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1 病例介绍 女患,20岁,曾因SLE肝肾损害经强的松和中药等支持治疗好转,1986年复发,因症状加重住院两周。实验室检查:发现可疑LE细胞,类风湿因子1:160阳性,血沉第一小时80mm,第二小时104mm,中等值66mm。血常规;血红蛋白130g/L,红细胞4.42/10~12/L,白细胞5.9×10~9/L。白细胞分类;分叶0.72,淋巴0.28。尿常规:蛋白尿(+++),红细胞(++),迁明管型2～3个,小圆上皮3—4个,扁平上皮(++++)。肝功能检查HBsAg(+)。B超检查右肝界最大斜经140mm,肝内回波密 光点分布较均 脾门原37mm。
1 case description Female, 20 years old, had SLE liver and kidney damage by prednisone and traditional Chinese medicine and other supportive treatment improved in 1986, recurrence, hospitalized for two weeks due to symptoms. Laboratory tests: Found suspicious LE cells, rheumatoid factor 1: 160 positive, erythrocyte sedimentation rate for the first hour 80mm, the second hour 104mm, the median 66mm. Blood; hemoglobin 130g / L, red blood cells 4.42 / 10 ~ 12 / L, white blood cells 5.9 × 10 ~ 9 / L. Leukocyte classification; leaf 0.72, lymph 0.28. Urine routine: proteinuria (+++), erythrocytes (++), 2 to 3 tube to move clear tube, 3-4 small round epithelium, flat epithelium (++++). Liver function tests HBsAg (+). B-ultrasound examination of the largest right hepatic oblique 140mm, intrahepatic echo light spot distribution than the spleen door original 37mm.