中华皮肤科杂志 ›› 1982, Vol. 15 ›› Issue (3): 133-137.

• 论著 •    下一篇

系统性红斑狼疮160例临床资料分析

陈集舟, 马圣清   

  1. 北京医学院第一附属医院皮肤科
  • 出版日期:1982-09-15 发布日期:1982-09-15

Systemic lupus erytkeinatosus: A cliinical analysis of 160 cases

Chen Jizhou   

  • Online:1982-09-15 Published:1982-09-15

摘要: 作者分析1968-1980年北京医学院第一附属医院系统性红斑狼疮160例的临床症状、化验检查、治疗观察,并与国外某些报告加以比较.发现我国的患者胸J膜炎、心包炎、淋巴结肿大、盘形狼疮损害及雷诺氏征等症状较Dabois所报告的发病率低,而出现肝脾大和心肌炎、间质肺炎者多.在治疗方面作者认为皮质类固醇激索为恰疗本病的重要药物,可辅以中药有利于减少激素用量.迫踪观察死亡串为15%,5年生存率为81,07%.10年生存率为75.78%.伴有中枢神经系统及肾脏病变者预后不良.由于早期诊断、合理治疗,近年来预后夫为改观.

Abstract: The records of 160 cases of systemic lupus erytheinatosus followed up in our hospital between 1968-1980 were analysed.They were compared with the clinical data of Dubois' 520 cases.The incidence of pericarditis,pleurisy,adenopathy,discoilupus lesions and Raynaud's phenomenon of our series were lower than that of Dubois',while hepatomegaly,spleiiomegaly,interstitial pneumonia and myocarditis in our series,were higher than that of Dubois'.The diagnosis,treatment and prognosis of SLE were discussed.We consider that the key in treatment of SLE is appropriate use of corticosteroid therapy and combined use with traditional Chinese medicine,the latter may be benificial to loweting the dosage of corticostecoids.The mortaliy in our series was 15%.The cumulative,5-year survival rate was 81.07% and the 10-year survival rate was 75.78%.Patients with CNS damage or renal involvement had poor prognosis.Recently;because of'the earlier diagnosis and the improvement of treatment; the prognosis of SLE has bees,greatly improved.