Kelly T A
South Med J. 1987 Apr;80(4):514-6. doi: 10.1097/00007611-198704000-00025.
I have described a patient in whom cardiac tamponade occurred as the initial clinical manifestation of SLE. Although pericarditis is a common clinical entity in SLE, cardiac tamponade with this disease is rare. If suspected, the diagnosis can be made by the proper selection of tests of serum and pericardial fluid, which should include the search for pericardial LE cells. This report emphasizes the importance of screening for connective tissue disease in patients with pericarditis.
我曾描述过一名患者，其心脏压塞是系统性红斑狼疮（SLE）的首发临床表现。虽然心包炎在SLE中是常见的临床病症，但该病并发心脏压塞却很罕见。若怀疑有心脏压塞，可通过合理选择血清和心包液检查来确诊，检查应包括寻找心包狼疮细胞。本报告强调了在心包炎患者中筛查结缔组织病的重要性。
