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本文根据Pines与Miller等七编文献共284例系统性红斑狼疮(SLE)尸检资料,综述SLE的肺与胸膜损害,并举例如下。一、临床表现和诊断1.肺炎:本组狼疮性肺炎为52%。其可出现在SLE的急、慢性阶段,急性者占12%。临床表现为发热、咳嗽、呼吸困难、紫绀及胸痛,与普通肺炎相似。肺浸润多为两侧性,常伴胸膜渗出。肺活检示肺泡损害、间质水肿及透明膜形成,血管周围有淋巴细
In this paper, according to Pines and Miller and other seven series of literature a total of 284 cases of systemic lupus erythematosus (SLE) autopsy data, summarize the SLE lung and pleural damage, and the following examples. First, the clinical manifestations and diagnosis 1. Pneumonia: The group of lupus pneumonia was 52%. It can occur in the acute and chronic stage of SLE, with 12% of acute cases. Clinical manifestations of fever, cough, dyspnea, cyanosis and chest pain, similar to ordinary pneumonia. Inflammation mostly lateral, often accompanied by pleural exudation. Lung biopsy showed alveolar damage, interstitial edema and the formation of transparent membrane, thin blood vessels around the lymph