 6%,12 2%,6 5% and 6 1%,respectively.The percentage of other causes was 37 1%.The percentage of tuberculous pericardial effusion in the middle of 1980s was 29 0% and down to 22 3% ( p <0 05) later;while that of the tumorous one from 9 9% rised to 14 1% ( p <0 05). Conclusion:The percentage of tuberculous pericardial effusion reduced,while tumorous one increased markedly.The major misdiagnosis of causes of pericardial effusion is to diagnose the tumorous one as others.更多还原