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近年来系统性红斑狼疮(S.L.E.)的中枢神经系统(CNS)受累现象引起了人们的注意,而且越来越重视.有人提到S.L.E的CNS受累包括精神病在内者占59%.为了诊断S.L.E.用的一些敏感试验,尤其是去氧核醣核酸(D.N.A)抗体滴定及脑脊液补体水平都有助于更好地认识这种并发病.以精神症状为主的系统性红斑狼疮既难诊断、又不好治疗.作者温习了文献并观察了五例有CNS受累的病例,其结果如后:关于临床表现方面.正如神经梅毒一样,几乎任何神经病性的或精神性的异常都可于S.L.E中见之.神经精神的异常是有联系的,为了清楚起见而分别论述.精神障碍——此或为S.L.E中最普遍的CNS症状.最轻的精神症状即或在已确诊为S.L.E.的患者
In recent years, the central nervous system (CNS) involvement of systemic lupus erythematosus (SLE) has attracted the attention of the public and has been paid more and more attention. It was mentioned that CNS involvement of SLE accounts for 59% of the total including psychosis. To diagnose SLE Some sensitive tests, especially titration of DNA antibodies and complement levels of cerebrospinal fluid, may help to better understand this complication, and psychiatric symptoms of systemic lupus erythematosus are both difficult to diagnose and not good The authors reviewed the literature and observed five cases of CNS involvement, the results of which are as follows: In terms of clinical presentation, just as with neurosyphilis, almost any neuropathic or psychiatric abnormality can be seen in SLE. Neuropsychiatric anomalies are linked and are discussed separately for clarity Mental disorders - These are the most common symptoms of CNS in SLE The lightest psychiatric symptoms are those in patients who have been diagnosed with SLE