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近年来,血浆交换疗法用于多种自身免疫性疾病的治疗,获得了满意疗效。笔者对2例用大剂量激素治疗尚不能控制病情的重症系统性红斑狼疮(SLE)患者,采用血浆交换疗法获得良好效果。现报道如下。 1 临床资料 1.1 例1,陆××,女,21岁,患者4个月前出现面部皮疹,1个月后间断发热,入院前1周持续高热,体温达39℃,伴双膝关节疼痛。入院时体检,急性病容,表情淡漠,面部蝶型红斑,右臂及双侧大腿
In recent years, plasma exchange therapy for the treatment of a variety of autoimmune diseases, obtained satisfactory results. The author of 2 cases of high-dose hormone therapy can not control the disease in patients with severe systemic lupus erythematosus (SLE), the use of plasma exchange therapy to obtain good results. Report as follows now. 1 clinical data 1.1 cases 1, Lu × ×, female, 21 years old, 4 months before the patient had a facial rash, intermittent fever after 1 month, 1 week before admission sustained high fever, body temperature of 39 ℃, with double knee pain. Physical examination on admission, acute illness, apathy, facial butterfly erythema, right arm and bilateral thighs