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发表于 2008-12-10 09:02:23
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71-7-第七节 预 后
CSS最常见的死因是继发于冠状动脉血管炎的心肌炎和心肌梗死。经治疗的CSS的1年存活率为90%,5年存活率为62 ,未接受治疗的5年生存率为 25 。早期而有效的治疗预后较好,死亡率较 PAN低,5年存活率为78.9%,主要死亡原因是心肌受累导致难治性的心力衰竭。影响CSS预后的危险因素有:①氮质血症(肌Of > 1. 5 mg /dl) ;②蛋白尿(>1g/d) ;③胃肠道受累;④心肌病;⑤中枢神经系统受累。危险因素越多,则预后越差。8 l% K: v" Y/ S! r' H% @9 l
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