Martí V, Guarinos J, Domínguez de Rozas J M
Unidad de Intensivos Coronarios y Unidad Hemodinámica, Hospital de la Santa Creu i Sant Pau, Barcelona, España.
Rev Med Chil. 2001 Oct;129(10):1191-4.
We report a 43 years old female, admitted due to fatigability, asthenia and diffuse abdominal pain. On admission, obesity, slowness of thinking, bradycardia, distention of jugular veins and ascites were observed on physical examination. Laboratory showed undetectable thyroid hormone levels, a chest X ray showed bilateral pleural effusion and an enlarged heart. An echocardiography showed a massive pericardial effusion with collapse of the right atrium and dilatation of both caval veins. A pericardial tap was performed, draining 350 ml. Thyroid hormone substitution was started and after 12 months of follow up, the heart size decreased and a control echocardiogram showed a minimal pericardial effusion.
我们报告一名43岁女性，因疲劳、乏力和弥漫性腹痛入院。入院时，体格检查发现肥胖、思维迟缓、心动过缓、颈静脉扩张和腹水。实验室检查显示甲状腺激素水平检测不到，胸部X线显示双侧胸腔积液和心脏增大。超声心动图显示大量心包积液，右心房塌陷，双侧腔静脉扩张。进行了心包穿刺，抽出350毫升液体。开始进行甲状腺激素替代治疗，随访12个月后，心脏大小减小，对照超声心动图显示心包积液极少。
