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系统性红斑狼疮(SLE)常引起心包炎,心肌炎、Libman-Sacks 心内膜炎和早发的冠状动脉粥样硬化性疾病。后者可能因长期用皮质类固醇治疗所致。本文报告1例死于心脏填塞的年轻 SLE 患者。患者女性,27岁。1975年出现发烧及下肢皮疹,诊断为 SLE。经强的松治疗,病情稳定。1984年11月出现发烧、胸痛、弥漫性狼疮皮疹和颈部淋巴结肿大。脉搏180次/min,血压、心肺正常。白细胞4900。ECG 检查示窦性心动过速,ST_1、aVL、V_3-V_6抬
SLE often causes pericarditis, myocarditis, Libman-Sacks endocarditis and premature coronary atherosclerotic disease. The latter may be due to long-term treatment with corticosteroids. This article reports 1 young SLE patient who died of cardiac filling. Patient female, 27 years old. 1975 fever and lower extremity rash, the diagnosis of SLE. After the treatment of prednisone, stable condition. November 1984 fever, chest pain, diffuse lupus rash and cervical lymph nodes. Pulse 180 beats / min, blood pressure, cardiorespiratory normal. White blood cells 4900. ECG examination showed sinus tachycardia, ST_1, aVL, V_3-V_6 lift