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系统性红斑狼疮时肾脏是否受累是影响预后的重要因素,而病理表现为弥漫性增生者预后不良。病人常采用长期肾上腺皮质激素和大剂量环磷酰胺冲击治疗的方法,易继发感染。而后者可成为死亡原因。我们在治疗这类病人时采用中西医结合的方法,取得良好的疗效。现报告如下: 患儿,男11岁。因皮疹伴双下肢水肿2周于2001-3-26入院。体检:T36.3℃,P86次/分,BP165/105mmHg,Wt37.Kg。神志清醒,全身皮肤、巩膜无黄染及出血点,全身无水肿,双侧膝关节以下皮肤散在色素沉着斑。颈软,心肺听诊未见异常。腹平软,肝肋下4cm,脾不肿大。神经系统
Systemic lupus erythematosus is the involvement of the kidney is an important prognostic factor, while the pathological manifestations of diffuse hyperplasia poor prognosis. Patients often use long-term adrenal cortex hormones and high-dose cyclophosphamide impact treatment, easy to secondary infection. The latter can be the cause of death. We use the combination of Chinese and Western medicine in the treatment of such patients, and achieved good results. The report is as follows: Children, male, 11 years old. Due to rash with double lower extremity edema 2 weeks in 2001-3-26 admission. Physical examination: T36.3 ℃, P86 times / min, BP165 / 105mmHg, Wt37.Kg. Conscious, body skin, scleral no yellow dye and bleeding point, the body without edema, bilateral knee below the skin scattered in pigmentation spots. Neck soft, cardiopulmonary auscultation no abnormalities. Abdomen soft, liver ribs 4cm, spleen does not enlarge. nervous system