52例初诊系统性红斑狼疮误诊分析

52 Misdiagnosis of Systemic Lupus Erythematosus Analysis

目的分析系统性红斑狼疮误诊原因,提高对系统性红斑狼疮早期诊断水平,减少误诊率。方法对52例系统性红斑狼疮患者临床表现、误诊情况进行回顾性分析。结果 156例患者中有52例(33.3%)被误诊,被误诊的情况有多形性红斑、急性胰腺炎、肠梗死、结核性腹膜炎、癫痫、抑郁症、类风湿关节炎、肾小球肾炎、特发性血小板减少性紫癜、皮肌炎。结论系统性红斑狼疮患者临床表现复杂,首发表现多种多样,基层医院临床医师缺乏地本病的足够认识及实验室设备不足是构成系统性红斑狼疮早期误诊的主要原因。

Objective To explore the Causes of the systemic lupus erythematosus（SLE） misdiagnosis,increase the earlier diagnosis and decrease the misdiagnositic rate.Methods Clinical and misdiagnosis profile of 52 cases of SLE was collected and analyzed retrospectively.Results 52 patients were misdiagnosed in 156 cases of SLE,contain erythema multiforme,acute pancreatitis,intestinal infarction,tuberculous peritonitis,epilepsia,depression,rheumatoid arthritis,GN glomerulonephritis,idiopathic thrombocytopenic purpurea,dematomyositis.Conclusion The early performance of SLE is a wide range,the chief causes of SLE misdiagnosis are clinicist insufficiency knowledge to SLE and experimental facilities imperfect.