{"nowTime30":1777615262971,"lyBarModerator":null,"metaSearch":{"description":"红斑狼疮，看似没有很大的伤害，但是时间久了会造成某些并发症的出现，如果不及时治疗后果则不堪设想。那么，红斑狼疮会引发哪些并发疾病呢，这些并发疾病会给患者带来怎样的危害呢？　　1、关节炎　　有90％以上的患者都有关节痛的症状，无论处于哪个年龄段都可能发生。关节痛有的于发病前数年已经出现，部分患者关节周","keywords":"专家向您解答红斑狼疮易造成的五大危害_洞医","title":"专家向您解答红斑狼疮易造成的五大危害_洞医","channels":null},"identificate":{"id":"694a92a2e9ed11e7a3d800163e04584d","isDel":0,"createAt":1514259154100,"createBy":"e8f7486fbba411e7a3d800163e04584d","createName":"1516932689@qq.com","updateAt":0,"updateBy":null,"updateName":null,"userId":"e8f7486fbba411e7a3d800163e04584d","realName":"王瑞","certifiedStatus":2,"phone":"18201617331","email":"1516932689@qq.com","hospitalId":"14654","departmentId":"2032","illName":"冠心病","illId":"14fcc36fbadb11e6a61c00163e04584d","cardType":2,"cardImg":"http://01luntan.com/ly_img/1533708809392.jpg","idCardImg":"","identityType":2,"stop":0,"departmentName":"心血管内科","hospitalName":null},"fj":[],"canEdit":null,"adList":[],"lyBar":{"id":"1912","isDel":0,"createAt":1483430793848,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"红斑狼疮","type":102,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":null,"cityId":null,"illId":"162e7ea2badb11e6a61c00163e04584d","hospitalId":null,"keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"channels\":{\"病友社区\":{\"description\":\"为病友提供:红斑狼疮论坛_系统性红斑狼疮论坛，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"红斑狼疮论坛_系统性红斑狼疮论坛\",\"title\":\"红斑狼疮论坛_系统性红斑狼疮论坛\"},\"治疗\":{\"description\":\"为您提供:红斑狼疮可以治愈吗_红斑狼疮怎么治疗最好_红斑狼疮 北京病友病友的治疗经验等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"红斑狼疮可以治愈吗_红斑狼疮怎么治疗最好\",\"title\":\"红斑狼疮可以治愈吗_红斑狼疮怎么治疗最好\"},\"症状\":{\"description\":\"为您提供:红斑狼疮的症状和表现_红班狼疮是什么症状图片_红斑狼疮 北京病友病友的治疗经验等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"红斑狼疮的症状和表现_红班狼疮是什么症状图片\",\"title\":\"红斑狼疮的症状和表现_红班狼疮是什么症状图片\"},\"并发症\":{\"description\":\"为您提供:系统性红斑狼疮并发症_红斑狼疮并发症预防_红斑狼疮 北京病友病友的治疗经验等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"系统性红斑狼疮并发症_红斑狼疮并发症预防\",\"title\":\"系统性红斑狼疮并发症_红斑狼疮并发症预防\"},\"饮食\":{\"description\":\"为您提供:红斑狼疮忌口哪些食物_红斑狼疮饮食注意事项_红斑狼疮 北京病友病友的治疗经验等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"红斑狼疮忌口哪些食物_红斑狼疮饮食注意事项\",\"title\":\"红斑狼疮忌口哪些食物_红斑狼疮饮食注意事项\"},\"病因\":{\"description\":\"为您提供:红斑狼疮怎么引起的_为什么会得红斑狼疮_红斑狼疮 北京病友病友的治疗经验等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"红斑狼疮怎么引起的_为什么会得红斑狼疮\",\"title\":\"红斑狼疮怎么引起的_为什么会得红斑狼疮\"},\"病友求助\":{\"description\":\"为您提供:红斑狼疮可以生小孩吗_红斑狼疮怎么治疗最好_红斑狼疮 北京病友病友的治疗经验等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"红斑狼疮可以生小孩吗_红斑狼疮怎么治疗最好\",\"title\":\"红斑狼疮可以生小孩吗_红斑狼疮怎么治疗最好\"},\"预防\":{\"description\":\"为您提供:红斑狼疮传染吗_红斑狼疮如何预防_红斑狼疮 北京病友病友的治疗经验等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"红斑狼疮传染吗_红斑狼疮如何预防\",\"title\":\"红斑狼疮传染吗_红斑狼疮如何预防\"}},\"description\":\"为您提供:女性红斑狼疮早期症状、红斑狼疮是什么病传染吗、红斑狼疮能治好吗、以及红斑狼疮 北京病友病友的治疗经验等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"女性红斑狼疮早期症状_红斑狼疮是什么病传染吗_红斑狼疮能治好吗\",\"title\":\"女性红斑狼疮早期症状_红斑狼疮是什么病传染吗_红斑狼疮能治好吗\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"3121","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"年轻妇女要警惕红斑狼疮","content":"<p style=\"line-height: 200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">　　红斑狼疮是一种全身多脏器损害的疾病，多见于女性。红斑狼疮可只局限于皮肤损害，这称为盘状红斑狼疮。但更多的病人可无皮肤损害，而表现为低热、关节痛、反复发作性口腔溃疡及其它脏器损害。累及肾脏，可出现蛋白尿，管型尿及肾功能减退；累及心脏，可出现心肌损害、心包积液，引起心律失常、心力衰竭，累及肺，可出现间质性肺炎、胸腔积液，累及肝脏，可出现肝功能损害、黄疸，影响骨髓造血，可引起白细胞减少、血小板减少、全血细胞减少，影响脑，可出现精神症状，或引起中风。总之，影响脏器广泛，症状多种多样，但</span><span style=\"font-size:19px;line-height:200%\">90</span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">％以上都有关节痛，各大小关节均或迟或早被累及。所以，多关节痛是一个重要症状。</span><span style=\"font-size:19px;line-height:200%\">90</span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">％累及肾脏，但早期肾功能可完全正常。不少病人手指受冷后变苍白，变紫，伴剧烈疼痛，冬季尤为明显，浸冷水后可以诱发，这种情况称之为</span><span style=\"font-size:19px;line-height:200%\">“</span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">雷诺氏现象</span><span style=\"font-size:19px;line-height:200%\">”</span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">，或称为</span><span style=\"font-size:19px;line-height:200%\">“</span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">雷诺氏综合征</span><span style=\"font-size:19px;line-height:200%\">”</span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">。常为红斑狼疮、硬皮病等结缔组织疾病的早期信号。调查发现，复发性口疮也是红斑狼疮的早期表现。因此，年轻妇女有不明原因的较长期发热、多关节痛、复发性口疮，两面颊部有蝴蝶形皮疹等现象时必须替惕红斑狼疮的可能。</span><span style=\"font-size:19px;line-height:200%\">&nbsp;<br/> </span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">　　红斑狼疮如能早期诊断、早期治疗，预后还是良好的，多数病人病情可得到控制。据资料统计，从正规治疗开始算起，有</span><span style=\"font-size:19px;line-height:200%\">50</span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">％以上病人可生存</span><span style=\"font-size:19px;line-height:200%\">15</span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">年。为提高早期诊断率，当出现上述现象时就应去医院进一步检查。</span><span style=\"font-size:19px;line-height:200%\">&nbsp;<br/> </span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">　　血液化验红斑狼疮细胞阳性，对红斑狼疮的诊断有一定价值，但阳性率仅</span><span style=\"font-size:19px;line-height:200%\">75</span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">％，在激素治疗后</span><span style=\"font-size:19px;line-height:200%\">60</span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">％病人可转阴性。