系统性红斑狼疮合并Ⅲ度房室传导阻滞1例

A case report of systemic lupus erythematosus with third degree atrioventricular block

收集1例系统性红斑狼疮(systemic lupus erythematosus,SLE)合并Ⅲ度房室传导阻滞(third degree atrioventricular block,Ⅲ度AVB)患者临床资料并进行相关文献复习。患者因"头晕、乏力6个月,加重7 d"入院,描记心电图提示:Ⅲ度AVB。经详细、反复问诊、体格检查并完善相关检查后,诊断SLE明确,使用激素联合免疫抑制药治疗,病情迅速好转。以Ⅲ度AVB为首发表现的SLE十分罕见,临床医师应注意鉴别诊断,避免漏诊与误诊,早期积极治疗,以改善患者预后。

The clinical data of a patient with systemic lupus erythematosus （SLE） and third degree atrioventricular block （III- AVB） were collected, and the related literatures were reviewed. This young woman was hospitalized with dizziness and fatigue for 6 months, aggravating for 7 days before admission. The electrocardiogram prompted III-AVB. After repeated interrogation and physical examination, the diagnosis of SLE was made by the clinical doctors. After treatment of hormone and immunosuppressive, the patient got better soon. The III-AVB as the first manifestation of SLE is rare. We should make fast identification, improve vigilance and reduce misdiagnosis, to improve the prognosis of patients and prevent the recurrence of the disease.