【摘 要】
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作者对47例进行性系统性硬皮症(PSS)患者作了回顾性检查,47例中31例有弥漫性硬皮病,16例有CREST综合征,31例弥漫性硬皮病中8例有肌炎,而CREST患者均无肌炎.诊断肌炎的根据有
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作者对47例进行性系统性硬皮症(PSS)患者作了回顾性检查,47例中31例有弥漫性硬皮病,16例有CREST综合征,31例弥漫性硬皮病中8例有肌炎,而CREST患者均无肌炎.诊断肌炎的根据有血清CPK升高或醛缩酶增高,而且至少具有以下一个特点:①近端肌无力;②肌病性肌电图;③肌肉活检异常.8例中有3例在肌炎的同时伴发心肌炎,其余23例弥漫性硬皮病及所有CREST患者在临床病程中均没有肌炎和心肌炎的证据.诊断心肌
The authors performed a retrospective review of 47 patients with progressive systemic sclerosis (PSS). Of the 47 patients, 31 had diffuse scleroderma, 16 had CREST syndrome, and 31 had diffuse scleroderma Myositis, and no patients with CREST Myositis diagnosis of myositis based on the rise in serum CPK or aldolase increased, and at least one of the following characteristics: ① proximal muscle weakness; ② myopathy electromyography; ③ Muscle biopsy abnormalities .8 cases, 3 cases of myositis accompanied by myocarditis, and the remaining 23 cases of diffuse scleroderma and all patients with CREST in the clinical course of myositis and myocarditis are not evidence of the diagnosis of myocardial
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