论文部分内容阅读
系统性红斑狼疮(systemic lupus erythematosus,SLE)是自身免疫介导的结缔组织疾病,多系统累及是其主要临床特征。SLE对心血管系统的损害可累及心包、心肌、心内膜、肺动脉及冠状动脉。重症SLE引起心肌炎及肺动脉高压,对预后影响极大,是临床治疗的难点及重点。北京协和医院于2011年6月至2011年7月收治了1例重症SLE伴狼疮心肌损害、心功能不全,同时合并重度肺动脉高压,造成严重心血管功能障碍及呼吸衰竭的患者,通过积极的原发病治疗及超声指导的血流动力学监测及调整,成功度过急性期,病情恢复稳定出院,现报告如下。
Systemic lupus erythematosus (SLE) is an autoimmune-mediated connective tissue disease and multi-systemic involvement is its main clinical feature. SLE damage to the cardiovascular system can affect the pericardium, myocardium, endocardium, pulmonary artery and coronary artery. Severe SLE caused myocarditis and pulmonary hypertension, a great impact on prognosis, is the clinical treatment of the difficulties and priorities. Beijing Union Medical College Hospital from June 2011 to July 2011 admitted to a severe SLE with lupus myocardial damage, heart failure, combined with severe pulmonary hypertension, causing severe cardiovascular dysfunction and respiratory failure in patients with positive through the original The incidence of treatment and ultrasound-guided hemodynamic monitoring and adjustment, successfully passed the acute phase, the condition was stable and discharged, are as follows.