所以检查红斑狼疮细胞必须多次，有时可能七、八次，甚至十余次后才阳性。另一方面，有</span><span style=\"font-size:19px;line-height:200%\">10</span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">％的类风湿性关节炎患者、</span><span style=\"font-size:19px;line-height:200%\">10</span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">％硬皮病患者也可为红斑狼疮细胞阳性，慢性活动性肝炎也可阳性。</span><span style=\"font-size:19px;line-height:200%\">&nbsp;<br/> </span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">　　化验抗核抗体在红斑狼疮中阳性率可达</span><span style=\"font-size:19px;line-height:200%\">90</span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">～</span><span style=\"font-size:19px;line-height:200%\">100</span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">％，阴性基本上可排除红斑狼疮，但也非绝对。抗核抗体在类风湿性关节炎、硬皮病、皮肌炎、结节性动脉周围炎、慢性活动性肝炎、桥本氏甲状腺炎、溃疡性结肠炎、重症肌无力也可为阳性。所以单纯阳性的特异性不高，如能作滴定度测定，滴定度</span><span style=\"font-size:19px;line-height:200%\">1:20</span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">以上较有价值。</span><span style=\"font-size:19px;line-height:200%\">&nbsp;<br/> </span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">　　总之，红斑狼疮的临床表现复杂多变，诊断需由医生综合分析。病人不可盲目迷信某项化验，也不能因为身上某些不适，关节酸痛，出现一些皮疹就造成不必要的恐惧。</span><span style=\"font-size:19px;line-height:200%\">&nbsp;<br/> </span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">　　红斑狼疮的发病原因相当复杂，一般认为是遗传因素与环境因素相互作用，造成免疫功能紊乱而引起。在红斑狼疮患者家族中患病率达到</span><span style=\"font-size:19px;line-height:200%\">2</span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">％，远高于一般人群。同一家族中，姐妹同发病最多，母女次之，父女，兄妹、母子、姐弟同发病的甚少，同卵双胎的妇女常同发病。</span><span style=\"font-size:19px;line-height:200%\">&nbsp;<br/> </span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">　　妊娠可以使红斑狼疮病情恶化，妊娠后期或分娩后约有</span><span style=\"font-size:19px;line-height:200%\">20</span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">％病人可发生狼疮性肾炎，并易发生肾功能衰竭。妊娠中毒症的发生率也高达</span><span style=\"font-size:19px;line-height:200%\">25</span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">％。妊娠期可产生一种抗淋巴细胞抗体，从而导致流产、早产或足月死产。所以无论从优生角度，还是从健康角度，红斑狼疮妇女均不宜生育。已婚者应采取避孕措施，但须注意长期日服避孕药可诱发与加剧病情，所以应采取其它方法避孕。</span><span style=\"font-size:19px;line-height:200%\">&nbsp;<br/> </span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">　　日晒可以激发与加重红斑狼疮，所以患者应避免日晒，外出应用太阳伞、戴宽边帽，也可在裸露的皮肤上涂用防晒药膏。</span><span style=\"font-size:19px;line-height:200%\">&nbsp;<br/> </span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">　　不少药物可诱发或加重红斑狼疮，据统计引起药源性红斑狼疮的药物有三十余种。所以用药应在医生指导下使用，切不可自己滥用各种药物。此外，适当休息，避免过度劳累也是防治红斑狼疮的重要措施之一。在活动期必须绝对卧床休息，缓解期可从事力所能及的工作，但要防止过劳。要注意预防呼吸道感染、尿路感染。因感染也是诱发红斑狼疮的一个因素。</span><span style=\"font-size:19px;line-height:200%\">&nbsp;<br/> </span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">　　红斑狼疮影响全身多脏器，但只要发现及时，用药合理，掌握生活规律，避免不利因素，多数可使病情缓解。所以患者树立战胜疾病的信心，积极配合治疗十分重要。</span></p><p><br/></p>","barId":"1912","topicTypeId":null,"topicThemeId":"1036","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":5},{"id":"1654","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"系统性红斑狼疮家庭护理的干预应用","content":"<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">　 　系统性红斑狼疮(SLE)是一种侵犯多器官、多系统的自身免疫性疾病，该病在全世界范围内均有出现，育龄妇女为发病高峰，老人及儿童也可患病。病程长，目前尚无根治办法[1]。治疗以皮质类固醇药物为首选，加用免疫抑制剂，这类药物不仅副作用大，且需要长期服用。由于体内有大量自身抗体和免疫复合物而造成组织损伤。临床可出现各个系统和脏器损伤表现，如皮肤、黏膜、心脏、肾脏、中枢神经系统、血液系统等。本病与遗传、内分泌改变、病毒感染、日光照射、药物等多种因素有关。现将护理体会总结如下：&nbsp;<br /> 1发热护理：发热往往提示SLE病情处于活动期，本组有60%患者伴有不同程度的发热，发热为驰张热。发热高峰期值于中午时出现，持续2~3h，于次日清晨，体温自行降至正常，发热期间，体温高于39℃时给予物理降温，如大动脉处放置冰袋忌酒精擦拭。因酒精擦拭可使毛细血管扩张，导致皮肤充血损伤，并发感染。必要时给予物理降温，一般选用消炎痛栓剂直肠给药50mg/次。并密切观察退烧时伴随症状。告诉患者多饮水，可避免因大量出汗导致并发症的发生，及时更换衣裤、被套、避免着凉，体温正常后每4h检测1次。&nbsp;<br /> 2关节护理：本组有80%的患者出现了关节疼痛或者肌肉酸痛。在急性活动期，患者必须卧床休息，要注意保持良好的姿势和关节功能位置，以防止关节僵硬和肌肉废用性萎缩。病情进一步控制后，指导患者适当活动，以不引起疼痛和疲劳为原则，对于维持改善肌力起着积极促进作用。&nbsp;<br /> 3皮肤护理：约80%的患者有皮肤损害及水肿性丘斑，要指导患者保持皮肤清洁。由于化学品中含有化学药剂和阳光中含有紫外线可诱发该疾病，故应告诫患者慎用化装品、清洁剂并严防阳光暴晒。对指、趾、鼻尖、耳垂等部位广泛小动脉炎合并雷诺氏现象的患者、冬季注意保暖，用温水洗手以免肢体末梢冻伤和坏死。&nbsp;<br /> 4口腔护理：SLE会影响黏膜病变，表现为糜烂、溃疡和红肿。黏膜病变的加重往往提示病情的活动程度，此时要指导患者注意口腔卫生，每日早晚用软毛牙刷刷牙，漱口可以小苏打盐水以预防霉菌感染，已有霉菌感染时，可用制霉菌素涂抹。有口腔溃疡者，除每日进行口腔护理外，要在饭前、饭后30Min给予冰硼散或西瓜霜喷洒以消炎止痛，促进溃疡面的愈合。&nbsp;</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">5</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">用药护理：糖皮质激素是治疗SLE的最有效的药物，其应用半随整个治疗过程，因此在护理过程中要特别注意对糖皮质激素应用时间的观察，以及时间把握减药时机。要注意观察其副作用。在患者服用激素过程中，密切监测其血糖和尿糖指标，有无感染、高血压、消化道溃疡等不良反应。根据病情需要补充氯化钾、钙剂、维生素D等，另外除严格按医嘱用药，还要使患者所处的环境安静，减少不良刺激。&nbsp;<br /> 6饮食护理：应进食优脂蛋白、低盐、低脂肪、富含维生素的食物。SLE患者50%以上出现肾损害，大量蛋白质从尿中流失，造成低蛋白血症。因此必须补充足够的蛋白质，如牛奶、鸡蛋、瘦肉与鱼等优质蛋白质，摄入量要适当，因为过量反而加重肾脏负担。SLE患者多数服用激素，造成脂肪代谢障碍形成高脂血症，故应进低脂饮食，同时激素可影响胰岛分泌胰岛素的功能，使糖的代谢发生紊乱，严重者可形成糖尿病，故而限制糖的摄入量。应尽量避免进食引起过敏的刺激性食物，如海产品、芹菜、无花果、香菇、豆芽等食物。多食香蕉、橙子、西红柿等含钾丰富的水果蔬菜，但肾功能衰竭、血钾高的患者则不宜进食以上含钾的食物。&nbsp;<br /> 7心理护理：SLE病程长，病情反复，经济负担重；长期使用激素及免疫抑制剂可引起体态和容颜的改变，对患者的生活及婚育有影响，因此患者情绪低落。护理人员要关心体贴患者并积极帮助其消除心理冲突。及时向患者耐心讲解SLE的错误认识和恐惧心理，鼓励患者积极配合治疗，增强战胜疾病的信心。&nbsp;<br /> 8并发症护理：SLE是一种自身免疫性疾病，有40%的患者有不同的脏器受损，对于出现精神异常的患者，要加强患者安全措施，减少刺激；抽搐时不可强压肢体，以免骨折；要防止舌咬伤，及时吸痰、吸氧，遵医嘱立即应用镇定剂。对于脏器受损的患者，除了及时做好常规工作外，要经常注意患者精神状况，脉搏、血压、血液出入量、尿量以及有无尿闭等。本组有7例发生肺部感染，及时采取相应措施，均好转出院。&nbsp;<br /> 9健康指导：要重视SLE患者的健康教育，让患者知道SLE疾病知识，尤其是白细胞和血小板减少及长期应用激素者，可导致机体抵抗力下降。要指导患者积极避免各类感染的发生。注意清洁卫生、勤换内裤，减少泌尿道感染的机会。即使出现小伤口，以不可掉以轻心，以减少伤口感染。SLE疾病的缓解于发生有交替进行的规律，病情复发，及早就医，应嘱患者定期到医院做复查。SLE活动期1~3个月一次，稳定期半年一次，到一年一次，在医生的指导下坚持治疗。对于育龄女性患者，一定在医生的长期随访中，通过小剂量激素的使用是的病情得以控制。