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系统性红斑狼疮(SLE)为一病因不明的疾患,设想为自身免疫性疾病。其临床表现呈多样性,故心血管病症状并不突出。近年由于存活期延长和诊断方法改进,SLE 的心血管表现已变为明显,其心血管的发病率与死亡率有所增高,目前已成为 SLE 中第三位致死原因。心包病变心包炎为 SLE 最常见的心血管表现。尸检发现狼疮患者62%以上有心包炎,但仅25%病例有心包炎的临床表现。心包炎可无痛以及临床呈安静型。血沉增高。ECG 示 ST段普遍抬高伴 T 波进行性变化。常见窦性心
Systemic lupus erythematosus (SLE) is an unexplained disease, envisaged as an autoimmune disease. The clinical manifestations of diversity, so the symptoms of cardiovascular disease is not prominent. In recent years due to prolonged survival and improved diagnostic methods, cardiovascular manifestations of SLE have become apparent, the incidence of cardiovascular disease and increased mortality has now become the third cause of death in SLE. Pericardial Heart Disease Pericarditis is the most common cardiovascular manifestation of SLE. Autopsy found that more than 62% of patients with lupus pericarditis, but only 25% of the cases have clinical manifestations of pericarditis. Pericarditis can be painless and clinically quiet. ESR increased. ECG showed ST elevation generally accompanied by T-wave changes. Common sinus heart