【摘要】 目的:探讨系统性红斑狼疮(SLE)合并消化道损害者的临床特点。方法:回顾性分析32例SLE合并消化道损害的患者,收集整理其临床资料,分析其临床特点。结果:食道受累者7例(21．9％),胃肠道受累者25例(78．1％)其中假性肠梗阻10例(31．2％),且以肠梗阻为首发症状的2例均误诊为急腹症收住外科,肾脏受累14例(43．8％)。治疗后,24例好转,4例死亡。结论:以消化道症状为首发表现的SLE极易误诊,特别是以吞咽障碍,肠梗阻为首发症状者最易误诊。对有消化道受损表现同时伴有其它脏器受损者应排除有无SLE可能。SLE消化道损害发生率高,对此应提高认识和警惕。更多还原

【Abstract】 Objective: To investigate the clinical features of systemic lupus erythematosus (SLE) with the damage of alimentary canalis. Methods: The clinical data of 32 SLE patients with the damage of alimentary canal were analyzed retrospectively. Results: Seven (21.9％) patients had esophagus involvement. 25 (78.1％) patients had gastrointestinal tract involvement. Of the 25 patients, 10 (31.2％) had false intestinal obstruction, 14, renal involvement. The average course from initiation of clinical symptoms to diagnosis was 32 months. 24 patients improved and four died after treatment. Conclusion: SLE with the damage of alimentary as the first presentation was easily misdiagnosed, especially with the disorder of deglutition or intestinal obstruction,to which, the clinicians should pay more更多还原