但我们要让患者正确认识妊娠与SLE疾病之前的利害关系，使患者知道在妊娠过程中，应经常做有效的血液化验和良好的产科护理，绝大多数SLE患者都能成功。&nbsp;</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">　　SLE育龄妇女发病率高，严重影响患者的工作和生活，当患者明确本病后需要积极治疗。经过对患者的病程观察、心理护理、饮食护理、皮肤护理及健康教育，取得了满意疗效，维持了较好的生活质量。&nbsp;</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体; color: red;\">&nbsp;&nbsp;</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体; color: red;\">找良医网提示您：如果您在求医过程中遇到医疗诈骗，虚假医疗信息，请到找良医网&gt;投诉曝光专栏发帖，或@找良医新浪微博 或 @医疗纠纷维权新浪微博，我们全体工作人员帮您伸张正义。</span></p>\n<p>&nbsp;</p>\n<p>&nbsp;</p>","barId":"1912","topicTypeId":null,"topicThemeId":"1035","readLevel":0,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":5},{"id":"7701","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"红斑狼疮可能并发哪些疾病","content":"<p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1510884877952.jpg\" title=\"红斑狼疮可能并发哪些疾病\" alt=\"红斑狼疮可能并发哪些疾病\" width=\"600\" height=\"372\"/></span><span style=\"font-family: 宋体;\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">找良医网</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">向您详细介绍红斑狼疮有哪些并发病症，红斑狼疮还会引起哪些疾病？</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">红斑狼疮常见并发症</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">：</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">ARDS 肠套叠</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">红斑狼疮并发症</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">易出现肾功能衰竭和中枢神经系统并发症，如狼疮性脑病等。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">1.&nbsp;</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">急性狼疮肺炎，并发肺出血或发展成成人呼吸窘迫综合征</span>(ARDS)。</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">2.狼疮性腹膜炎和狼疮性肠系膜血管炎，可出现肠穿孔或肠麻痹、出血性回肠炎和肠套叠，重时还可有肠段坏死。</span></p><p><br/></p>","barId":"1912","topicTypeId":null,"topicThemeId":"1034","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":1},{"id":"14079","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"红斑狼疮能自愈吗","content":"<p style=\"text-indent: 32px; text-autospace: ideograph-numeric; line-height: 200%;\"><span style=\";font-family: 宋体; line-height: 200%; font-size: 16px;\">最近我老是感觉我的关节处特别的不舒服，有的时候还有疼痛感，而且我的脸上和手上都出现了许多的红斑，有大一点的还有小一点的。最近我掉头发也掉的特别的厉害，去医院一检查，结果是红斑狼疮。红斑狼疮能自愈吗？</span></p>\n<p>&nbsp;</p>","barId":"1912","topicTypeId":null,"topicThemeId":"1033","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":5},{"id":"2447","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"红斑狼疮缘何难治","content":"<p style=\"text-align:center\"><img src=\"http://01luntan.com/ly_img/uimgs/1487664271555.jpg\" title=\"1487664271555.jpg\" alt=\"timg (14).jpg\"/></p><p><br/></p><p style=\"line-height: 150%\"><span style=\"font-size:19px;line-height:150%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;;background:white\">&nbsp; &nbsp; &nbsp; &nbsp;&nbsp;</span><span style=\"font-size:19px;line-height:150%;font-family:宋体;background:white\">红斑狼疮被称为世界三大疑难病症之一。一是它的病因、病理尚未完全揭示；二是它的临床表现无固定模式，病程较长，反复发作。但随着医学科学发展，目前只要在正规医院规范治疗，完全可能获得临床治愈。说它难治，一个重要原因是患者在治疗上存在三大误区。</span></p><p style=\"line-height: 150%\"><span style=\"font-size: 19px; line-height: 150%;\"><font face=\"宋体\"><br/></font> </span><span style=\"font-size:19px;line-height:150%;font-family:宋体;background:white\">　　一是胡戴帽子　郑州市有一位姓田的<span style=\"font-size: 19px;line-height: 150%;font-family: Arial, sans-serif\">32</span><span style=\"font-size: 19px;line-height: 150%\">岁职业女性，感到多处关节疼痛。到附近一家医院，诊断为</span><span style=\"font-size: 19px;line-height: 150%;font-family: Arial, sans-serif\">“</span><span style=\"font-size: 19px;line-height: 150%\">类风湿性关节炎</span><span style=\"font-size: 19px;line-height: 150%;font-family: Arial, sans-serif\">”</span><span style=\"font-size: 19px;line-height: 150%\">。服用西药不见效，又吃了</span><span style=\"font-size: 19px;line-height: 150%;font-family: Arial, sans-serif\">40</span><span style=\"font-size: 19px;line-height: 150%\">多副汤药，还有中成药等，花钱不少，病情反而加重。后来她到郑州大学一附院找到了肾病风湿科的刘升云博士。刘大夫排除了类风湿关节炎，化验结果证实为红斑狼疮，原来吃的药都停了，只服用强的松、羟氯喹两种药，很快控制了病情。刘升云大夫说，类风湿性关节炎和红斑狼疮同属结缔组织疾病，但其损害的部位不同，症状不同，治疗的方法也不同。类风湿性关节炎四肢小关节红肿，手指、脚趾肿胀比较明显；红斑狼疮一般没有这种表现，却有皮肤损害，如在双面颊和鼻梁部位有蝶形或盘形及多形红斑，有的还有口腔溃疡、严重疲劳等症状。通过细心检查和必要的检验，有了充分证据再下结论。</span><span style=\"font-size: 19px;line-height: 150%;font-family: Arial, sans-serif\">&nbsp;</span></span></p><p style=\"line-height: 150%\"><span style=\"font-size: 19px; line-height: 150%;\"><font face=\"Arial, sans-serif\"><br/></font> </span><span style=\"font-size:19px;line-height:150%;font-family:宋体;background:white\">　　二是不断<span style=\"font-size: 19px;line-height: 150%;font-family: Arial, sans-serif\">“</span><span style=\"font-size: 19px;line-height: 150%\">跳槽</span><span style=\"font-size: 19px;line-height: 150%;font-family: Arial, sans-serif\">”</span><span style=\"font-size: 19px;line-height: 150%\">　疾病的发生发展有一个过程，诊断治疗也要有一个过程。有的患者急于求成，在这家医院看过，很快又到另一家医院，今天看中医，明天看西医，治疗方案不断变换。有位</span><span style=\"font-size: 19px;line-height: 150%;font-family: Arial, sans-serif\">22</span><span style=\"font-size: 19px;line-height: 150%\">岁的女青年，诊断为红斑狼疮后，到郑州、北京几家医院，说法不一，她无所适从，一会儿吃这种药，一会儿又吃那种药，结果病情越来越重。最后请刘博士诊治，按病情及时进行化验，合理用药，现在已明显好转。