Zashin S J, Lipsky P E
Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas 75235.
J Rheumatol. 1989 Mar;16(3):374-7.
We describe a case of pericardial tamponade as an initial manifestation of late onset systemic lupus erythematosus (SLE). Tamponade is uncommon in SLE, but when it occurs, it is usually during the initial presentation of the patient. The occurrence of tamponade in patients with SLE with pericarditis is unpredictable, but usually associated with radiographic evidence of cardiomegaly. Treatment consists of pericardiocentesis, administration of high dose glucocorticoids and drainage via pericardial catheter. Recognition of this rare manifestation of SLE may be life saving.
我们描述了一例心包填塞作为迟发性系统性红斑狼疮（SLE）初始表现的病例。心包填塞在SLE中并不常见，但一旦发生，通常出现在患者初次就诊时。SLE合并心包炎患者发生心包填塞的情况不可预测，但通常与心脏扩大的影像学证据相关。治疗包括心包穿刺、给予大剂量糖皮质激素以及通过心包导管引流。认识到SLE的这种罕见表现可能会挽救生命。
