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本文对14年间所遇到的13例原发性甲状腺功能减退(甲低)性心包积液患者的临床资料进行统计分析,并对部分病人进行心包穿刺,对积液进行病理及生化检查,结果提示本病女性占90%以上,心包积液的检查可概括为积液的比重≥1020、蛋白含量达50%~70%、胆固醇含量>57mmd/L、在无感染因素的情况下细胞数基本正常的“三高一正常”特征。患者无心包填塞征,而且心包积液量与血T3、T4高低无明显相关,同时讨论了原发性甲状腺功能减退性心包积液的发病机理与治疗原则。
In this paper, 13 cases of primary hypothyroidism (hypothyroid) pericardial effusion encountered in 13 cases of clinical data were analyzed, and some patients pericardial puncture, the effusion pathological and biochemical tests, the results Prompted that the disease accounted for more than 90% of women, pericardial effusion can be summarized as the proportion of fluid ≥ 1.20, protein content of 50% to 70%, cholesterol content> 5 7mmd / L, in the absence of infection factors Under the normal number of cells, “three high and one normal” features. Patients with heart-shaped stuffy embolism, and pericardial effusion and blood T3, T4 level was not significantly related to the same time discussed the pathogenesis and treatment of primary hypothyroidism pericardial effusion principle.