系统性红斑狼疮（ＳＬＥ）是一种较为常见的自身免疫性疾病，可累及多个系统和多个脏器，其胃肠道表现国内报道不多。在临床工作中，对以胃肠道为首发或主要表现的ＳＬＥ病例常因认识不够而导致误诊误治。本文报道１９９０～１９９７年在我院诊治的４４例以胃肠道病变为首发或 SLE is a common autoimmune disease that can affect multiple systems and multiple organs, and its gastrointestinal manifestations are few reported in the country. In clinical work, the gastrointestinal tract as the first or the main manifestations of SLE often lead to misdiagnosis and mistreatment. This article reports from 1990 to 1997 in our hospital diagnosis and treatment of 44 cases of gastrointestinal lesions as the first or