论文部分内容阅读
系统性红斑狼疮(SLE),临床表现复杂多变。每造成诊断困难,易致误疹。我院自1964—1981年共诊断 SLE78例,入院时误疹27例,误诊率为34.6%。为了从误诊中总结经验,提高诊断水平,现将主要误诊疾病和原因作一分析。临床资料27中男3例,女24例;年龄最小18岁,最大50岁。误诊时间:半月～10年不等,其中初疹为泌尿系疾患(急慢性肾炎、肾结核等)8例次;血液系(血小板减少性紫癜(ITP),再生障碍性贫血、骨随纤维化恶性网状细胞增生症等)5例次;呼吸系(肺炎、肺癌、肺结核)5例次;其它结缔组织病(类风湿、风湿热、多
Systemic lupus erythematosus (SLE), the clinical manifestations of complex and changeable. Each diagnosis caused by difficult, prone to cause rash. In our hospital from 1964 to 1981, a total of 78 SLE cases were diagnosed, and 27 cases were admitted to hospital with a misdiagnosis rate of 34.6%. In order to sum up the experience from misdiagnosis and improve the level of diagnosis, the main misdiagnosis of the disease and the reasons for an analysis. Clinical data 27 males in 3 cases, 24 females; the youngest 18 years old, maximum 50 years old. Misdiagnosis time: half months to 10 years, of which the initial rash is urinary disorders (acute and chronic nephritis, renal tuberculosis, etc.) 8 times; hematological (thrombocytopenic purpura (ITP), aplastic anemia, bone with fibrosis 5 cases of respiratory system (pneumonia, lung cancer, pulmonary tuberculosis) 5 times; other connective tissue diseases (rheumatoid, rheumatic fever, and more