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胸膜炎和胸腔积液是系统性红斑狼疮(SLE)常见的临床表现,我们回顾了35例经病理确诊的SLE患者,其中10例有胸膜病变,(9例经X线证实,1例有胸膜摩擦音)。胸腔积液除1例为中等量及1例无X线证实外,其它均为少量。双侧积液者6例,右侧3例,左侧1例,以胸膜炎症状(咳嗽、胸闷、憋气、胸痛) 入院者2例,其中1例入院前曾诊断为“类风湿性关节炎”,1例入院前有10年轻度关节痛史,余8例均以发烧、皮肤病变及关节痛等典型症状入院。因积液量少,仅1例行胸腔穿刺胸液检查;结果,Rivanta试验阳性,白细胞300.中性
Pleurisy and pleural effusion are common clinical manifestations of systemic lupus erythematosus (SLE). We reviewed 35 patients with pathologically diagnosed SLE, of which 10 had pleural lesions (9 confirmed by X-ray and 1 with pleural frictional tone ). Pleural effusion in addition to 1 case of moderate and 1 cases without X-ray confirmed, the other is a small amount. Six cases of bilateral effusion, right in 3 cases, left in 1 case, pleural symptoms (cough, chest tightness, suffocation, chest pain) admitted to hospital in 2 cases, 1 case was diagnosed before admission as “rheumatoid arthritis” , One case had a history of 10 years of mild joint pain before admission, and the remaining 8 cases were admitted with typical symptoms of fever, skin lesions and joint pain. Only one routine thoracentesis was performed on pleural effusion due to less effusion; as a result, the Rivanta test was positive for leukocyte 300. Neutral