系统性红斑狼疮常见误诊原因研究及对策  

Study on Misdiagnostic Causes and Relevant Countermeasure of Systemic Lupus Erythematosus

作　　者：傅建斌[1] 王宏运[1] 史晓飞[1] 梁遂兴[1] 

机构地区：[1]洛阳医学高等专科学校附属医院,471003

出　　处：《中国误诊学杂志》2001年第8期1139-1141,共3页Chinese Journal of Misdiagnostics

摘　　要：目的　研究系统性红斑狼疮 (SL E)早期误诊原因 ,以期提高早期确诊率。方法　回顾性分析了 79例 SL E患者的临床就诊资料。结果　 79例中 ,院外误诊 48例 ,占 6 0 .7% ,误诊的病种为风湿热 /风湿性关节炎、类风湿关节炎、急性肾炎、慢性肾炎、白细胞减少症、特发性血小板减少、溶血性贫血、再生障碍性贫血、结核性胸膜炎、结核性心包炎、精神病等。结论　SL E早期误诊率较高 ,本病临床表现多样 ,医师对本病认识不足是误诊的主要原因 。Objective In order to evlate the accuracy of early diagnosis with Systemic Lupus erythematosus(SLE),We studied early misdiagnostic causes.Methods The clinical diagnositc data in 79 cases of patients with SLE was analyzed retrospectively.Results 48 patients with SLE in 79 cases were misdiagnosed,the misdiagnostic diseases were rheumatic fever/rheumatic arthritis,rheumatoid arthritis,acute nephritis,chronic nephritis,leukopenia,idiopathic thrombocytopenic purpura,hemolytic anemia,aplastic anemia,tuberculotic pericarditis,tubercylotic pleurisy,psychosis etc.Conclusion The early misdiagnosis rate of SLE were high,the clinical manifestation of SLE were complex,some doctors didn′t know the clinical features of SLE,those were the main causes for misdiagnosis of SLE.We put forward the relevant countermeasure to decrease the rate of misdiagnosis for early diagnosis of SLE.

关 键 词：系统性红斑狼疮 诊断 误疹 

分 类 号：R593.241[医药卫生—内科学]