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我院近十年来诊断35例系统性红斑狼疮(简称SLE)中,18例有明显心血管损害,观分析如下:一、诊断标准:按美国风湿病协会(ARA)Cohnen 等提出的十四种临床表现为诊断依据,凡连续或同时出现四种或四种以上的临床表现,血中找到狼疮细胞或抗核抗体阳性即诊断为 SLE。二、临床资料:135例中男11例,女24例,男女之比为1∶2.1。年龄15～48岁,30岁以下占80％,35例中的18例心血管损害中,心包炎1例,心肌炎13例,冠心病1例,高血压2例,雷诺氏现象1例。1.心包炎:本组心包炎1例,突出表现为发热,心前区痛,气急,心包摩擦音,X 线显示心影
In our hospital in the past decade to diagnose 35 cases of systemic lupus erythematosus (SLE), 18 cases of significant cardiovascular damage, the view is as follows: First, the diagnostic criteria: According to the American Rheumatism Association (ARA) Cohnen proposed fourteen The clinical manifestations are based on the diagnosis, where four or more consecutive or concurrent clinical manifestations of blood found in lupus cells or anti-nuclear antibody positive diagnosis of SLE. Second, the clinical data: 135 cases of 11 males and 24 females, male to female ratio of 1: 2.1. Aged 15 to 48 years old, 30 years of age accounted for 80%, 35 cases of 18 cases of cardiovascular damage, pericarditis in 1 case, myocarditis in 13 cases, 1 case of coronary heart disease, hypertension in 2 cases, Raynaud’s phenomenon in 1 case. 1. pericarditis: 1 cases of pericarditis in this group, highlighting the fever, precordial pain, shortness of breath, pericardial frictional sound, X-ray shows heart shadow