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系统性红斑狼疮伴自身免疫性溶血性贫血的临床分析
引用本文:林春,周辽军,叶任高.系统性红斑狼疮伴自身免疫性溶血性贫血的临床分析[J].中国中西医结合肾病杂志,2000,1(4):212-213.
作者姓名:林春  周辽军  叶任高
作者单位:福建省龙岩市第一医院,江苏省无锡市101医院,中山医科大学附属第一医院肾脏病研究所 龙岩 364000,无锡 214044,广州 510080
摘    要:目的:了解自身免疫性溶血性贫血的系统性红斑狼疮(SLE)患者与无溶血性贫血的系统性红斑狼疮患者临床、实验室检查方面的异同。方法:将40例SLE患者分为2组,一组为抗人球蛋白试验(Coombs)阳性,另一组为Coombs阴性,进行临床症状及实验室检查比较。结果:Coombs阳性组中免疫球蛋白(IgG)、补体C_3、球蛋白(GLB)、总蛋白(TP)较非阳性组明显降低(P<0.05)。结论:Coombs阳性组患者因免疫机能紊乱产生自身抗体引起溶血,同时其病情活动程度高。

关 键 词:系统性红斑狼疮  自身免疫性溶血性贫血  临床分析  治疗  诊断

Clinical Analysis for Systemic Lupus Erythematosus(SLE) Complicated with Autoimmune Hemolytic Anemia
LIN Chun,ZHOU Liaojun,YE RengaoFirst Hospital,of LongYan,Fujian.Clinical Analysis for Systemic Lupus Erythematosus(SLE) Complicated with Autoimmune Hemolytic Anemia[J].Chinese Journal of Integrated Traditional and Western Nephrology,2000,1(4):212-213.
Authors:LIN Chun  ZHOU Liaojun  YE RengaoFirst Hospital  of LongYan  Fujian
Abstract:Objective : To observe the changes in clinical presentations and laboratory indicators among 20 cases of autoimmunehemolytic anemic patients and non - autoimmunehemolytic anemic patients who suffered form SLE. Methods : A comparison was made in two groups - Coombs test negative group and the positive group. Results : Higher levels of serum Immunoglobulin - G, Complement 3, globulin and total protein were found in Coombs test positive ones. Conclusion : These results indicate that immunologic disturbance exists in Coombs test positive patients, which leads to production of antierythrocytic autoantibody and hemolytic anemia.
Keywords:systemic lupus erythematosus(SLE) autoimmune hemolytic anemia(AIHA)
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