以自身免疫性溶血性贫血为首发的系统性红斑狼疮——1例报告及文献复习  

Systemic Lupus Erythematosus with Autoimmune Hemolytic Anemia as the First Episode:a Case Report and Literature Review

作　　者：贾群楠 许汪斌[2] 李晓飞[3] JIA Qunnan;XU Wangbin;LI Xiaofei(Kunming Medical University,Kunming,Yunnan Province,650500 China;Department of Critical Care Medicine,First Affiliated Hospital of Kunming Medical University,Kunming,Yunnan Province,650100 China;Department of General Medicine,First People's Hospital of Yunnan Province,Kunming,Yunnan Province,650100 China)

机构地区：[1]昆明医科大学,云南昆明650500 [2]昆明医科大学第一附属医院重症医学科,云南昆明650100 [3]云南省第一人民医院全科医学科,云南昆明6501001

出　　处：《中外医疗》2021年第22期68-70,共3页China & Foreign Medical Treatment

摘　　要：目的报告1例以自身免疫性溶血性贫血(autoimmune hemolytic anemia,AIHI)为首发的系统性红斑狼疮(systemic lupus erythematosus SLE),的病例。方法对1例以AIHI为首发的SLE患者的临床资料进行回顾性分析,并结合相关文献进行复习。结果患者予甲泼尼龙联合免疫球蛋白冲击及免疫抑制剂治疗,贫血明显改善,好转出院。结论当育龄期女性以长期血液系统损害而就诊时应警惕自身免疫性疾病,避免延误诊断和治疗。Objective To report a case of systemic lupus erythematosus with autoimmune hemolytic anemia(AIHI)as the first episode.Methods The clinical data of a SLE patient with AIHI as the first episode was retrospectively analyzed and reviewed in conjunction with relevant literature.Results The patient was treated with methylprednisolone combined with immunoglobulin shock and immunosuppressive agents.The anemia was significantly improved and she was discharged from the hospital.Conclusion When women of childbearing age seek treatment with long-term blood system damage,they should be alert to autoimmune diseases to avoid delay in diagnosis and treatment.

关 键 词：自身免疫性溶血性贫血 系统性红斑狼疮 重度贫血 

分 类 号：R593.241[医药卫生—内科学]