系统性红斑狼疮伴发急腹症20例分析及文献复习  

Systemic lupus erythematosus patients with acute abdomen:a report of 20 cases and literature review

作　　者：谢其冰[1] 杨南萍[1] 罗泽玲[1] 

机构地区：[1]四川大学华西医院临床免疫科,成都610041

出　　处：《中华风湿病学杂志》2003年第2期90-92,共3页Chinese Journal of Rheumatology

摘　　要：目的　提高对系统性红斑狼疮 (SLE)伴发急腹症 (AA)临床多样性的认识 ,总结治疗此类病例的经验。方法　对 2 0例SLE伴发AA的病例做回顾性分析 ,并复习 35年相关文献。结果　AA多数是SLE病情活动的表现 (70 % ) ,也可能由独立于SLE的其他疾病引起 (30 % ) ,病变广泛多变 ,容易误诊 ,早期确定采用保守或手术治疗是提高生存率的关键。结论　SLE伴发AA预示病情危重 ,应尽早明确AA的原因 。Objective To summarize the various acute abdomen manifestation of systemic lupus erythematosus (SLE) and their diagnosis and treatment.Methods Twenty SLE patients with AA were analysed and 35 year′s literature was reviewed.Results Most AA were of active SLE (70%),others were of non SLE related disease (30%).Cause of these cases was diversified,which often lead to misdiagnosis.Making correct diagnosis as early as possible was the key point to improve the patient′s survival rate.Conclusion SLE with AA indicates a critical condition.Investigating the cause of AA and working out appropriate treatment measures are most important.

关 键 词：系统性红斑狼 急腹症 疗效 治疗 

分 类 号：R593.241[医药卫生—内科学] R656.1[医药卫生—临床医学]