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目的 :通过回顾性总结 ,了解系统性红斑狼疮 (SLE)伴自身免疫性溶血性贫血 (AIHA)的临床表现和实验室检查。方法 :6 0 0例SLE患者中 2 4例直接Coomb’s试验阳性与 2 4例非阳性者进行对照分析。结果 :直接Coomb’s试验阳性组 ,浆膜炎、血尿发生率明显低于对照组 ;血清总蛋白、球蛋白、IgG、C3 明显低于阴性组 (P<0 .0 5 ) ,余临床表现、实验室检查两组无明显差异 (P <0 .0 5 )
Objective: To retrospectively summarize the clinical manifestations and laboratory tests of systemic lupus erythematosus (SLE) with autoimmune hemolytic anemia (AIHA). Methods: Two hundred and seventy SLE patients, 24 cases of direct Coomb’s test positive and 24 non-positive control were analyzed. Results: Serum total protein, globulin, IgG and C3 were significantly lower than those in the negative group (P <0.05), and the incidence of serositis and serosuria in the direct Coomb’s test positive group was significantly lower than that in the control group Room examination showed no significant difference between the two groups (P <0. 05)