患者,女,37岁,1990年初发热及关节炎1个月,并发现血小板减低、尿蛋白(+++)及抗核抗体(ANA)阳性。确诊为“系统性红斑狼疮(SLE)”。经皮质激素及环磷酰胺等治疗,病情完全缓解,以小剂量药物维持治疗。同年10月底,咯少量褐色粘痰,无发热,X线及CT片均示左上肺有3.0×4.0cm阴影,内有空洞。为此11月14日再次入院。 Patients, female, 37 years old, fever and arthritis for 1 month in early 1990, and found that thrombocytopenia, urinary protein (+++) and anti-nuclear antibody (ANA) positive. Confirmed as “systemic lupus erythematosus (SLE).” Corticosteroids and cyclophosphamide treatment, the disease completely relieved, with small doses of drug maintenance treatment. At the end of October of the same year, a small amount of brown phlegm, no fever, X-ray and CT showed the left upper lung 3.0x4.0cm shadow, there are empty. November 14 for this admission again.