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中华产科急救电子杂志 ›› 2018, Vol. 07 ›› Issue (02) : 90 -94. doi: 10.3877/cma.j.issn.2095-3259.2018.02.007

所属专题: 指南与规范 文献 指南共识

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妊娠期狼疮危象的早期识别和规范化救治
林维1, 张卫茹1,()   
  1. 1. 410008 长沙,中南大学湘雅医院风湿免疫科
  • 收稿日期:2018-01-05 出版日期:2018-05-18
  • 通信作者: 张卫茹

Early identification and standardized treatment of lupus crisis in pregnancy

Wei Lin1, Weiru Zhang1()   

  • Received:2018-01-05 Published:2018-05-18
  • Corresponding author: Weiru Zhang
引用本文:

林维, 张卫茹. 妊娠期狼疮危象的早期识别和规范化救治[J/OL]. 中华产科急救电子杂志, 2018, 07(02): 90-94.

Wei Lin, Weiru Zhang. Early identification and standardized treatment of lupus crisis in pregnancy[J/OL]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2018, 07(02): 90-94.

系统性红斑狼疮(systemic lupus erythematosus, SLE)是一种好发于育龄期女性的慢性自身免疫性疾病,狼疮危象是指急性的危及生命的重症SLE。妊娠可使SLE患者病情加重,甚至诱发狼疮危象。早期识别和规范化治疗妊娠期狼疮危象,是抢救患者生命的关键。

Systemic lupus erythematosus (SLE) , known as a chronic autoimmune disease, occurs frequently in women of childbearing age. Lupus crisis refers to severe SLE that is acute and life-threatening. Pregnancy may aggravate the condition of pregnant women with SLE and even induce lupus crisis. Early recognition and standardized treatment are the keys to rescue the lupus crisis pregnancies' lives.

表1 妊娠与狼疮活动的临床特点及实验室特征[12]
表2 子痫前期和狼疮肾炎活动的鉴别
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