系统性红斑狼疮伴发急腹症35例临床分析

目的提高对系统性红斑狼疮(SLE)伴发急腹症的认识,总结治疗经验。方法对35例SLE伴发急腹症的病例做回顾性分析。结果SLE并发急腹症表现多样,包括急性胃肠炎,消化道出血,缺血性肠炎,肠梗阻,肠穿孔,急性胰腺炎,急性腹膜炎,假性肠梗阻等,以急性胃肠炎常见。治疗后33例病情得到控制,2例死亡。结论狼疮活动是急腹症的重要病因,加大激素治疗和/或免疫抑制剂治疗有良好的疗效。

Clinical analysis on 35 cases of systemic lupus erythematosus patients with acute abdomen

Objective To raise the recongnition of acute abdomen manifestation of systemic lupus erythematosus(SLE) and diagnosis and treatment of the disease. Methods 35 SLE patients with acute abdomen manifestation were analysed. Results There were various acute abdomen of SLE including acute gastroenteritis,gastrointestinal bleeding,intestinal ischemia,intestinal obstruction,enteron perforation,acute pancreatitia,acute peritiontis,false intestinal obstruction,etc.The most frequent type were acute gastroenteritis.The illness of 32 cases were controled and 2 cases died after treatment. Conclusion The acute abdomen were caused by active SLE.The treatment of acute abdomen of SLE with corticosteroid and immunosuppressant can achieve good results.