本文报告一例罕见的心包血吸虫病。16岁女性患者,二个月来踝部浮肿,心脏压迫症状包括颈静脉压力升高,肝肿大等体循环郁血表现并出现奇脉。患者虽无结核病家族史,但有右侧胸腔积液及结核试验阳性,痰中并分离出结核杆菌,提示有结核性病因,经抗结核、强心、利尿等治疗六个月,胸腔积液消失,痰结核杆菌转阴,但由于对心脏压迫的症状 This article reports a rare case of pericardial schistosomiasis. 16-year-old female patient, swollen ankle in two months, symptoms of cardiac compression, including jugular venous pressure, hepatomegaly and other systemic manifestations of bloody and strange pulse. Although patients with no family history of tuberculosis, but the right side of the pleural effusion and tuberculosis test was positive sputum and isolated Mycobacterium tuberculosis, suggesting tuberculous etiology, anti-TB, cardiac, diuretic treatment for six months, pleural effusion Disappear, sputum Mycobacterium tuberculosis negative, but due to the symptoms of cardiac compression