Lehmann P, Brünnler T, Salzberger B, Fleck M
Klinik und Poliklinik für Innere Medizin I, Universitätsklinikum Regensburg, Franz-Josef-Strauss-Allee 11, 93042, Regensburg, Deutschland.
Med Klin Intensivmed Notfmed. 2012 Jun;107(5):391-6. doi: 10.1007/s00063-011-0073-y. Epub 2012 Feb 2.
The mortality of patients with rheumatic diseases in the intensive care unit is generally high despite their relatively young age. In these patients, it is often difficult to make the diagnosis of the underlying autoimmune disease or to differentiate between septic complications and an acute flare; likewise, the complexity of the specific antirheumatic therapy can also be accompanied by problems. The following article gives an overview of problems in the diagnosis and treatment of critically ill patients with autoimmune diseases in the intensive care unit.
尽管患有风湿性疾病的患者相对年轻，但重症监护病房中这类患者的死亡率通常较高。对于这些患者，往往难以诊断潜在的自身免疫性疾病，也难以区分脓毒症并发症和急性发作；同样，特异性抗风湿治疗的复杂性也可能带来问题。以下文章概述了重症监护病房中自身免疫性疾病危重症患者的诊断和治疗问题。
