Abraham George E, Thorne Keith D, Moore Charles K
University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216-4505, USA.
Am J Med Sci. 2006 Mar;331(3):162-3. doi: 10.1097/00000441-200603000-00011.
The most common cardiovascular manifestation of Systemic Lupus Erythematosus is pericardial disease. Tamponade in SLE is rarely described. The patient discussed in this case report presented with symptoms of heart failure. Physical exam, laboratory testing, echocardiography, and right heart catheterization revealed multiple morbid conditions including tamponade. The diagnoses satisfied four criteria for the classification of SLE. This case emphasizes the importance of a thorough physical exam in guiding diagnostic and therapeutic measures.
系统性红斑狼疮最常见的心血管表现是心包疾病。系统性红斑狼疮并发心脏压塞的情况鲜有报道。本病例报告中讨论的患者表现出心力衰竭症状。体格检查、实验室检查、超声心动图和右心导管检查发现了包括心脏压塞在内的多种病症。这些诊断符合系统性红斑狼疮分类的四项标准。本病例强调了全面体格检查在指导诊断和治疗措施方面的重要性。
