抗中性粒细胞胞浆抗体相关性小血管炎患者就诊科室情况调查  

An investigation on distribution of clinical departments visited by patients with ANCA-SW

作　　者：马丽[1] 张利军[1] 徐幼筠[1] 吴东海[1] 

机构地区：[1]北京中日友好医院风湿免疫科,100029

出　　处：《中华全科医师杂志》2003年第3期150-152,共3页Chinese Journal of General Practitioners

摘　　要：目的 通过对抗中性粒细胞胞浆抗体相关性小血管炎(ANCA-SVV)患者就诊科室情况的调查,提高内科医生对该病临床表现的认识。方法 从中国生物医学文献光盘检索出1991～2001年10年间国内发表的有关ANCA-SVV的文章,根据发表文章作者所在的科室及文章中所报道的患者数进行统计;另对1997～2002年5年间北京中日友好医院住院的ANCA-SVV患者的就诊科室、发病到确诊时间进行统计。结果 10年间国内有关ANCA-SVV病例报道共44篇,包括个案24篇,短篇8篇,论著12篇;其中由肾内科医生报道者18篇(病例数128例),由风湿病医生报道者11篇(46例),由呼吸科医生报道者7篇(34人),余为散在个案报道。5年间我院收治ANCA-SVV患者共31例,其主要就诊科室为肾内科(11例)、风湿免疫科(8例)、呼吸科(4例)、老年病科(3例)、中医科(2例)等。结论 ANCA-SVV是一种多器官受累的系统性疾病,患者就诊科室比较分散,于肾内科者最多,其次为风湿病科、呼吸科、老年病科等。Objective To understand the distribution of clinical departments visited by patients with antineutrophil cytoplasmic antibody associated small vessel vasculitis (ANCA-SVV) to improve physicians' awareness and recognition of its clinical manifestations.Methods Literatures of ANCA-SVV published in Chinese during 1991 to 2001 were retrieved from the compact disks of China Biomedical Literatures.Data from retrieval were analyzed by the clinical departments where the authors worked and the number of patients visited there.Patients with ANCA-SVV hospitalized in China Japan Friendship Hospital during 1997 to May 2002 were analyzed based on the departments they visited and the interval between illness onset to diagnosis established.Results Totally,44 papers about ANCA-SVV published in Chinese during the past 10 years,including 24 case reports,8 short articles and 12 original articles,were retrieved.18 of them were reported by nephrologists with 128 cases,11 by rheumatologists with 46 cases,7 by respiratory physicians with 34 cases,and others of case reports.There were 31 patients with ANCA-SVV hospitalized in China Japan Friendship Hospital during the past five years,11 of them stayed at department of nephrology,8 at department of rheumatology,4 at department of respiratory diseases,3 at department of gerontology,and 2 at department of traditional Chinese medicine.Conclusions Patients with ANCA-SVV,a systematic disease involving multiple organs,could visit varied clinical departments of hospital,and majority of them visited the department of nephrology and then the departments of rheumatology,respiratory diseases and gerontology.

关 键 词：抗中性粒细胞胞浆抗体相关性小血管炎 小血管炎 临床表现 韦格纳肉芽肿 治疗 自身免疫性疾病 

分 类 号：R593.2[医药卫生—内科学]