</span><span style=\"font-size: 19px;line-height: 150%;font-family: Arial, sans-serif\">&nbsp;</span></span></p><p style=\"line-height: 150%\"><span style=\"font-size: 19px; line-height: 150%;\"><font face=\"Arial, sans-serif\"><br/></font> </span><span style=\"font-size:19px;line-height:150%;font-family:宋体;background:white\">　 <span style=\"font-size: 19px;line-height: 150%\">　三是相信假药　有位</span><span style=\"font-size: 19px;line-height: 150%;font-family: Arial, sans-serif\">28</span><span style=\"font-size: 19px;line-height: 150%\">岁的农妇，在当地诊断为红斑狼疮，到郑州进一步检查治疗。谁知一出车站就碰到</span><span style=\"font-size: 19px;line-height: 150%;font-family: Arial, sans-serif\">“</span><span style=\"font-size: 19px;line-height: 150%\">医托</span><span style=\"font-size: 19px;line-height: 150%;font-family: Arial, sans-serif\">”</span><span style=\"font-size: 19px;line-height: 150%\">，说</span><span style=\"font-size: 19px;line-height: 150%;font-family: Arial, sans-serif\">“</span><span style=\"font-size: 19px;line-height: 150%\">这病再大的医院也治不了，我领你找一位退休老中医，专治这病</span><span style=\"font-size: 19px;line-height: 150%;font-family: Arial, sans-serif\">”</span><span style=\"font-size: 19px;line-height: 150%\">。那所谓老中医没有做任何检查，简单问了两句就开药，并说是纯中药。农妇吃药后开始还有点作用，但以后病情加重，发展成狼疮性肾炎，又引起尿毒症，最终被疾病夺去了生命。她的丈夫去找那位所谓</span><span style=\"font-size: 19px;line-height: 150%;font-family: Arial, sans-serif\">“</span><span style=\"font-size: 19px;line-height: 150%\">退休老中医</span><span style=\"font-size: 19px;line-height: 150%;font-family: Arial, sans-serif\">”</span><span style=\"font-size: 19px;line-height: 150%\">，早已无踪无影。</span><span style=\"font-size: 19px;line-height: 150%;font-family: Arial, sans-serif\">&nbsp;</span></span></p><p style=\"line-height: 150%\"><span style=\"font-size: 19px; line-height: 150%;\"><font face=\"Arial, sans-serif\"><br/></font> </span><span style=\"font-size:19px;line-height:150%;font-family:宋体;background:white\">　 <span style=\"font-size: 19px;line-height: 150%\">　如何治疗：因人而异，因病情而宜　红斑狼疮表现复杂，每个病人的病情千差万别，有人称之为</span><span style=\"font-size: 19px;line-height: 150%;font-family: Arial, sans-serif\">“</span><span style=\"font-size: 19px;line-height: 150%\">百变大师</span><span style=\"font-size: 19px;line-height: 150%;font-family: Arial, sans-serif\">”</span><span style=\"font-size: 19px;line-height: 150%\">。</span><span style=\"font-size: 19px;line-height: 150%;font-family: Arial, sans-serif\">“</span><span style=\"font-size: 19px;line-height: 150%\">如同世界上没有完全相同的两片树叶一样，世界上也没有完全相同的红斑狼疮病人。</span><span style=\"font-size: 19px;line-height: 150%;font-family: Arial, sans-serif\">”</span><span style=\"font-size: 19px;line-height: 150%\">因此治疗上要因人而异，因疾病而异。治疗药物就那么几种，但应用时却有很大学问。如对刚确诊的红斑狼疮患者，没有肾脏和神经系统累及，只用强的松、羟氯喹两种药即可，一个月后复查。如发现累及肾脏，经检查证实后，应加大激素用量，还要采用环磷酰胺治疗。如发现肝功能出现问题，要仔细询问病人用过什么药物。有的药物包括一些中成药，成分不明，对肝脏有损害作用，就要劝病人停用。治疗一段时间后要进行复查，观察病情变化和药效情况，然后调整药物用量。</span><span style=\"font-size: 19px;line-height: 150%;font-family: Arial, sans-serif\">&nbsp;</span></span></p><p style=\"line-height: 150%\"><span style=\"font-size: 19px; line-height: 150%;\"><font face=\"Arial, sans-serif\"><br/></font> </span><span style=\"font-size:19px;line-height:150%;font-family:宋体;background:white\">　　红斑狼疮并非如一些人所说的那样可怕，是完全可以控制的一种疾病。关键是要早发现、早确诊、早治疗；在治疗上要合理用药，走出乱求医、滥用药、不规范治疗的误区。</span></p><p><br/></p>","barId":"1912","topicTypeId":null,"topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":5},{"id":"3683","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"如何在早期判断自己患有红斑狼疮","content":"<p style=\"line-height:150%\"><span style=\"font-size:19px;line-height:150%;font-family:宋体\">盘状红斑狼疮：</span></p><p style=\"line-height:150%\"><span style=\"font-size: 19px;line-height:150%\">&nbsp;&nbsp;</span><span style=\"font-size:19px;line-height:150%;font-family:宋体\">主要侵犯皮肤，是红斑狼疮中最轻的类型。少数可有轻度内脏损害，少数病例可转变为系统性红斑狼疮。皮肤损害初起时为一片或数片鲜红色斑，绿豆至黄豆大，表面有粘着性鳞屑，以后逐渐扩大，呈圆形或不规则形，边缘色素明显加深，略高于中心。中央色淡，可萎缩、低洼，整个皮损呈盘状（故名盘状红斑狼疮）。损害主要分布于日光照射部位，如面部、耳轮及头皮，少数可累及上胸、手背、前臂、口唇及口腔黏膜也可受累。多数患者皮损无自觉症状，但很难完全消退。新损害可逐渐增多或多年不变，损害疏散对称分布，也可互相融合成片，面中部的损害可融合成蝶形。盘状皮损在日光暴晒或劳累后加重。头皮上的损害可引起永久性脱发。陈旧性损害偶尔可发展成皮肤鳞状细胞癌。</span></p><p style=\"line-height:150%\"><span style=\"font-size: 19px;line-height:150%\"><br/> </span><span style=\"font-size:19px;line-height:150%;font-family:宋体\">亚急性皮肤型红斑狼疮</span></p><p style=\"line-height:150%\"><span style=\"font-size: 19px;line-height:150%\">&nbsp;&nbsp;</span><span style=\"font-size:19px;line-height:150%;font-family:宋体\">临床上较少见，是一种特殊的中间类型。皮肤损害有两种，一种是环状红斑型，为单个或多个散在的红斑，呈环状、半环状或多环状，暗红色边缘稍水肿隆起，外缘有红晕，中央消退后留有色素沉着和毛细血管扩张，好发于面部及躯干；另一个类型是丘疹鳞屑型，皮损表现类似银屑病，为红斑、丘疹及斑片。表面有明显鳞屑，主要分布于躯干上肢和面部。两种皮损多数病例单独存在，少数可同时存在。皮损常反复发作，绝大多数患者均有内脏损害，但严重者很少，主要症状为关节痛、肌肉痛、反复低热，少数有肾炎、血液系统改变。</span><span style=\"font-size:19px;line-height:150%\"><br/> </span><span style=\"font-size:19px;line-height:150%;font-family:宋体\">系统性红斑狼疮</span></p><p style=\"line-height:150%\"><span style=\"font-size: 19px;line-height:150%\">&nbsp;&nbsp;</span><span style=\"font-size:19px;line-height:150%;font-family:宋体\">是红斑狼疮各类型中最为严重的一型。绝大多数患者发病时即有多系统损害表现，少数病人由其他类型的红斑狼疮发展而来。部分病人还同时伴有其他的结缔组织病，如硬皮病、皮肌炎、干燥综合征等，形成各种重叠综合征。系统性红斑狼疮临床表现多样，错综复杂，且多较严重，可由于狼疮肾炎、狼疮脑病及长期大量使用药物的副作用而危及患者生命。</span><span style=\"font-size:19px;line-height:150%\"><br/> </span><span style=\"font-size:19px;line-height:150%;font-family:宋体\">深部红斑狼疮又称狼疮性脂膜炎</span></p><p style=\"line-height:150%\"><span style=\"font-size: 19px;line-height:150%\">&nbsp;&nbsp;</span><span style=\"font-size:19px;line-height:150%;font-family:宋体\">是中间类型的红斑狼疮。