Pericardial Effusion in the Emergency Department.
Pericardial Effusion in the Emergency Department.
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急诊科的心包积液。
DOI：
10.1097/01.ten.0000134730.77404.a2
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发表时间：
2004
期刊：
影响因子：
--
通讯作者：
FerryJr,RobertJ
中科院分区：
文献类型：
--
作者：
Pinsker,JordanE;FerryJr,RobertJ
我们报告第一个到急诊科就诊的未确诊的粘液性水肿儿，偶然发现心包积液导致诊断。此外，这名患者出现了迄今为止报道的最高血清促甲状腺激素浓度，这一现象导致了实验室分析中的挂钩效应。我们讨论了在儿科人群中识别和管理甲状腺功能减退症的关键因素，并强调了每年对所有唐氏综合症患者进行甲状腺功能减退筛查的重要性。*德克萨斯州圣安东尼奥军事儿科中心儿科住院医师；德克萨斯州圣安东尼奥大学卫生科学中心儿科学、细胞和结构生物学和德克萨斯州医疗游骑兵部门†研究和培训主任；德克萨斯大学圣安东尼奥卫生科学中心公共卫生准备和生物医学研究中心。
We report the first child presenting to the emergency department with undiagnosed myxedema in whom incidental detection of pericardial effusion led to diagnosis. Moreover, this patient presented with the highest serum thyrotropin concentration reported to date, a phenomenon that caused the hook effect during laboratory analysis. We discuss key elements of the recognition and management of hypothyroidism in the pediatric population and emphasize the importance of annual screening for hypothyroidism in all patients with Down syndrome.* Resident, Department of Pediatrics, San Antonio Military Pediatric Center, San Antonio, Texas; and† Research and Training Director, Department of Pediatrics, Cellular and Structural Biology and Texas Medical Rangers, Texas State Guard & Center for Public Health Preparedness and Biomedical Research, The University of Texas Health Science Center at San Antonio, San Antonio, Texas.