成人斯蒂尔(Still)病伴大量胸腹水1例报道并文献复习

Adult Onset Still Disease with Hydrothorax and Ascites: A Case Report and Literature Review

摘要: 目的：总结成人斯蒂尔病的临床特点、诊断及治疗措施。方法：回顾性分析成人斯蒂尔病的临床资料，并复习相关文献。结果：给予激素和环磷酰胺及对症治疗后，胸腹水全部消退，痊愈出院。结论：成人斯蒂尔病肝脾肿大胃底静脉曲张同时出现大量胸腹水症状为表现的病例较少，故应详细询问病史，认真查体并及时完善相关检查，早诊断、早治疗，做好医患沟通，做好该病的医学知识的临床宣教工作，增强患者的依从性，从而尽量减少疾病拖出多系统严重的并发症。

Abstract: Objective: To summarize the clinical characteristics, diagnosis and treatment of adult onset Still disease. Methods: The clinical data of adult onset Still disease were retrospectively analyzed, and the related literatures were reviewed. Results: After hormone, cyclophosphamide and symptomatic treatment, all pleural and ascites are subsided and recovered and discharged. Conclusion: There are fewer cases of hepatosplenomegaly and gastric varices in adult-onset Still disease with a large number of symptoms of pleural and ascites. It is necessary to inquire the history of the disease in detail, examine the body carefully and improve the relevant examinations in time, make early diagnosis and treatment, do a good communication between doctors and patients, do a good job in clinical propaganda and education of the disease’s medical knowledge, and enhance the patient’s compliance, so as to minimize the disease dragging out multiple serious complications.