皮肤损害为结节或斑块，位于真皮深层或皮下脂肪组织，其大小、数目不定，表面肤色正常或淡红色，质地坚实，无移动性。损害可发生于任何部位，最常见于颊部、臀部、臂部，其次为小腿和胸部。经过慢性，可持续数月至数年，治愈后遗留皮肤萎缩和凹陷。深部红斑狼疮性质不稳定，可单独存在，以后即可转化为盘状红斑狼疮，也可转化为系统性红斑狼疮，或与它们同时存在。</span><span style=\"font-size:19px;line-height:150%\"><br/> </span><span style=\"font-size:19px;line-height:150%;font-family:宋体\">新生儿红斑狼疮</span></p><p style=\"line-height:150%\"><span style=\"font-size: 19px;line-height:150%\">&nbsp;&nbsp;</span><span style=\"font-size:19px;line-height:150%;font-family:宋体\">现为皮肤环形红斑和先天性心脏传导阻滞，有自陷性，一般在生后</span><span style=\"font-size:19px;line-height:150%\">4</span><span style=\"font-size:19px;line-height:150%;font-family:宋体\">～</span><span style=\"font-size:19px;line-height:150%\">6</span><span style=\"font-size:19px;line-height:150%;font-family:宋体\">个月内自行消退，心脏病变常持续存在。</span><span style=\"font-size:19px;line-height:150%\"><br/> </span><span style=\"font-size:19px;line-height:150%;font-family:宋体\">药物性红斑狼疮</span></p><p style=\"line-height:150%\"><span style=\"font-size: 19px;line-height:150%\">&nbsp;&nbsp;</span><span style=\"font-size:19px;line-height:150%;font-family:宋体\">主要表现为发热、关节痛、肌肉痛、面部蝶形红斑、口腔溃疡，可有浆膜炎。</span><span style=\"font-size:19px;line-height:150%\">ANA</span><span style=\"font-size:19px;line-height:150%;font-family:宋体\">、抗组蛋白抗体、抗</span><span style=\"font-size:19px;line-height:150%\">ss-DNA</span><span style=\"font-size:19px;line-height:150%;font-family:宋体\">抗体等可为阳性。停药后逐渐好转，病情较重者可给予适量糖皮质激素。</span></p><p style=\"line-height:150%\"><span style=\"font-size: 19px;line-height:150%\">&nbsp;</span></p><p style=\"line-height:150%\"><span style=\"font-size:19px;line-height:150%;font-family:宋体\">自我判断的重要依据：</span><span style=\"font-size:19px;line-height:150%\"><br/>&nbsp; &nbsp;DLE</span><span style=\"font-size: 19px;line-height:150%;font-family:宋体\">主要根据皮疹特点及皮肤病理检查。有条件者可做免疫荧光带实验以帮助确诊。</span><span style=\"font-size:19px;line-height:150%\">SLE</span><span style=\"font-size:19px;line-height:150%;font-family:宋体\">的诊断主要根据病史、临床表现及实验室检查三方面综合确定。目前一般采用美国风湿病学会</span><span style=\"font-size:19px;line-height:150%\">1982</span><span style=\"font-size:19px;line-height:150%;font-family:宋体\">年修订的</span><span style=\"font-size:19px;line-height:150%\">SLE</span><span style=\"font-size:19px;line-height:150%;font-family:宋体\">诊断标准。患者具有</span><span style=\"font-size:19px;line-height:150%\">11</span><span style=\"font-size:19px;line-height:150%;font-family:宋体\">项标准中</span><span style=\"font-size:19px;line-height:150%\">4</span><span style=\"font-size:19px;line-height:150%;font-family:宋体\">项或更多项、相继或同时出现，即可确诊。</span></p><p style=\"margin: 10px 0;line-height: 29px;background: white\"><span style=\"font-size: 16px;font-family: 微软雅黑, sans-serif\">&nbsp; &nbsp; &nbsp; &nbsp;</span><span style=\"font-size: 16px;font-family: 微软雅黑, sans-serif\">相信通过阅读本篇文章，大家对于本病的相关知识已经有所了解，对饮食注意事项也有所了解。找良医网提示您：当出现类似病症时，希望大家引起注意，提高警惕，及早就医，检查治疗。</span></p><p><br/></p>","barId":"1912","topicTypeId":null,"topicThemeId":"1029","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":5},{"id":"3299","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"什么是红斑狼疮，主要诱因和临床症状都有哪些","content":"<p style=\"padding: 0px; margin-top: 1em; margin-bottom: 1em; font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; white-space: normal; background-color: rgb(255, 255, 255);\"><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　红斑狼疮多见于育龄期妇女，狼疮患者往往在皮肤暴露部位（如脸颊）好发红斑，使女性“美丽不再”。更可怕的是，狼疮患者若不能得到及时正规的治疗，还有可能导致许多并发症，甚至危及生命。对狼疮患者而言，一定要早诊断、早治疗，并日常生活中做好防护工作。&nbsp;</span></p><p style=\"padding: 0px; margin-top: 1em; margin-bottom: 1em; font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; white-space: normal; background-color: rgb(255, 255, 255);\">诱发原因</p><p style=\"padding: 0px; margin-top: 1em; margin-bottom: 1em; font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; white-space: normal; background-color: rgb(255, 255, 255);\">1.红斑狼疮多发于育龄妇女。引发红斑狼疮的原因与内分泌有密切关系，在系统性红斑狼疮患者中无论男女均有雌酮羟基化产物增高。</p><p style=\"padding: 0px; margin-top: 1em; margin-bottom: 1em; font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; white-space: normal; background-color: rgb(255, 255, 255);\">2.遗传因素。凡具有系统性红斑狼疮遗传因素的人，一旦遇到某些环境中的诱发条件，就会引发本疾病。</p><p style=\"padding: 0px; margin-top: 1em; margin-bottom: 1em; font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; white-space: normal; background-color: rgb(255, 255, 255);\">3.感染因素。在患者的肾小球内皮细胞和皮损中找到包含体及类包含体物质，血清中抗病毒抗体增高，并在肾小球内可测得C型病毒相关抗原的抗体。</p><p style=\"padding: 0px; margin-top: 1em; margin-bottom: 1em; font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; white-space: normal; background-color: rgb(255, 255, 255);\">发病症状</p><p style=\"padding: 0px; margin-top: 1em; margin-bottom: 1em; font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; white-space: normal; background-color: rgb(255, 255, 255);\">1.关节疼痛。90%以上的红斑狼疮患者会出现关节疼痛的症状，在每个病期都可能发生关节疼痛，有些关节疼痛持续时间长，有些只是一次就过去了，关节疼痛最早会出现在红斑狼疮发病的数年之前。</p><p style=\"padding: 0px; margin-top: 1em; margin-bottom: 1em; font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; white-space: normal; background-color: rgb(255, 255, 255);\">2.血液细胞减少。得了红斑狼疮之后体内会出现各种各样大量的抗体，所以红细胞、白细胞和血小板就会遭到自身的破坏而出现减少。