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目的 通过对抗中性粒细胞胞浆抗体相关性小血管炎(ANCA-SVV)患者就诊科室情况的调查,提高内科医生对该病临床表现的认识。方法 从中国生物医学文献光盘检索出1991～2001年10年间国内发表的有关ANCA-SVV的文章,根据发表文章作者所在的科室及文章中所报道的患者数进行统计;另对1997～2002年5年间北京中日友好医院住院的ANCA-SVV患者的就诊科室、发病到确诊时间进行统计。结果 10年间国内有关ANCA-SVV病例报道共44篇,包括个案24篇,短篇8篇,论著12篇;其中由肾内科医生报道者18篇(病例数128例),由风湿病医生报道者11篇(46例),由呼吸科医生报道者7篇(34人),余为散在个案报道。5年间我院收治ANCA-SVV患者共31例,其主要就诊科室为肾内科(11例)、风湿免疫科(8例)、呼吸科(4例)、老年病科(3例)、中医科(2例)等。结论 ANCA-SVV是一种多器官受累的系统性疾病,患者就诊科室比较分散,于肾内科者最多,其次为风湿病科、呼吸科、老年病科等。
OBJECTIVE: To improve the understanding of physicians about the clinical manifestations of the disease by investigating the departments dealing with neutrophil cytoplasmic antibody-associated vasculitis (ANCA-SVV). Methods The articles about ANCA-SVV published in China in the 10 years from 1991 to 2001 were retrieved from the Chinese biomedical literature CD-ROM and counted according to the number of patients reported in the author’s article and the article. Years in Beijing Sino-Japanese Friendship Hospital ANCA-SVV patients in the treatment department, the incidence to the time of diagnosis statistics. Results A total of 44 ANCA-SVV cases were reported in China during the 10-year period, including 24 cases, 8 short articles and 12 articles. Among them, 18 were reported by nephrologists (128 cases) and were reported by rheumatologists Articles (46 cases), 7 reported by respiratory physicians (34), Yu scattered case reports. There were 31 cases of ANCA-SVV admitted to our hospital in 5 years. The main departments of treatment were nephrology (11 cases), rheumatology (8 cases), respiratory department (4 cases), geriatric department (3 cases), Chinese medicine department (2 cases) and so on. Conclusions ANCA-SVV is a systemic disease involving multiple organs. Most of the patients in the Department of Nephrology are scattered in the department of internal medicine, followed by rheumatology department, respiratory department and geriatrics department.