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系统性红斑狼疮的胸膜肺部表现:各亚组的临床特征、预后及治疗意义

Pleuro-pulmonary manifestations of systemic lupus erythematosus: clinical features of its subgroups. Prognostic and therapeutic implications.

作者信息

Pines A, Kaplinsky N, Olchovsky D, Rozenman J, Frankl O

出版信息

Chest. 1985 Jul;88(1):129-35. doi: 10.1378/chest.88.1.129.

DOI:10.1378/chest.88.1.129
PMID:3924488
Abstract

Correct identification of the subsets of pulmonary lupus has an unquestioned importance in planning the proper therapeutic regimen in this extremely variegated disease. Asymptomatic pulmonary lupus needs no treatment; however, pulmonary involvement in lupus may be life threatening, in which case prompt and aggressive treatment is mandatory. The different aspects of pulmonary lupus are demonstrated through the clinical histories of patients who suffered from pleuro-pulmonary lupus. The following entities are presented: lupus pneumonitis, lymphocytic interstitial pneumonia, pulmonary hypertension, pulmonary hemorrhage, pulmonary embolism associated with circulating lupus anticoagulant, lupus pleuritis and weakness of the diaphragm.

摘要

准确识别肺部狼疮的亚型对于规划这种极为复杂疾病的恰当治疗方案具有毋庸置疑的重要性。无症状性肺部狼疮无需治疗;然而,狼疮的肺部受累可能危及生命,在这种情况下,迅速且积极的治疗是必需的。通过患有胸膜 - 肺部狼疮患者的临床病史展示了肺部狼疮的不同方面。以下是呈现的几种情况:狼疮性肺炎、淋巴细胞间质性肺炎、肺动脉高压、肺出血、与循环狼疮抗凝物相关的肺栓塞、狼疮性胸膜炎以及膈肌无力。

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Influence of gender on diaphragm thickness using a method for determining intima media thickness in healthy young adults.
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