渗出性心包炎多为全身多发性浆膜炎的一部分。心包腔内积聚多少不等的浆液纤维素性渗出液，心包膜表面可见散在的粟粒结核病灶或干酪样变，心包膜肿胀，覆以纤维素，失去光泽。渗出性结核性心包炎起病可急可缓。多数有发热、食欲不好、无力等全身中毒症状。
...物中液体增加，渗液可为纤维蛋白性、浆液血性或化脓性等，液量由100ml至2~3l不等，统称为渗出性心包炎（effusive pericarditis）。炎症反应常累及心包下表层心肌，少数严重者可累及深部心肌，称为心肌心包炎（myopericarditis）。
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渗出性心包炎虽有心胸比值缩小显著、但与其心腔内径变化不相关。
Although patients with exudative pericarditis showed remarkable reduction in cardiac shadow, they did not have any remarkable change in their cardiac chambers.
自身免疫性疾病或病毒感染时易发生浆液性心包炎，有一定程度的炎症反应，但很少有渗出。
A serous pericarditis, in which there is some inflammation but little or no exudation, is most often due to autoimmune diseases or viral infection.
浆液性心包炎以分泌液体聚集为特征，大量浆液渗出时就可能引起心包填塞。
Serous pericarditis is marked by fluid collection. Rarely, the fluid collection may be large enough to cause tamponade.
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