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系统性红斑狼疮患者肺、胸腊常可受累,但其诊断确较困难,常易与肺栓塞、肺炎后渗液、病毒感染、结核以及其他胶原性疾病所致的胸腔渗液相混淆,有时还堆与心衰患者服用普鲁卡因酰胺、肼苯达嗪等诱导的狼疮综合征鉴别。至今仍无特异性试验诊断狼疮性胸膜炎。本文对3组不同病因所致的胸膜炎进行了分析、比较。第1组:系统性红斑狼疮(SLE)伴有狼疮性胸膜炎患者14例。第2组:SLE伴有其他原因引起的胸膜炎患者4例。第3组:其他各种病因包括恶性、肺炎后渗液、结核性胸膜炎等非SLE患者67例。结果显示:红斑狼疮性胸膜炎无特异性的临床症状、体征及X线改变,胸水外观为浆液性、血性或浆液血性。胸水蛋白含量/血清蛋白含量(PF/S)均>0.5,LDH(乳酸脱氢酶)pF/S>0.6但无1例超过
Patients with systemic lupus erythematosus lung, chest wax can often be involved, but the diagnosis is more difficult, often easy and pulmonary embolism, pneumonia exudate, viral infection, tuberculosis and other collagen diseases caused by pleural effusion phase confusion, and sometimes Also heap and heart failure patients taking procainamide, hydralazine and other induced lupus syndrome identification. There is still no specific test diagnosis of lupus pleurisy. In this paper, three groups of different causes of pleurisy were analyzed and compared. Group 1: 14 patients with systemic lupus erythematosus (SLE) associated with lupus pleurisy. Group 2: 4 cases of pleurisy associated with other causes of SLE. Group 3: A variety of other causes including malignant, post-pneumonia exudate, tuberculous pleurisy and other non-SLE patients 67 cases. The results showed that: No specific clinical symptoms, signs and X-ray changes of lupus erythematous pleurisy, pleural effusion serous, bloody or serous bloody. Pleural fluid protein content / serum protein content (PF / S) were> 0.5, LDH (lactate dehydrogenase) pF / S> 0.6 but no more than 1 case