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目的:本文通过1例患者临床诊断为系统性红斑狼疮(systemic lupus erythematosus,SLE)8天后死亡且在确诊本病前5个月患者曾有头部外伤史的案例,结合法医学尸体检验及临床资料进行SLE死因诊断,同时对SLE法医学死因鉴定问题进行讨论。方法:根据外伤程度、临床资料及法医学鉴定并结合国内外的最新文献资料,对本案例中各相关因素进行综合分析讨论。结果:在本例中外伤不能直接导致患者死亡,外伤程度也不足以引起癫痫抽搐。结论:本例系SLE并发多器官功能衰竭合并肺部感染死亡。
OBJECTIVE: In this paper, a case of systemic lupus erythematosus (SLE) diagnosed by clinical diagnosis of one patient died after 8 days and there was a history of head trauma in 5 months prior to the diagnosis of this disease, combined with the medical examination and clinical data SLE cause of death diagnosis, at the same time on the SLE forensic cause of death problems are discussed. Methods: According to the degree of trauma, clinical data and forensic identification and combined with the latest literature at home and abroad, the relevant factors in this case were analyzed and discussed comprehensively. Results: In this case, trauma can not directly cause the patient to die, and the level of trauma is not enough to cause seizures. Conclusion: This case of SLE complicated by multiple organ failure combined with pulmonary infection death.