心脏压塞：系统性红斑狼疮的一种初始表现。
Cardiac tamponade: an initial presentation of SLE.
作者信息
Cheng Wilson, Balachandar Ramya, Mistry Paresh
机构信息
Department of Geriatric Medicine, Hillingdon Hospital, Middlesex, UK.
出版信息
BMJ Case Rep. 2013 Jul 18;2013:bcr2013200011. doi: 10.1136/bcr-2013-200011.
Abstract
A 45-year-old woman presented with dyspnoea, chest pain, orthopnoea and bilateral leg oedema. On admission, she was found to have nephrotic syndrome and global pericardial effusion with impending tamponade for which pericardiocentesis was performed. The diagnosis of systemic lupus erythematosus was made based on the clinical and biochemical findings. She was also started on dialysis and immunosuppressants for lupus nephritis.
摘要
一名45岁女性出现呼吸困难、胸痛、端坐呼吸和双侧腿部水肿。入院时，发现她患有肾病综合征和大量心包积液，并有即将发生心脏压塞的情况，为此进行了心包穿刺术。根据临床和生化检查结果确诊为系统性红斑狼疮。她还开始接受透析治疗，并使用免疫抑制剂治疗狼疮性肾炎。
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