全身性紅斑性狼瘡－醫院死亡：44病例之分析

Hospital Mortality in Systemic Lupus Erythematosus: 44 Cases Analysis

陳家勉(Cha-Mein Chen) ； 朱士傑(Shi-Jye Chu) ； 郭三元(San-Yuan Kuo) ； 張木蘭(Mu-Lan Chang) ； 許昌敏(Chang-Mien Hsu) ； 張棋楨(Chi-Ching Char) ； 施宗義(Tzung-Yi Shih) ； 張德明(Deh-Ming Chang)

《Journal of Medical Sciences》 14卷6期 (1994/06) Pp. 405-410

摘要

近十年來，三軍總醫院有44位死亡之全身性紅斑性狼瘡病患，而以腎衰竭（32%）及敗血症（32%）二者為主要之死因。有8人是死於入院後3日之內，呼吸急促併下肢水腫的有3人，另2人入院時之主訴祇是全身無力，而其他3人之主訴則分別是意識不清，腹痛及咳血；4人（50%）有發燒現象（1位死於敗血症）。就狼瘡臨床症狀之多樣性及易於感染的特性，對急症的病患如何予以有效的評估及處置，實乃一大挑戰。

關鍵字

全身性紅斑性狼瘡 ； 死亡率

並列摘要

Forty-four hospital mortality cases of systemic lupus erythematosus (SLE) were analyzed at Tri-Service General Hospital, from 1983 to 1993. The renal failure (32%) and sepsis (32%) were the most frequent causes of death. Among them, eight critical patients who died less than 3 hospital days were also studied. Dyspnea combined lower legs edema was noted in 3, but 2 patients just complained generalized malaise. The other three patients complained Of conscious loss, abdominal pain or hemoptysis. However, the cause of death was as yet necessary to be investigated. Fever was not prominent in all except 4 cases (only one died in sepsis). As to the variable clinical symptoms and vulnerability to infection of SLE, it is indeed a challenge for the rheumatologist to evaluate and treat such patients.

並列關鍵字

Systemic lupus erythematosus ； mortality