</p><p style=\"padding: 0px; margin-top: 1em; margin-bottom: 1em; font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; white-space: normal; background-color: rgb(255, 255, 255);\">3.心脏损害。25%左右的红斑狼疮病患者会存在心包炎，病情轻的话可能没有症状，病情重的话才会有心前区的疼痛或者胸闷的情况产生，在临床上很难发现。</p><p style=\"padding: 0px; margin-top: 1em; margin-bottom: 1em; font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; white-space: normal; background-color: rgb(255, 255, 255);\">4.红斑皮疹。大于80%的红斑狼疮病例会有皮损的情况出现，红斑和皮疹通常呈现多样。红斑或者皮疹在身体的各个部位都能够产生，一般不痛不痒。</p><p style=\"padding: 0px; margin-top: 1em; margin-bottom: 1em; font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; white-space: normal; background-color: rgb(255, 255, 255);\">5.粘膜溃疡和脱发。20%的红斑狼疮病例会出现粘膜损害，例如嘴唇、舌头、鼻子等部位会出现粘膜溃疡，如果出现继发性溃疡的话可能会疼痛。另外发红斑或者皮疹的部位会出现脱毛、脱发的现象。</p><p style=\"padding: 0px; margin-top: 1em; margin-bottom: 1em; font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; white-space: normal; background-color: rgb(255, 255, 255);\"><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">&nbsp; &nbsp; &nbsp; &nbsp; 对狼疮患者而言，一定要早诊断、早治疗，并日常生活中做好防护工作。&nbsp;<span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">更可怕的是，狼疮患者若不能得到及时正规的治疗，还有可能导致许多并发症，甚至危及生命。<span style=\"font-size: 12pt; font-family: 微软雅黑, sans-serif;\">相信通过阅读本篇文章，大家对于本病的相关知识已经有所了解，对饮食注意事项也有所了解。找良医网提示您：当出现类似病症时，希望大家引起注意，提高警惕，及早就医，检查治疗。</span></span></span></p><p style=\"margin: 10px 0;line-height: 29px;background: white\"><span style=\"color: rgb(255, 0, 0);\"><span style=\"font-size: 19px; font-family: Helvetica, sans-serif;\">&nbsp; &nbsp;&nbsp;</span><span style=\"font-size: 19px; font-family: 宋体;\">如果您在求医过程中遇到医疗诈骗，虚假医疗信息，请到找良医网</span><span style=\"font-size: 19px; font-family: Helvetica, sans-serif;\">&gt;</span><span style=\"font-size: 19px; font-family: 宋体;\">投诉曝光专栏发帖，或</span><span style=\"font-size: 19px; font-family: Helvetica, sans-serif;\">@</span><span style=\"font-size: 19px; font-family: 宋体;\">找良医新浪微博</span> <span style=\"font-size: 19px; font-family: 宋体;\">或</span><span style=\"font-size: 19px; font-family: Helvetica, sans-serif;\"> @</span><span style=\"font-size: 19px; font-family: 宋体;\">医疗纠纷维权新浪微博，我们全体工作人员帮您伸张正义。</span></span></p><p><br/></p>","barId":"1912","topicTypeId":null,"topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":5},{"id":"8933","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"认清红斑狼疮真面目","content":"<p style=\"margin: 0px; text-indent: 0px; line-height: 200%; text-align: center;\"><img src=\"http://01luntan.com/ly_img/uimgs/1512710554104.jpg\" title=\"认清红斑狼疮真面目\" alt=\"认清红斑狼疮真面目\" width=\"600\" height=\"372\"/></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">红斑狼疮，是一种自身免疫性疾病，不仅会侵犯皮肤，还可能造成各个内脏器官的损害，严重时甚至威胁生命。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">　 &nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">很多人把系统性红斑狼疮比作一只爱咬女性的</span>“狼”。红斑狼疮是一种自身免疫性结缔组织病红斑狼疮 蝶形红斑 系统性红斑狼多见于红斑狼疮 蝶形红斑 系统性红斑狼红斑狼疮 蝶形红斑 系统性红斑狼-红斑狼疮 蝶形红斑 系统性红斑狼红斑狼疮 蝶形红斑 系统性红斑狼岁的女性红斑狼疮 蝶形红斑 系统性红斑狼男女之比约为1:9。系统性红斑狼疮如果不及时治疗，当它咬到心脏时，可引起心肌炎等；当它咬到肺和肝，可引起间质性肺炎和狼疮性肝炎等；当它咬到血液，可引起贫血等；它最喜欢咬的就是肾，损害率高达95%；然而，最怕它咬到脑，不仅会引发癫痫，甚至可能引起死亡。由于该病病因不明，尚无法预防。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">　 &nbsp;<span style=\"font-family:宋体\">一、红斑狼疮的种类：</span> &nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">　 &nbsp;1、系统性红斑狼疮</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">　 &nbsp;<span style=\"font-family:宋体\">早期改变多种多样可出现长期低热，间断性不明妙手原因的高热，倦怠乏力，关节酸痛及体重下降等全身症状药物，部分太少患者长期患慢性求医荨麻疹，过敏性紫癜，结节性红斑等皮肤病。</span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">　 <span style=\"font-family:宋体\">（</span>1）肾脏损害：肾炎和肾病综合症，肾功能早期为了一般来的正常，随着病情有限发展，后期可出现尿毒症，肾脏损害SLE致死的号费主要原因顺心，SLE的肾脏损害称狼疮性肾炎，其病理分型包括系统增殖型，局灶型或弥漫增殖型和膜性肾小球肾炎。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">　 <span style=\"font-family:宋体\">（</span>2）皮肤粘膜损害：面部，两颊出现稍高出皮面的鲜红或紫红色水肿性红斑，即蝶形红斑；甲周红斑及指趾末端出现紫红色斑点和瘀点或弧形斑，伴指尖的点状萎缩；盘状红斑狼疮皮损；额部毛发枯萎，变细，易折断，即狼疮发，亦可弥漫性脱毛及其他儿子形式的脱发。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">　 <span style=\"font-family:宋体\">（</span>3）精神，神经症状意见：由于我要机体免疫功能紊乱而产生自身抗体，使免疫复合物与补体沉积导致炎症一句。常在急性期或终末期出现，常见当然症状有：游走性关节痛和皮疹，一般分钟症状一堆有疲乏、发热和体重减轻。病变长波及肾脏，引起肾炎、肾衰竭、胸膜炎、心包炎、视网膜病、淋巴结病、和恶劣各种血细胞减少症等。中枢神经受累时，可产生神经精神状。系统性红斑狼疮所致精神障碍所引起的神经精神症状气愤，必须与中枢神经系用感染、高血压性脑疾病和类固醇之际治疗下个月所致的精神障碍相鉴别。对伴有中枢神经系统病变的系统性红斑狼疮患者名气，可使用类固醇或大剂量免疫制剂治疗周五，精神症状中饭可使用抗精神病药和情感影响稳定剂。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">　 <span style=\"font-family:宋体\">（</span>4）呼吸系统损害：可发生胸膜炎，多为干性。有时出现少量或中等量胸腔积液，也可发生间质性肺炎。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">　 <span style=\"font-family:宋体\">（</span>5）关节症状安排：可有关节疼痛，常累及手指，足趾，膝和腕关节，似累风湿性关节演的表现，多为晨僵。但X射线不说检查无关节破坏权威现象。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">　 <span style=\"font-family:宋体\">（</span>6）心血管损害：心包炎最常见，一般诊治为干性纤维性心包炎，也可少量积液而出现心包填塞善良症状。少数顺心患者了出现心内膜炎，心律失常等。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">　 <span style=\"font-family:宋体\">（</span>7）消化系统生命症状：可出现口腔溃疡红斑狼疮 蝶形红斑 系统性红斑狼恶心红斑狼疮 蝶形红斑 系统性红斑狼呕吐红斑狼疮 蝶形红斑 系统性红斑狼腹痛红斑狼疮 蝶形红斑 系统性红斑狼腹泻等根治症状。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">　 <span style=\"font-family:宋体\">（</span>8）血液系统损害：出现溶血性贫血，白细胞减少，血小板减少发生率较贫血及白细胞减少低。