Nabatian S, Kantola R, Sabri N, Broy S, Lakier J B
Cardiology Fellow Lutheran General Hospital, Park Ridge, IL 60068, USA.
Rheumatol Int. 2007 Jun;27(8):759-61. doi: 10.1007/s00296-006-0277-2. Epub 2007 Mar 10.
We describe a patient with limited systemic sclerosis who presented with a large pericardial effusion with tamponade on echocardiogram, requiring pericardiocentesis to drain 1.2 l of fluid. She had a rapid re-accumulation of pericardial fluid and subsequently required a pericardial window. Although small pericardial effusions are common in patients with systemic sclerosis it is rare to have hemodynamic compromise. Previously reported large pericardial effusions have been seen in patients with pulmonary hypertension and renal failure however these were absent in our patient.
我们描述了一名局限性系统性硬化症患者，其超声心动图显示有大量心包积液并伴有心脏压塞，需要进行心包穿刺引流1.2升液体。她的心包积液迅速再次积聚，随后需要进行心包开窗术。虽然心包少量积液在系统性硬化症患者中很常见，但出现血流动力学障碍的情况却很罕见。此前报道的大量心包积液见于肺动脉高压和肾衰竭患者，然而我们的患者并无这些情况。
