中华皮肤科杂志 ›› 1984, Vol. 17 ›› Issue (3): 153-156.

• 论著 • 上一篇    下一篇

110例系统性红斑狼疮死亡病例分析

施守义, 方丽, 杨蜀嵋, 冯树芳   

  1. 上海第一医学院皮肤病学研究所
  • 出版日期:1984-09-15 发布日期:1984-09-15

Clinical analysis of 110 fatal cases of SLE

Shi Shouyi   

  • Online:1984-09-15 Published:1984-09-15

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摘要： 本文分析23年中SLE住院的110例死亡病例.死亡率为16:22书,分析了其初诊和确诊至死亡的病程.对主要症状和一般实验室检查进行分析,其中心、肾和神经系统累及较多而严重.所见并发症以感染和皮质激素引起的副反应为主.SLE患者存在的免魔学缺陷促使患者对抵御感染的能力下降.本组中死于SLE本身的占48.18%.顺序为尿毒症,心力衰竭和中枢神经系统病变.有51.82%病例死于各种并发症,其中尤以继发感染如肺炎和败血症居多.最后作者提出发病头3年内的积极治疗,应用皮质激累的剂量和时间需合适,去除各种诱因.预防和密切注意可能发生的并发症,一旦发现及早处理可降低死官率并提高存活率.

Abstract: This article analyses 110 death cases of SLE in-patients of Hua Shan Hospital siace the year of 1958 to 1980.The mortality rate was 16.2%.The dnration from initial symptoms and signs as well as the dwation from the establishment of,diagaosis to the time of death were calculated.The major clinical symptoms and signs and general laboratory findings of those 110 death cases were presented.The incideace of involvement of heart,kidney,and nervous system was higher and even severer.