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目的总结急诊就诊的系统性红斑狼疮(systemic lupus erythematosus,SLE)患者的主诉症状及特点。方法采用回顾性分析的方法对本院急诊科2009年9月至2013年1月留观的200例SLE患者主诉症状数目、常见症状分布、初治患者主诉症状分布、发热的病因等方面情况进行统计分析。结果 SLE患者急诊就诊时主诉症状以两种症状为多见(47.5%,95/200),发热是最常见症状(58%,116/200);中枢神经系统(38.5%,20/52)、呼吸系统(23.1%,12/52)和消化系统(19.2%,10/52)受累易伴发热;初治SLE患者发热病因多为狼疮活动(78.8%,26/33),非初治SLE患者发热病因多为继发感染(69.9%,58/83);感染性发热患者最常见的感染部位为肺部(81.5%,53/65)。结论急诊就诊的SLE患者主诉症状有一定的特点,了解其规律可最大程度避免误诊和漏诊。
Objective To summarize the main symptoms and features of patients with systemic lupus erythematosus (SLE) treated in emergency department. Methods A retrospective analysis was performed on the number of symptoms, the distribution of common symptoms, the distribution of symptoms and the etiology of fever in 200 SLE patients who were admitted to the emergency department of our hospital from September 2009 to January 2013. Statistical Analysis. Results The main symptom of SLE patients was more common in two groups (47.5%, 95/200), fever was the most common symptom (58%, 116/200), central nervous system (38.5%, 20/52) Respiratory system (23.1%, 12/52) and digestive system (19.2%, 10/52) were susceptible to fever. Most of the newly diagnosed SLE patients had lupus activity (78.8%, 26/33). In non-SLE patients The most common cause of fever was secondary infection (69.9%, 58/83). The most common infection in infected febrile patients was lung (81.5%, 53/65). Conclusions The main symptoms of SLE patients who have been treated in emergency department have certain characteristics. Knowing the regularity can avoid misdiagnosis and missed diagnosis to the greatest extent.