高原系统性红斑狼疮活动期与稳定期胸部X线观察  

THE CHANGES OF CHEST X-RAY IN SLE PATIENTS DURING UNSTABLE AND STABLE PERIOD AT ALTITUDE

作　　者：李蔚林[1] 李东辉[1] 傅宝文[1] 刘军[1] 

机构地区：[1]解放军第四医院

出　　处：《高原医学杂志》1996年第2期37-39,共3页Journal of High Altitude Medicine

摘　　要：ＳＬＥ心肺病变常见且严重，高原气候对心肺的显著影响为大量研究所证实，其双重作用对心肺的损害如何尚少报道。本文对３０例高原ＳＬＥ在活动期与稳定期分别摄后前位胸片，动态观测其心血管五项指标与肺胸膜表现，ｔ检验与Ｘ２检验做统计学处理，探讨高原ＳＬＥ心肺损害的演变规律及临床意义。结果表明：高原ＳＬＥ患者肺动脉高压与心影扩大的比率明显升高。稳定期多数恢复正常，但部分活动期心影正常者稳定期却增大，出现了与临床无肾损害表现患者肾活检异常的类似情况。肺胸膜损害以软性病灶为主，多数随病情稳定而消失，可作为判断病变活动与稳定的肺部Ｘ线指标，硬性病灶发生率低，但吸收缓慢，常是病情慢性迁延的提示。he cardiopulmonary changes in systemic lupuserythematosus(SLE)were common and seri-ous,and high altitude climate influenced heart and lung remarkably.There was few reports aboutthe effection of the two factors on heart and lung.The understand these effection. The cardiovas-cular five paran1eters and pulmonary pleura changes on chest X-ray in 30 cases of SLE duringunstable and stable periods.The manifest of pulmonary hypertension and heart enlargement werequite common in SLE patients. These changes returned to normal during stable period in most ofthe cases, but contradictorily,some normal heart silhouette during unstable period in some pa-tients could change to enlargement during stable period.The pulmonary pleura damage character-ized by soft foci,most of the damages could disappear during the stable period,whic h could berecognized as the X-ray sign for judging the period being unstable or stable.The incidence of cal-cific foci was low,but it was obsorbed slowly,which could be taken as the sign of the disease be-ing chronic or delayed.

关 键 词：红斑狼疮 高原 系统性红斑狼疮 X线观察 

分 类 号：R593.241[医药卫生—内科学] R594.302[医药卫生—临床医学]