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目的:探讨系统性红斑狼疮(SLE)消化系统累及的发生率及临床表现,防止误诊和漏诊。方法:对2000年9月~2010年7月我院诊断明确,资料完整的182例SLE住院病例进行分析。结果:其中有消化系统症状体征或实验室异常者多达64例,占35.2%。值得注意的是:38例以胃肠病变为首发或主要表现的SLE病例中,误诊32例(84.2%),最易误诊为感染性疾病,尤其是结核,其次为其它自身免疫性疾病及肿瘤。结论:SLE消化系统表现的发生率较高,表现多样,容易误诊,临床应引起重视。
Objective: To investigate the incidence and clinical manifestation of systemic lupus erythematosus (SLE) digestive system and prevent misdiagnosis and missed diagnosis. Methods: From September 2000 to July 2010, 182 cases of SLE hospitalized with definite diagnosis and complete data in our hospital were analyzed. Results: As many as 64 cases of gastrointestinal symptoms or laboratory abnormalities, accounting for 35.2%. It is noteworthy that 32 cases (84.2%) were misdiagnosed in 38 cases of SLE with gastrointestinal lesions as the first or main manifestation. The most common misdiagnosis was infectious diseases, especially tuberculosis, followed by other autoimmune diseases and tumors . Conclusion: The incidence of digestive system in SLE is high, with various manifestations, easily misdiagnosed and clinically important.