文献报道甲减患者心包积液的发生率达30～80%。但这些早年研究的对象只是拟诊并据典型临床特征作出诊断的甲减患者。反之,近年来广泛甚或常规测定甲状腺功能,特别是老年患者,在早期轻型阶段或更多地在无症状期作出甲减的诊断。即早年确诊的仅为严重甲减患者,因而不能代表目前的甲减人群。根据这个道理,作者对30例甲减患者 Reported hypothyroidism in patients with pericardial effusion rate of 30 to 80%. However, these early studies were only hypothyroidism diagnosed on the basis of typical clinical features. Conversely, thyroid function, especially in elderly patients, has been extensively or routinely measured in recent years to make hypothyroidism diagnosis in the early light-stage or more asymptomatic. That early diagnosis of only severe hypothyroidism, and therefore can not represent the current hypothyroidism. According to this principle, the author of 30 cases of hypothyroidism patients