协和医学杂志

2013, (03)

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系统性红斑狼疮患者急诊就诊的主诉症状
The clinical analysis of the chief complaints of patients with SLE in EDThe clinical analysis of the chief complaints of patients with systemic lupus erythematosus in emergency department

韩红;李毅

摘要(Abstract):

目的:对系统性红斑狼疮患者急诊就诊的主诉症状进行统计分析,探讨急诊就诊的系统性红斑狼疮患者相应特点。方法:采用回顾性分析的方法对我院急诊就诊的200例SLE患者主诉症状个数,常见症状分布,发热的病因分析,初治的主诉症状分布等方面进行统计分析。结果:SLE患者急诊就诊时单一或伴发热的主诉症状,发热的病因,初治患者主诉症状有一定的规律。结论:急诊就诊的SLE患者主诉症状以两种多见,发热是常见症状,中枢呼吸消化系统受累易伴发热,初治的SLE患者发热病因多为狼疮活动,非初治的患者发热病因多为继发感染,肺部和中枢神经系统感染最常见。
Abstract Objective : To statistically analyze the chief complaints of patients with systemic lupus erythematosus (SLE) in emergency department(ED). Method: The chief complaints of 200 patients with SLE who presented to the ED were retrospectively analyzed. Clinical data queried included: the number and distribution of symptoms of chief complaints, the causes of fever, the chief complaints of the initial diagnosis of SLE. Result: We found patients with SLE in ED had different clinical features in chief complaints which symptom is single or associated with fever, which symptom is complained by initial diagnosis of SLE patients, the cause and location of fever. conclusion: two symptoms of chief complaint are most common performance, fever is the most common symptom, these systems include central nervous system, respiratory system, digestive system involved by SLE are easy complicated with fever, the most common cause of fever is lupus activity in untreated patients with SLE, infection in treated patients with SLE, the most common location of the infection is lung and central nervous system.

关键词(KeyWords): |系统性红斑狼疮 急诊主诉症状 临床特点|
|Systemic lupus erythematosus| Chief complaint of patients in ED| Clinical features|

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作者(Author): 韩红;李毅

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