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系统性红斑狼疮合并结核病32例临床分析 被引量:2

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摘要 目的分析系统性红斑狼疮(SLE)合并结核病的频率、特点、危险因素,以提高对疾病的诊治水平。方法对32例合并结核病的SLE住院患者临床表现、实验室检查、危险因素进行回顾性总结。结果SLE多在应用较大剂量糖皮质激素(GCs)时合并结核病。结核起病隐匿,临床表现不典型,常被认为是SLE加重。血行播散型肺结核比例高达40.6%。危险因素包括疾病活动度、血白细胞数减低、贫血、低白蛋白血症、GCs与免疫抑制剂使用。结论对使用GCs的患者要重视结核病并发症。对具有危险因素的患者应该严密观察,必要时采用化学预防性治疗,以改善患者的预后。
出处 《四川大学学报(医学版)》 CAS CSCD 北大核心 2006年第2期331-333,共3页 Journal of Sichuan University(Medical Sciences)
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