</span></p><p><br/></p>","barId":"1912","topicTypeId":null,"topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":5}],"pageObj":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":5,"pageNumber":0,"totalPage":0,"totalRow":0},"loginUser":null,"replies":[],"forumUserFans":null,"herfList":[],"only":"0","topic":{"id":"11182","isDel":0,"createAt":1516096861616,"createBy":"e8f7486fbba411e7a3d800163e04584d","createName":"1516932689@qq.com","updateAt":1516152680881,"updateBy":"e8f7486fbba411e7a3d800163e04584d","updateName":"1516932689@qq.com","userId":"e8f7486fbba411e7a3d800163e04584d","title":"专家向您解答红斑狼疮易造成的五大危害","content":"<p style=\"margin-right:0;text-indent:28px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\"><br/></span></span></p><p style=\"margin-right: 0px; text-indent: 28px; text-align: center; line-height: 200%;\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\"><img src=\"http://01luntan.com/ly_img/uimgs/1516097168665.jpg\" title=\"专家向您解答红斑狼疮易造成的五大危害\" alt=\"专家向您解答红斑狼疮易造成的五大危害\" width=\"600\" height=\"372\"/></span></span></p><p style=\"margin-right:0;text-indent:28px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\"><br/></span></span></p><p style=\"margin-right:0;text-indent:28px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">红斑狼疮，</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">看似没有很大的伤害</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">，</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">但是时间久了</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">会造成</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">某些</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">并发症的出现</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">，如果不及时治疗后果则不堪设想</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">。那么，红斑狼疮会</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">引发</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">哪些并发</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">疾病呢，</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">这些并发</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">疾病</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">会</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">给患者带来</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">怎样的危害</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">呢？</span></span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">1、</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">关节炎</span></span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">有</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">90％以上的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">患者都有</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">关节痛</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">的症状</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">，</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">无论处于哪个年龄段</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">都可能发生。关节痛有的于发病前数年已经出现，</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">部分患者</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">关节周围软组织肿胀，触痛和积液，</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">这是</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">急性关节炎</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">的症状</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">。受累部位多见的有近端指关节、掌指关节、腕、肘、膝、趾节等，常有对称性。</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">还有患者会出现早晨僵硬的症状</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">。有些</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">患者</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">关节</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">病痛周期</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">较长，有些</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">患者</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">关节</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">病痛周期</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">较</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">短</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">，甚至为一过性关节痛。</span>X片大多见不到骨质改变和关切畸形，长期服用糖皮质激素达5年以上，约5％</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">患者会出现</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">无菌性骨坏死。</span></span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">2、</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">血液细胞减少</span></span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">因为</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">自身抗体</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">的</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">存在，红细胞、白细胞、血小板均自身破坏而减少。</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">大多数的</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">贫血为正细胞性贫血，抗红细胞抗体多为</span>lgG型，血红蛋白</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">就会减少</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">。白细胞</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">通常是因为</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">粒细胞或淋巴细胞减少。血小板减少，存活</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">周期</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">短，血小板</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">会由</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">表面</span>lgG型抗血小板而</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">导致自体的</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">破坏。