甲状腺机能减退病人的心脏增大和扩张,常是由于心肌间质的粘液水肿,或是心包积液所造成,但常缺乏典型的心血管机能不全的症状。作者观察到一心包腔积液近4升。临床表现为非特异性心前区痛、呼吸困难、血中脂固醇和脂质正常的甲状腺机能减退病例,被误诊为特发性心肌炎。病情摘要:女,67岁,因极度乏力,心前区痛,呼吸困难、脸面浮肿,肢体麻木,怕冷十年于1986年10月22日入院。两年来听力减退。声调变粗,肢体麻木感1985年始心前区痛,静息性呼吸困难,肢体麻木加剧,并出现毛发脱落。同年12月在莫斯科某医院诊为心包积液(第一次心包穿刺放出草黄色液体550ml,第二次放出棕褐色液体 Hypothyroidism patients with enlarged heart and expansion, often due to myocardial interstitial mucus edema, or pericardial effusion caused, but often lack the typical symptoms of cardiovascular insufficiency. The authors observed nearly four liters of pericardial effusion. Clinical manifestations of non-specific precordial pain, dyspnea, blood lipid and normal hypothyroidism cases were misdiagnosed as idiopathic myocarditis. Condition summary: Female, 67 years old, due to extreme fatigue, precordial pain, difficulty breathing, facial swelling, limb numbness, cold ten years on October 22, 1986 admission. Hearing loss for two years. Tone thicker, numbness of limbs in front of the heart area in 1985 pain, restless breathing difficulties, exacerbations of limb numbness, and hair loss. In the same year in December in a hospital in Moscow diagnosed as pericardial effusion (the first pericardial release grass yellow liquid 550ml, the second release of tan liquid