自身免疫病相关性溃疡的临床特点及诊疗研究进展  

Research advances on the clinical characteristics and diagnosis and treatment of autoimmune disease-related ulcers

作　　者：赵令[1] 宿凯笙 叶壮 姜振宇[1] 陈露 龙钰 Ling Zhao;Kaisheng Su;Zhuang Ye;Zhenyu Jiang;Lu Chen;Yu Long(Department of Rheumatology,the First Hospital of Jilin University,Changchun 130021,China)

机构地区：[1]吉林大学第一医院风湿免疫科,长春130021

出　　处：《中华烧伤与创面修复杂志》2022年第6期558-562,共5页Chinese Journal of Burns And Wounds

基　　金：吉林省直卫生专项(JLSWSRCZX2020-0038)。

摘　　要：研究显示,自身免疫病(AID)相关性溃疡是引发感染、残疾等严重不良预后的并发症。其明确诊断难度大,治疗上存在免疫抑制治疗与抗感染治疗的矛盾,不恰当的诊断、免疫抑制治疗易延误抗感染及手术治疗的时机,给患者预后带来不良影响。该文综述了AID相关性溃疡的概念、各亚型临床特点和处置建议等,以期为临床AID相关性溃疡的诊疗提供更多思路。Studies have shown that autoimmune disease(AID)-related ulcers are disease complications that lead to serious poor prognosis such as infection and disability.It is difficult to make a clear diagnosis and there are contradictions between the applications of immunosuppressive therapy and anti-infectious therapy.Improper diagnosis and immunosuppressive therapy can easily delay the timing of anti-infectious therapy and surgery for patients,which bring adverse effects on the prognosis of patients.This paper reviews the concept,clinical characteristics and treatment suggestions of each subtype of AID-related ulcers,in order to provide more ideas for AID-related ulcers'clinical diagnosis and treatment.

关 键 词：自身免疫疾病 皮肤溃疡 感染 伤口愈合 

分 类 号：R593.2[医药卫生—内科学] R632.1[医药卫生—临床医学]