Lin Chih-Ta, Liu Chih-Jen, Lin Tin-Kwang, Chen Chih-Wei, Chen Bin-Chen, Lin Chih-Lon
Cardiovascular Division, Department of Internal Medicine, Buddhist Dalin Tzu Chi General Hospital, Chia-Yi, Taiwan.
Jpn Heart J. 2003 May;44(3):447-50. doi: 10.1536/jhj.44.447.
Pericardial effusion is frequently found in patients diagnosed with hypothyroidism, yet it is rarely associated with cardiac tamponade. This report presents an atypical case concerning a 60-year-old Taiwanese female, with a history of thyroidectomy surgery due to thyroid cancer, who was later diagnosed with myxedema and cardiac tamponade. Treatment included an immediate pericardiocentesis followed by thyroxine hormone replacement therapy. Postoperative and recovery phases progressed favorably, and the patient's prognosis is good.
心包积液在诊断为甲状腺功能减退症的患者中经常被发现，但很少与心脏压塞相关。本报告介绍了一例非典型病例，患者为一名60岁的台湾女性，因甲状腺癌接受了甲状腺切除手术，后来被诊断为黏液性水肿和心脏压塞。治疗包括立即进行心包穿刺术，随后进行甲状腺素激素替代治疗。术后和康复阶段进展顺利，患者预后良好。
