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目的分析系统性红斑狼疮（SLE）患者的心脏损害情况。方法：对31例SLE心脏损害情况进行回顾性分析，比较其临床、超声心动图和心电国的检出率，并分析其预后。结果：临床检出率明显低于超声心动图和心电图的检出率。有明显临床休征者只占25．8％，超声心动图异常占677％，以心包炎是多见，而心电图异常者高达80．6％，以ST－T异常最为常见。死亡以合并心衰者居多。结论：对SLE患者，常规作超声心动图和心电图检查，有助于提高心脏病变的检出率，积极防治心衰，可能是降低SLE心脏损害死亡率的关键。
Objective To analyze the cardiac damage in patients with systemic lupus erythematosus (SLE). Methods: A retrospective analysis of 31 cases of SLE heart damage was performed. The clinical, echocardiographic and electrocardiographic detection rates were compared and their prognosis was analyzed. Results: The clinical detection rate was significantly lower than that of echocardiography and electrocardiogram. Only 25.8% had obvious clinical implants, 677% had echocardiographic abnormalities, and pericarditis was more common, while 80.6% had abnormal ECGs, most notably ST-T abnormalities. Most deaths were complicated by heart failure. Conclusion: SLE patients with routine echocardiography and ECG examination can help improve the detection rate of heart disease, prevention and treatment of heart failure, may be the key to reduce the mortality of heart damage SLE.