</span></span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">3、</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">心脏损害</span></span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">约有</span>1/4的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">患者</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">有心包炎</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">症状，不严重时没有任何表现</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">，</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">严重时会出现</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">心前区胸闷疼痛，有一时性心包磨擦音，临床</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">也很难</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">发现。心动超声图或</span>B超和X线胸片</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">必须要做</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">常规检查，</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">才会</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">有心包积液</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">的数据</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">。</span></span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">4、</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">肺损害</span></span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　SLE许多</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">患者</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">在</span>X线胸片中示有两下肺基底段点状小结节影和条索或网状阴影，为间质性改变，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">大部分没有明显的</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">症状</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">表现</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">。</span></span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">5、</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">胸膜炎</span></span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">平时观察不到只有在相关仪器</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">检查中</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">才能</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">发现，即：</span>B超和X线胸片中有少量至中等量胸腔积液，有时与心包积液同时存在。胸水中可找到LE细胞。狼疮性肾炎从临床上</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">大约</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">有</span>75％的SLE</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">患者</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">有肾损害，尿检中有蛋白质，红细胞，白细胞，</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">很少患者</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">有管型。狼疮性肾炎在</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">初</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">期</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">就会</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">发生。</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">如果病情</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">持续多年，</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">就</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">会</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">造成大范围</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">损害，演变为肾功能不全而成尿毒症。</span></span></p><p><br/></p>","barId":"1912","topicTypeId":"2","topicThemeId":"1034","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1336,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1516096861618,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1516096861618,"metaSearch":null,"rn":null},"userAllInfo":{"id":null,"isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":null,"password":null,"level":0,"nickName":null,"realName":null,"signName":null,"head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":0,"userType":0,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":0,"provinceId":null,"cityId":null,"userLevel":0,"modifyNameCount":0,"forumUser":{"id":"e8f7486fbba411e7a3d800163e04584d","isDel":0,"createAt":1509170261557,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"王可可","password":"wrj123123","level":0,"nickName":"搁浅","realName":null,"signName":"总有一天你的努力会收获","head":"http://01luntan.com/ly_img/1520299822787.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"1516932689@qq.com","address":null,"identityType":7,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"forumUserActiveInfo":{"id":"e8fcc8c5bba411e7a3d800163e04584d","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":1532599744412,"updateBy":"e8f7486fbba411e7a3d800163e04584d","updateName":"1516932689@qq.com","userId":"e8f7486fbba411e7a3d800163e04584d","topicCount":3583,"replayCount":47,"favorteCount":0,"beFavorteCount":0,"creamCount":0,"focusCount":0,"fansCount":0,"integralCount":6027,"foodCouponCount":8120,"lastLoginTime":0,"lastLoginIp":null,"downloadCount":0,"uploadCount":0},"newPass":null,"focusBar":null,"counter":null,"forumUserIdentificateDto":null},"theme":{"id":"1034","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"topicTypeId":"2","topicTypeName":"治疗","themeName":"并发症","barType":"102","schemaName":2,"reward":0},"page":1,"favorties":true,"isSelf":false,"order":"asc"}