Chiprut R O, Knudsen K B, Liebermann T R, Dyck W P
Am J Dig Dis. 1976 Sep;21(9):807-8. doi: 10.1007/BF01073036.
A 74-year-old man presented with mental obtundation and massive ascites without evidence of significant impairment of liver function. Thyroid function studies suggested hypothyroidism. Aspirated ascitic fluid had the characteristics of an exudate. Thyroid replacement therapy resulted in rapid clinical improvement with resolution of the ascites. Prompt recognition of myxedema ascites may prevent the inappropriate use of diuretic agents, therapeutic paracentesis, and sometimes unnecessary laparotomy.
一名74岁男性，表现为精神迟钝和大量腹水，但肝功能无明显损害迹象。甲状腺功能检查提示甲状腺功能减退。抽取的腹水具有渗出液的特征。甲状腺替代治疗使临床症状迅速改善，腹水消退。及时识别黏液性水肿性腹水可避免不适当使用利尿剂、治疗性腹腔穿刺术，有时还可避免不必要的剖腹手术。
