原发性干燥综合征临床首发症状及实验室检查100例分析  

Clinical initialdose happen symptom and laboratory examination of 100 cases analyse of PSS

作　　者：张洪义 胡秀芹 金仲品[2] 

机构地区：[1]滨州市滨城区三河湖镇中心卫生院,256653 [2]滨州职业学院

出　　处：《中国实用医药》2010年第23期10-11,共2页China Practical Medicine

摘　　要：目的了解原发性干燥综合征(pSS)的临床首发症状及实验室检查的特点,提高对pSS的认识水平,以减少误诊漏诊。方法对100例pSS的临床资料进行回顾性分析。结果首发症状最高的是:口干58.0%,眼干54.0%,关节肿痛53.0%;实验室检查:异常人数超过50.0%的包括:高γ-球蛋白血症(91.0%),唇腺活检(90.0%),唾液腺流量降低(75.0%),ESR增快(63.0%)。结论医师发现患者有口干、眼干、关节肿痛等症状≥1项时,就应检查γ-球蛋白,若升高则应进行唇腺活检或唾液流量检查,以减少pSS的漏诊和误诊。Objective The To know Primary Sjogren＇s syndrome（ pSS） of Clinical initialdose happen symptom and laboratory examination evidence characteristic,and to raise vs PSS of gnosia level,with use decrease misdiagnosis missed diagnosis. Methods Conducted retrospective analysis The vs 100 case pSS of clini-cal data progression retrospective analysis. Results The initialdose happen symptom supreme beincluded：58. 0% of dry mouth,54. 0% of eye drying,53. 0% of joint gall; Laboratory examination：abnormality case load exceed 50. 0% includedhave：The high γ-globulinemia illness is （ 91. 0% ） ,the labial gland biopsy is （ 90. 0%） ,the salivary gland flow rate debase is （ 75. 0%） ,63. 0% of ESR expedite（ 63. 0%）. Conclusion The doctor find patient who have dry mouth,eye drying,or the joint gall which and all symptom ≥ 1 nape moment,theythe with should take examining γ-globulin,the as ifIf the examining result is elevation ,follow should progression labial glands biopsy orand salivary gland flow rate should be examed. ,use It will decreas pSS of missed diagnosis and misdiagnosis rate of. pSS.

关 键 词：原发性干燥综合征 首发症状 口干 眼干 关节肿痛 高γ球蛋白血症 

分 类 号：R593[医药卫生—内科学]