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目的 提高对系统性红斑狼疮 (SLE)伴发急腹症 (AA)临床多样性的认识 ,总结治疗此类病例的经验。方法 对 2 0例SLE伴发AA的病例做回顾性分析 ,并复习 35年相关文献。结果 AA多数是SLE病情活动的表现 (70 % ) ,也可能由独立于SLE的其他疾病引起 (30 % ) ,病变广泛多变 ,容易误诊 ,早期确定采用保守或手术治疗是提高生存率的关键。结论 SLE伴发AA预示病情危重 ,应尽早明确AA的原因 ,恰当选择治疗措施
Objective To raise awareness of the clinical diversity of systemic lupus erythematosus (SLE) associated with acute abdomen (AA) and to summarize the experience in the treatment of such cases. Methods Twenty cases of SLE with AA were retrospectively reviewed and reviewed 35 years. Results Most of the patients were active (70%) with SLE and 30% with other diseases independent of SLE. The lesions were widely variable and easily misdiagnosed. Early identification of conservative or surgical treatment is the key to improving survival . Conclusions SLE associated with AA predicts critically ill patients should be clear as soon as possible the reasons for AA, the appropriate choice of treatment measures