Heiberg E, Wolverson M K, Sundaram M, Shields J B
Department of Radiology, St. Louis University Medical Center, Missouri 63104.
J Comput Tomogr. 1988 Jan;12(1):68-74. doi: 10.1016/0149-936x(88)90035-5.
Fifty-five computed tomography scans in 27 patients with systemic lupus erythematosus were reviewed. The most frequent indication for scanning was suspected intraabdominal sepsis, and the most frequent finding was mild lymphadenopathy. Renal abnormalities were: subcapsular hematoma, focal defects, overall enlargement, and diminution of size. Other findings included serositis, bowel wall thickening with pneumatosis intestinalis, pancreatic pseudocyst, and hepatic and splenic enlargement. Five abscesses were found that were indistinguishable from other fluid collections. Computed tomography was helpful in clinical evaluation and in some cases changed management.
对27例系统性红斑狼疮患者的55份计算机断层扫描进行了回顾。扫描的最常见指征是怀疑腹腔内脓毒症，最常见的发现是轻度淋巴结病。肾脏异常包括：包膜下血肿、局灶性缺损、整体增大和体积减小。其他发现包括浆膜炎、肠壁增厚伴肠壁积气、胰腺假性囊肿以及肝脏和脾脏肿大。发现了5个脓肿，与其他液体积聚无法区分。计算机断层扫描有助于临床评估，在某些情况下改变了治疗方案。
