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本文将符合1982年风湿病学专题学术会议制定诊断(参考)标准的100例 SLE 患者中,伴发心脏损害的35例进行简要分析讨论.临床资料5例 SLE 的心脏损害主要表现为:一、心包炎共8例.均经 X 线胸片及超声检查证实有心影增大及心包积液,其中2例闻及心包摩擦音,经激素治疗后心包积液均迅速消失。二、心肌病变共17例。X 线胸片示全心扩大者10例,7例以左室扩大为(?).均未闻及器质性杂音,心脏扩大又不能用其他原因解释.17例中的3例为本病急性心肌炎的早期表现,其中2例死于急性左心衰竭;余下的14例经5个月至18年随访,心脏呈持续或进行性增大.心电图检查13例显示有心肌损害和(或)心律失常改变.
This article will be consistent with the rheumatology conference in 1982 to develop diagnostic (reference) standard 100 cases of SLE patients with heart damage in 35 cases a brief analysis and discussion.Clinical data 5 cases of SLE heart damage mainly as follows: First, Pericarditis in 8 cases.All cases were confirmed by X-ray and ultrasound examination, heart shadow increases and pericardial effusion, including 2 cases of pericardial frictional stenosis, the pericardial effusion disappeared rapidly after hormone therapy. Second, a total of 17 cases of myocardial lesions. X-ray showed cardiac enlargement in 10 cases, 7 cases of left ventricular enlargement (?). None of the organic noise, heart enlargement can not be explained by other reasons .17 cases of 3 cases of the disease Early manifestation of acute myocarditis, of which 2 patients died of acute left heart failure; the remaining 14 cases were followed up for 5 months to 18 years, the heart continued or progressive increase in ECG showed 13 cases of myocardial damage and (or) Arrhythmia changes.