随着恶性肿瘤发病率的升高 ,恶性心包积液也有增多趋势。恶性心包积液以积液量大、不易控制为特点 ,患者常死于心包填塞。我们自 1 994年以来 ,采用 Seldinger穿刺法 ,经剑突下途径 ,置入猪尾导管行心包引流同时予以腔内化疗 ,共收治 1 3例 ,取得了良好的效果 ,现报告如下。1　 With the increase of the incidence of malignant tumors, malignant pericardial effusion also increased. Malignant pericardial effusion to fluid volume is not easy to control for the characteristics of patients often die of pericardial packing. We since 1994, using Seldinger puncture method, the way through the xiphoid, into the pigtail catheter pericardial drainage and endovascular chemotherapy, a total of 13 cases, and achieved good results, are as follows. 1