甲状腺功能减退患者出现大量心包积液时的心包减压综合征：一例病例报告及相关文献综述
Pericardial decompression syndrome in a patient with hypothyroidism presenting as massive pericardial effusion: a case report and review of related literature.
作者信息
Lim Aveline Sue Ann Lim, Paz-Pacheco Elizabeth, Reyes Michael, Punzalan Felix
机构信息
Department of Medicine, Section of Endocrinology, Diabetes and Metabolism, UP-Philippine General Hospital, Manila, Philippines.
出版信息
BMJ Case Rep. 2011 Oct 4;2011:bcr0420114117. doi: 10.1136/bcr.04.2011.4117.
Abstract
The authors present a case of a 44-year-old female with unrecognised hypothyroidism consulting for heart failure symptoms. Echocardiogram revealed massive pericardial effusion with tamponade physiology, attributed to primary hypothyroidism from a previous thyroidectomy. Levothyroxine was started at a dose of 0.7 ug/kg/day followed by subxiphoid pericardiostomy. 9 h postpericardiostomy however, hypotension developed and despite hydration and inotropic support, patient succumbed to cardiogenic shock on the 14th hospital day.
摘要
作者报告了一例44岁女性病例，该患者因心力衰竭症状就诊，此前未被诊断出甲状腺功能减退。超声心动图显示大量心包积液并伴有心脏压塞生理表现，病因是既往甲状腺切除术后导致的原发性甲状腺功能减退。开始给予左甲状腺素，剂量为0.7微克/千克/天，随后进行剑突下心包造口术。然而，心包造口术后9小时出现低血压，尽管进行了补液和使用正性肌力药物支持，但患者在住院第14天死于心源性休克。
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