以急性胃肠功能窘迫综合征为表现的狼疮危象救治体会  

Experience of rescuing a patient with acute gastrointestinal distress syndrome as the manifestation of systemic lupus erythematosus

作　　者：王飞[1] 代冬梅[1] 许汪斌[1] 王英[1] Wang Fei;Dai Dongmei;Xu Wangbin;Wang Ying(Department of Intensive Care Unit,the First Affiliated Hospital of Kunming Medical University,Kunming 650031,Yunnan,China)

机构地区：[1]昆明医科大学第一附属医院重症医学科,云南昆明650031

出　　处：《中国中西医结合急救杂志》2020年第3期349-350,共2页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

摘　　要：系统性红斑狼疮(SLE)是一种自身免疫性疾病,其特征是免疫失调,导致自身抗体和循环免疫复合物产生及补体系统激活,由此产生免疫介导的炎症过程,可涉及一个或多个器官系统.SLE的肠系膜血管炎病例已有多篇文献报道,但以胃肠道症状为首发的狼疮危象的相关文献报道较少,这类患者表现为一过性急性胃肠功能窘迫综合征(AGDS),CT显示有广泛肠壁水肿,并有严重低补体血症.现报告1例以AGDS为表现的狼疮危象患者的救治经过.Systemic lupus erythematosus(SLE)is an autoimmune disease,characterized by immune dysregulation that results in the production of auto-antibodies,generation of circulating immune complexes and activation of the complement system,leading to immune mediated inflammatory processes,which may involve one or multiple organ systems.Many reports on SLE resulting in mesentery vasculitis have been published in literatures,however,the related reports were relatively few in which the gastrointestinal symptoms were the first manifestations of the SLE crisis.The patients presented as acute gastrointestinal distress syndrome(AGDS),with extensive intestinal wall edema shown in CT and seriously low blood complement level.Now the author reports the treatment process of a case of SLE crisis with AGDS as the manifestations.

关 键 词：系统性红斑狼疮 狼疮危象 急性胃肠功能窘迫综合征 

分 类 号：R59[医药卫生—内科学]