狼疮脑病22例误诊分析  

Analysis of misdiagnosis in 22 cases of lupus encephalopathy

作　　者：孙雪江[1] 闫观茹[1] 

机构地区：[1]西双版纳州人民医院内五科,666100

出　　处：《中国现代药物应用》2014年第15期12-13,共2页Chinese Journal of Modern Drug Application

摘　　要：目的研究狼疮脑病(CNS-SLE)的误诊原因及提出相应的解决办法。方法分析CNS-SLE误诊22例临床资料。结果 CNS-SLE临床表现复杂多样,影像学检查缺乏特异性,易误诊漏诊。结论 1熟练掌握CNS-SLE的临床特点,仔细问诊及查体是避免误诊的关键。2对发热伴神经系统受损的青年女性,常规行系统性红斑狼疮(SLE)相关检查可减少误诊。Objective To found the reason of misdiagnosis of lupus encephalopathy and Put forward the corresponding solution. Methods Retrospectively analyzed the clinical data of 22 cases of CNS-SLE who were misdiagnosed. Results The CNS-SLE were easily to be misdiagnosed and underdiagnosed which were characterized as complex clinical manifestation but lack of specific imaging examination. Conclusion ① Grasped clinical characteristics of the CNS-SLE, carefully inquiry and physical examination were the key of avoiding misdiagnosis.②Routine relevant inspection of SLE is helpful to reduce misdiagnosis to youth female who has fever, impaired nervous system.

关 键 词：狼疮脑病 误诊 原因分析 

分 类 号：R747.9[医药卫生—神经病学与精神病学] R593.241[医药卫生—临床医学]