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我院1971~1985年收治的135例系统性红斑狼疮(SLE)中,61例出现肺、胸膜损害,现报道如下。临床资料一、SLE 按中华医学会风湿病专题学术会议诊断标准,肺、胸膜损害的61例中,男12例,女49例,男女之比为1∶4.09;年龄15~38岁。二、临床主要表现:呼吸系统症状的出现常发生于其它器官之后,少数病例同时发生,可视为病情加重之一表现。有发热45例(74%);咳嗽44例(72%);肺部啰音31例(50%);胸痛29例(48%);呼吸困难26例(42%);胸膜摩擦音15例(25%);咯血6例(9%)。三、实验室检查:血沉增快55例(90.2%);血清球蛋白增高34例(55.74%);抗核抗体(DNA)
In our hospital from 1971 to 1985 admitted to 135 cases of systemic lupus erythematosus (SLE), 61 cases of lung and pleural damage, are reported below. Clinical data A, SLE according to Chinese Medical Association rheumatology conference diagnostic criteria, lung, pleural damage in 61 cases, 12 males and 49 females, male to female ratio of 1: 4.09; aged 15 to 38 years. Second, the clinical main manifestations: the appearance of respiratory symptoms often occur in other organs, a small number of cases occur at the same time, can be considered as one of the performance of the disease. There were 45 cases of fever (74%), 44 cases of cough (72%), 31 cases of pulmonary rales (50%), 29 cases of chest pain (48%), 26 cases of dyspnea (42% 25%); hemoptysis in 6 cases (9%). Third, laboratory tests: Erythrocyte sedimentation rate increased 55 cases (90.2%); serum globulin increased in 34 cases (55.74%); anti-nuclear antibody (DNA)