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为了探讨SLE的误漏诊原因,提高诊断水平,笔者对84例曾经误漏诊的SLE患者的临床资料进行回顾性分析。84例初诊至确诊时间为3~144个月,中位时间12·5个月。误漏诊疾病有:其他风湿性疾病25例(30%)、血液系统疾病19例(23%)、肾脏疾病16例(19%)、呼吸系统疾病14例(17%)、皮肤病5例(6%)、消化系统疾病3例(4%)、神经及精神疾病2例(2%)。SLE临床表现多样,尤其是非典型病例易造成误漏诊,故应引起注意。
In order to explore the causes of misdiagnosis of SLE and improve the diagnostic level, the author retrospectively analyzed the clinical data of 84 cases of SLE patients who had misdiagnosed. 84 cases of newly diagnosed to the time of 3 to 144 months, the median time of 12.5 months. Misdiagnosis: 25 cases (30%) of other rheumatic diseases, 19 cases (23%) of hematologic diseases, 16 cases (19%) of kidney diseases, 14 cases (17%) of respiratory diseases and 5 cases of dermatosis 6%), 3 cases of digestive diseases (4%), 2 cases of neurological and mental disorders (2%). SLE clinical manifestations of diverse, especially atypical cases of misdiagnosis likely to cause, it should be noted.