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本文对113例SLE住院病人的心脏表现进行分析(包括3例尸检资料)。有心脏损害表现者共77例占68％,其预后较差。损害类型以心肌炎多见,心包炎及心内膜炎检出率低,特别是心内膜炎临床诊断较困难,尸检证实的2例心内膜炎中,有 1例临床无心脏杂音。1例急性心肌梗塞,可能与长期使用激素有关。
This article analyzes the cardiac manifestations of 113 SLE inpatients (including 3 autopsy data). A total of 77 patients with heart damage accounted for 68%, the prognosis is poor. More common types of myocarditis myocarditis, pericarditis and endocarditis detection rate is low, especially in the clinical diagnosis of endocarditis more difficult, autopsy confirmed 2 cases of endocarditis, 1 case of clinical no heart murmur. One case of acute myocardial infarction may be related to long-term use of hormones.