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目的分析系统性红斑狼疮(SLE)误诊为心血管系统疾病患者临床资料,提高心内科医师对该病的认识,减少误诊。方法回顾解放军123医院1998-01-2010-07收治首诊为心血管系统疾病的42例SLE患者临床资料,分析心电图(ECG)、超声心动图(UCG)、血沉(ESR)、肌酸激酶同工酶(CK-MB)、肌钙蛋白I(cTnI)检查结果。结果 42例SLE患者中ECG、UCG、ESR、CK-MB、cTnI异常率分别为71.43%、95.24%、71.43%、45.24%、14.29%。结论 SLE患者心血管受累及率高,易误诊为心血管病。
Objective To analyze the clinical data of patients with systemic lupus erythematosus (SLE) misdiagnosed as cardiovascular diseases and improve their understanding of the disease and reduce misdiagnosis. Methods The clinical data of 42 patients with SLE admitted to the First Hospital of PLA 123 Hospital from January 1998 to October 2010 were analyzed. ECG, echocardiography (UCG), ESR, creatine kinase Work-enzyme (CK-MB), troponin I (cTnI) test results. Results The abnormal rates of ECG, UCG, ESR, CK-MB and cTnI in 42 SLE patients were 71.43%, 95.24%, 71.43%, 45.24% and 14.29% respectively. Conclusion SLE patients with cardiovascular involvement and high, easily misdiagnosed as cardiovascular disease.