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米诺地尔所致的大量心包积液:未进行液体引流积液自行消退

Very large pericardial effusion attributable to minoxidil: resolution without drainage of fluid.

作者信息

Shirwany Arsalan, D'Cruz Ivan A, Munir Ahmad

机构信息

VA Medical Center and University of Tennessee College of Medicine, Memphis, Tennessee 38104, USA.

出版信息

Echocardiography. 2002 Aug;19(6):513-6. doi: 10.1046/j.1540-8175.2002.00513.x.

DOI:10.1046/j.1540-8175.2002.00513.x
PMID:12356348
Abstract

A 52-year-old man with a history of chronic hypertension presented with worsening dyspnea and leg edema. He had been on minoxidil for 10 years. The cardiac silhouette was markedly enlarged. Echocardiography and computed tomography showed a large pericardial effusion. His cardiac status was stable and he was in no cardiorespiratory distress. No attempt was made to drain the fluid. Minoxidil was discontinued, and a month later, the effusion had virtually disappeared. Cessation of minoxidil administration and conservative management may suffice, even though the pericardial effusion is large.

摘要

一名有慢性高血压病史的52岁男性,出现呼吸困难加重和腿部水肿。他服用米诺地尔已有10年。心脏轮廓明显增大。超声心动图和计算机断层扫描显示大量心包积液。他的心脏状况稳定,没有心肺窘迫。未尝试引流积液。停用米诺地尔,一个月后,积液几乎消失。即使心包积液量大,停用米诺地尔并采取保守治疗可能就足够了。

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Very large pericardial effusion attributable to minoxidil: resolution without drainage of fluid.米诺地尔所致的大量心包积液:未进行液体引流积液自行消退
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Very large incidental pericardial effusion attributable to minoxidil: resolution without drainage.归因于米诺地尔的巨大特发性心包积液:无需引流即可消退。
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引用本文的文献

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Minoxidil-Induced Pleuro-Pericardial Effusion With Tamponade.米诺地尔诱发的伴有心脏压塞的胸膜心包积液
Cureus. 2023 Oct 3;15(10):e46416. doi: 10.7759/cureus.46416. eCollection 2023 Oct.
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Minoxidil-induced lung disease, masquerading as hypersensitivity pneumonitis.米诺地尔诱发的肺部疾病,伪装成过敏性肺炎。
Respir Med Case Rep. 2023 Apr 29;43:101861. doi: 10.1016/j.rmcr.2023.101861. eCollection 2023.
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A case of large pericardial and pleural effusions associated with pulmonary emboli in a user of crack cocaine.一名使用快克可卡因的患者出现大量心包和胸腔积液并伴有肺栓塞的病例。
Perm J. 2009 Winter;13(1):53-6. doi: 10.7812/TPP/08-092.
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Minoxidil: an underused vasodilator for resistant or severe hypertension.米诺地尔:一种未得到充分利用的用于治疗顽固性或重度高血压的血管扩张剂。
J Clin Hypertens (Greenwich). 2004 May;6(5):283-7. doi: 10.1111/j.1524-6175.2004.03585.x.