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全身性红斑狼疮(SLE)也易于侵犯心脏,有无心脏并发症对预后影响很大。SLE 的心脏并发症中虽亦可有肾功能不全、高血压、肺部病变等继发性改变,但本文着重对SLE 的原发性心脏病变加以概述。一、心包炎是最多见的心脏并发症,临床报告发生率20～30%,而尸检中发生率可高达50～70%。活动期多伴有发热,以深呼吸等体力活动时增强的胸骨下疼痛为特征,亦有无疼痛者。常合并胸膜炎,Estes 等发现81%并发心包炎的患者有胸水。临床诊断依据胸痛、
Systemic lupus erythematosus (SLE) is also easy to violate the heart, with or without cardiac complications have a great impact on the prognosis. Although the complications of SLE may also have secondary changes of renal insufficiency, hypertension, lung disease, but this article focuses on the overview of SLE primary heart disease. First, pericarditis is the most common cardiac complications, the clinical report rate of 20 to 30%, while the autopsy can occur in up to 50 to 70%. Activities are accompanied by fever, with deep breathing and other physical activities enhanced by the characteristics of the sternum pain, there are no pain. Often pleuritis, Estes, etc. found that 81% of patients with concurrent pericarditis pleural effusion. Clinical diagnosis based on chest pain,