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作者观察58例SLE中,出现中枢神经损害者20例(34.5%);其中由SLE本身引起者14例(24.1%),内有精神症状6例,癫痫发作与脑膜炎各3例,昏迷与偏瘫各2例,午蹈病1例;由药物、肾损害等引起者6例。在发病后一年内出现中枢神经症状者11例(78.6%)。发生神经损害时未服用激素者7例,其中2例因消化道症状停用激素,而在一个月后在其他脏器症状复发的同时出现中枢神经症状;此外服强的松龙20mg以下者3例,30～40mg者2例,50mg以上者2例。本组只有1例精神症状怀疑与激素治疗有关,作者认为SLE所出现的精神症状应首先考虑SLE本身所致。 SLE具有异常脑波者占60%(34/40)。出现中枢
The authors observed in 58 cases of SLE, central nervous system damage occurred in 20 cases (34.5%); of which caused by the SLE itself in 14 cases (24.1%), 6 cases of psychiatric symptoms, seizures and meningitis in 3 cases, coma and Hemiplegia in 2 cases, 1 case of chorea; caused by drugs, kidney damage in 6 cases. Eleven patients (78.6%) had central nervous symptoms within one year after onset. In the absence of nerve damage occurred in 7 cases, of which 2 cases of hormone withdrawal due to gastrointestinal symptoms, and a month later in the symptoms of other organs recurrence of central nervous symptoms; In addition to prednisolone 20mg the following 3 For example, 2 cases of 30 ~ 40mg, 2 cases of 50mg or more. This group only 1 case of psychiatric symptoms suspected hormone therapy, the authors believe that the symptoms of SLE should first consider the SLE itself. SLE with abnormal brain waves accounted for 60% (34/40). Appear in the center