Alsever R N, Stjernholm M R
Am J Med Sci. 1975 Jan-Feb;269(1):117-21. doi: 10.1097/00000441-197501000-00012.
Pericardial effusions are frequently found in myxedema and , when present, are asymptomatic and usually of no hemodynamic consequence. We report a patient with ascites and pericardial effusion due to myxedema who developed cardiac tamponade following abdominal paracentesis. This case emphasizes that treatment of patients with myxedematous chronic pericardial effusions should include avoidance of those measurements which may reduce venous filling pressure or effective cardiac output regardless of the thyroid status.
心包积液在黏液性水肿中很常见，出现时通常无症状，一般无血流动力学影响。我们报告一例黏液性水肿所致腹水和心包积液患者，其在腹腔穿刺放液后发生心脏压塞。该病例强调，黏液性水肿性慢性心包积液患者的治疗应包括避免采取可能降低静脉充盈压或有效心输出量的措施，无论甲状腺状态如何。
