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原发性甲状腺机能减退症(甲减)约70～80%并有心脏损害,其中合并心包积液者占30～80%,临床上常被漏诊或误诊。本文报告我院1982～1989年10月以来收治的甲减并心包积液患者16例,并对其临床特点进行探讨。临床资料一般资料本组男2例,女14例;发病年龄25～66岁,40岁以上12例,平均46.7岁;确诊前病程45天～18年,平均4.19年。其中乔本氏甲状腺炎4例,乔本氏甲状腺炎手术切除后2例,甲亢同位素~(131)碘治疗后1例及原因不明者9例。诊断标准 1、有甲减的临床表现和实验室证据;2、超声心动图或B型超声波显示有心包积液;3、排除其它病因;4、
Primary hypothyroidism (hypothyroidism) about 70 to 80% and heart damage, including pericardial effusion accounted for 30 to 80%, clinically often missed or misdiagnosed. This article reports 16 cases of hypothyroidism and pericardial effusion admitted to our hospital from October 1982 to October 1989, and discusses its clinical features. Clinical data General information The group of 2 males and 14 females; age of onset of 25 to 66 years old, 40 years of age in 12 cases, an average of 46.7 years; pre-diagnosis course of 45 days to 18 years, an average of 4.19 years. Including Qorum’s thyroiditis in 4 cases, Q Joe’s thyroiditis after surgery in 2 cases, hyperthyroidism isotope ~ (131) iodine after treatment in 1 case and unexplained 9 cases. Diagnostic criteria 1, hypothyroidism and laboratory evidence of clinical evidence; 2, echocardiography or B-mode ultrasound showed pericardial effusion; 3, excluding other causes; 4,