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系统性红斑狼疮(SLE)临床呈多系统损害,但有时也呈现某些特殊表现,易造成误诊。本文3例,分别以“急性心肌梗塞”、“肺部感染(肺结核?)”、“肝癌”的诊断住院治疗,现汇报如下: 病例1,刘××,女,49岁,住院号18347,1985年10月初诊为“急性心肌梗塞”入院。入院呈发热、气促、胸闷,EKG示“急性下壁、前壁心肌梗塞”,T 38℃,P80次/分,R 25次/分,BP 130/90mmHg,颜面见不典型红斑,心脏普遍扩大,心音不低沉,坐卧位心界无移动改变,心电动态监护,虽Ⅱ、Ⅲ、aVF及V_3等导联可见QS波,但有时亦见rS波,心电演变不符合“心肌梗塞”规律。肝上界
Systemic lupus erythematosus (SLE) was clinically multi-system injury, but sometimes presents some special manifestations, easily lead to misdiagnosis. This article 3 cases, respectively, “acute myocardial infarction”, “pulmonary infection (tuberculosis?)”, “Liver cancer” diagnosis of hospitalization, are reported as follows: Case 1, Liu × ×, female, 49 years old, hospital number 18347, October 1985 first diagnosed as “acute myocardial infarction” admission. Admission was fever, shortness of breath, chest tightness, EKG showed “acute inferior wall, anterior myocardial infarction”, T 38 ℃, P80 beats / min, R25 beats / min, BP130 / 90mmHg, see atypical erythema, normal heart Enlargement, heart sound is not low Shen, recumbent locus no movement change, ECG dynamic monitoring, although Ⅱ, Ⅲ, aVF and V_3 lead visible QS wave, but sometimes also see rS wave, ECG does not meet the “myocardial infarction ”law. Liver upper bound