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当前位置:中华考试网 >> 执业医师 >> 临床执业医师 >> 考试辅导 >> 2021年临床执业医师考点复习:风湿免疫系统

2021年临床执业医师考点复习:风湿免疫系统

来源:中华考试网   2020-11-11   【

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  1.XITONGXINGHONGBANLANGCHUANG(SLE)SHIYIZHONGYIDUOXITONGSUNHAIHEDUOZHONGZISHENKANGTIYANGXINGWEIZHUYAOTEDIANDEXITONGXINGZISHENMIANYIXINGJIBING,ZAIMANXINGBINGCHENGZHONGBINGQINGHUANJIEHEJIXINGFAZUOCHANGJIAOTIFASHENG。

  2.80%SLEHUANZHEYOUPIFUSUNHAI,QIZHONGDIEXINGHONGBANHEPANZHUANGHONGBANZUIJUYOUTEZHENGXING。

  3.10%DESLEHUANZHEYINGUANJIEZHOUWEIJIJIANSHOUSUNERCHUXIANJaccoudGUANJIEBING,QITEDIANWEIKEFUXINGFEIQINSHIXINGGUANJIEBANTUOWEI。

  4.JIHUSUOYOUSLEHUANZHEDESHENZUZHIDOUYOUBINGLIBIANHUA,YUE60%HUANZHEYOULINCHUANGBIAOXIAN。

  5.SLEKECHUXIANBANMOZHUISHENGWU,CHENGWEILibman-SackXINNEIMOYAN。

  6.ZHILIAORADEYAOWUZHUYAOFENWEISANDALEI:FEIZAITIKANGYANYAO(QIXIAOKUAI,JUYOUKANGYAN、ZHENTONGZUOYONG。DANBUNENGKONGZHIBINGQINGJINZHAN,BIXUYUGAIBIANBINGQINGKANGFENGSHIYAOLIANHEZHILIAO)、TANGPIZHIJISU(JUYOUQIANGDADEKANGYANZUOYONG)、GAIBIANBINGQINGKANGFENGSHIYAO(RUJIAANDIELING,YOUYANHUANJIBINGJINZHANDEZUOYONG,ZAIRAMINGQUEZHENDUANHOU,YINGJINZAOSHIYONG)。

  7.XITONGXINGHONGBANLANGCHUANG=DIEXINGHONGBANHUOPANZHUANGHONGBAN+DUOXITONGBINGBIAN+DUOZHONGKANGTIYANGXING(KANGSm,KANGdsDNA)

  8.TANGPIZHIJISU:SHIZHILIAOSLEDEZHUYAOYAOWU,YIBANXUANYONGPONISONG。

  9.MIANYIYIZHIJI:BINGQINGYANZHONGDESLETONGCHANGXUYAOJISUHEMIANYIYIZHIJIDELIANHEZHILIAO。CHANGYONGYAOWUBAOKUO:HUANLINXIANAN、MATIMAIKAOFENZHI、LIUZUOPIAOLING、HUANBAOSUDENG。

  10.LEIFENGSHIGUANJIEYAN(RA)SHIYIDUICHENGXINGDUOGUANJIEYANZHENGHEGUZHIPOHUAIWEIZHUYAOTEZHENGDEXITONGXINGZISHENMIANYIXINGJIBING。

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  11.RAGUANJIEBIAOXIANZHUYAOFENWEIHUAMOYANZHENGHEGUANJIEJIEGOUPOHUAILIANGGEFANGMIANBIAOXIAN,BIAOXIANYOU:CHENJIANG(CHIXU≥1XIAOSHIYISHANGDECHENJIANGDUIRADEYIYIJIAODA),TENGTONGYUYATONG(GUANJIETONGWANGWANGSHIRADESHOUFAZHENGZHUANG,ZUICHANGSHOULEIDEBUWEIWEIWANGUANJIE、ZHANGZHIGUANJIE、JINDUANZHIJIANGUANJIE)、GUANJIEZHONG、GUANJIEJIXING(ZUICHANGJIANDEJIXINGSHIWANGUANJIEQIANGZHI、ZHOUGUANJIEWANQUANSHENZHISHOUXIAN、ZHANGZHIGUANJIEBANTUOWEI、SHOUZHICHICEPIANXIE、SHOUZHI“TIANEJING”HUO“NIUKOUHUA”JIXING)DENG。

  12.LEIFENGSHIGUANJIEYANZHENDUANTEYIXINGZUIGAODEKANGTISHI:KANGCCPKANGTI。

  16.QIANGZHIXINGJIZHUYAN(AS)SHIYIZHONGZHOUGUANJIEMANXINGYANZHENG、GUZHIPOHUAIJIGUZHIZENGSHENGWEIZHUYAOTEDIANDEFENGSHIXINGJIBING,YEKELEIJIWAIZHOUGUANJIEHENEIZANGQIGUAN。DIANXINGDEYINGXIANGXUEGAIBIANSHIDIQIAGUANJIEGUZHIPOHUAIYIJIWANQIJIZHU“ZHUJIEYANG”GAIBIAN。

  13.AS体征:骶髂关节压痛,脊柱前屈、后伸、侧弯和转动受限,胸廓活动度减低(<2.5cm),枕墙距异常(>0cm)等,Schober试验阳性(<4cm)。“4”字试验阳性提示骶髂关节病变。

  14.ASYAOWUZHILIAO:FEIZAITIKANGYANYAO、GAIBIANBINGQINGKANGFENGSHIYAO、TANGPIZHIJISU、ZHONGLIUHUAISIYINZIJIEKANGJIDENG。

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