系统性红斑狼疮的肺、胸膜损害  

The damage on lung and pleura caused by systemic lulpus erythematosus(SLE)

作　　者：吴效鹏[1] 

机构地区：[1]江西医学院二附院肾内科,南昌330006

出　　处：《江西医药》2003年第2期90-92,共3页Jiangxi Medical Journal

摘　　要：目的 探讨系统性红斑狼疮(SLE)的肺胸膜损害。方法 回顾性分析106例住院SLE患者的胸部X线片结果。结果 发现肺胸膜改变76例,占71.7％。76例中表现为胸膜炎48例,占63.2％;急性狼疮性肺炎20例,占26.3％,其中有8例合并有胸腔积液;弥漫性间质性肺炎11例,占14.5％;肺不张3例,占3.9％;SLE性尿毒症性肺水肿2例,占2.6％。结论 肺胸膜是一个富含结缔组织和血管的脏器,常可因免疫复合物的沉积而形成免疫损伤。因此,SLE患者应常规定期胸部X线检查,以便早期发现肺胸膜改变,及时治疗。Objectiv To study and discuss the damage on lung and pleura casused by SLE. Methods analyse the x-ray pictures of chests of 93 patients who have been admitted in our hospital. Results there are 76 pictures which have some changes on lung and pleura (71.7%),including 48 patients with pleurisy(63.2%),20 patients with a-cute lupus pneumonia (26.3%) (8 of them still have hydrothorax),11 patients with diffuse interstitial pneumonia (14.5%),3 patients with non-expanded lung (3.9%),and 2 patients' with uremia pulmonary edema caused by SLE(2.6%). Conclusion lung and pleura which are rich in connective tissue and blood vesels often get immune damage caused by the deposite of immune complex,So,patients with SLE should have x-ray review routinely to find out the changes of lung and pleura early so that they can be treated in time.

关 键 词：系统性红斑狼疮 胸膜损害 肺损害 回顾性分析 治疗 

分 类 号：R593.241[医药卫生—内科学]