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系统性红斑狼疮(SLE)患者心脏受累表现为心肌梗塞者较罕见,本文报告两例。例1 女,34岁。三年前脱发、发热、关节痛,查抗核抗体阳性,血沉32mm/h,尿蛋白(++),BUN30mg%,ECG所见正常,诊为SLE。给服强的松30mg/日,症状缓解后不规则服用强的松5～30mg/日。两个月来劳累及情绪波动时心前区常闷痛,一周前发作频繁,夜间阵发性呼吸困难,咳嗽,尿少,浮肿,于1987年7月入院。查体:T38.4℃,P88次/分、BP150/100mmHg。毛发稀疏而乾燥,颈静脉怒
Heart failure in patients with systemic lupus erythematosus (SLE) is more common in patients with myocardial infarction. Two cases were reported in this article. Example 1 female, 34 years old. Three years ago, hair loss, fever, arthralgia, check anti-nuclear antibody positive, ESR 32mm / h, urinary protein (++), BUN30mg%, ECG seen normal, diagnosed as SLE. Give service prednisone 30mg / day, irregular symptoms after taking prednisone 5 ~ 30mg / day. Two months to exertion and mood swings when the heart area often boring pain, a week ago seizures frequent paroxysmal nocturnal dyspnea, cough, oliguria, edema, admitted in July 1987. Physical examination: T38.4 ℃, P88 beats / min, BP150 / 100mmHg. Sparse and dry hair, jugular vein anger