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[系统性红斑狼疮。1. 173例患者随访13.9年的疾病表现、感染、血栓形成事件、死亡原因及生存率]

[Systemic lupus erythematosus. 1. Disease manifestations, infections, thrombotic episodes, causes of death and survival in a case load of 173 patients followed for 13.9 years].

作者信息

Halberg P, Bendixen G, Kriegbaum N J, Lorenzen I, Müller K, Olesen K M, Ullman S

机构信息

Hvidovre Hospital, København, reumatologisk afdeling.

出版信息

Ugeskr Laeger. 1991 Jun 10;153(24):1700-4.

PMID:2058038
Abstract

One hundred and seventy-three patients had systemic lupus erythematosus according to the 1982-ARA-criteria. The mean disease duration at the time of the study was 16.4 years, and the patients were followed by three Copenhagen clinics for a mean of 13.9 years until 1987/88 or death. Half of the patients had nephropathy, 61 patients developed severe infections, and 39 patients had thrombotic episodes. Fifty-six patients died during the observation period, 24 due to active lupus (12 of kidney failure), 12 because of infections, and 11 because of atherosclerotic cardio-vascular disease. The patients had 10-, 15- and 20-year survival rates of 80, 65 and 48 per cent. The deaths were evenly distributed throughout the observation period.

摘要

根据1982年美国风湿病学会(ARA)标准,173例患者患有系统性红斑狼疮。研究时的平均病程为16.4年,这些患者由哥本哈根的三家诊所随访,平均随访13.9年,直至1987/1988年或死亡。一半的患者患有肾病,61例患者发生严重感染,39例患者出现血栓形成事件。在观察期内,56例患者死亡,24例死于活动性狼疮(12例死于肾衰竭),12例死于感染,11例死于动脉粥样硬化性心血管疾病。患者的10年、15年和20年生存率分别为80%、65%和48%。死亡在整个观察期内分布均匀。

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