血性心包积液由多种病因引起。临床上往往因病因难以确定而影响病人的治疗。为此，我们总结了1983～1997年38例大量血性心包积液患者的临床表现及疗效情况，旨在给本病的病因诊断提供一些资料。1资料和方法1．1病例选择：38例均为我科住院病人．其中男26例，女12例，年龄14～77 Bloody pericardial effusion caused by a variety of causes. Clinically often difficult to determine because of the cause of disease and affect the patient’s treatment. To this end, we summarize the clinical manifestations and curative effects of 38 patients with massive bloody pericardial effusion from 1983 to 1997, and provide some information for the etiological diagnosis of this disease. 1 Materials and Methods 1.1 Case Selection: 38 cases were hospitalized patients in our department. There were 26 males and 12 females, aged from 14 to 77