安徽医学
安徽醫學
안휘의학
ANHUI MEDICAL JOURNAL
2014年
5期
579-581
,共3页
多发性硬化%临床分析%误诊
多髮性硬化%臨床分析%誤診
다발성경화%림상분석%오진
Multiple sclerosis%Clinical analysis%Misdiagnosis
目的:探讨多发性硬化(MS)临床特点,以减少误诊率。方法回顾性分析119例MS的临床资料。结果 MS的首发症状以肢体无力(63.0%)、感觉障碍(56.3%)及视觉损害(37.8%)为多见,其次是走路不稳(23.5%)、大小便障碍(18.4%)及精神异常(12.6%)等。MS患者首次发病后容易误诊为其他的疾病,其中以病毒性脑炎(12.6%)和脑梗死(16.8%)多见,癫痫(3.3%)及精神疾病(6.7%)也不少。结论多发性硬化临床表现形式多样,充分认识MS临床特殊性,结合多项辅助检查以提高多发性硬化的诊断率,减少误诊率。
目的:探討多髮性硬化(MS)臨床特點,以減少誤診率。方法迴顧性分析119例MS的臨床資料。結果 MS的首髮癥狀以肢體無力(63.0%)、感覺障礙(56.3%)及視覺損害(37.8%)為多見,其次是走路不穩(23.5%)、大小便障礙(18.4%)及精神異常(12.6%)等。MS患者首次髮病後容易誤診為其他的疾病,其中以病毒性腦炎(12.6%)和腦梗死(16.8%)多見,癲癇(3.3%)及精神疾病(6.7%)也不少。結論多髮性硬化臨床錶現形式多樣,充分認識MS臨床特殊性,結閤多項輔助檢查以提高多髮性硬化的診斷率,減少誤診率。
목적:탐토다발성경화(MS)림상특점,이감소오진솔。방법회고성분석119례MS적림상자료。결과 MS적수발증상이지체무력(63.0%)、감각장애(56.3%)급시각손해(37.8%)위다견,기차시주로불은(23.5%)、대소편장애(18.4%)급정신이상(12.6%)등。MS환자수차발병후용역오진위기타적질병,기중이병독성뇌염(12.6%)화뇌경사(16.8%)다견,전간(3.3%)급정신질병(6.7%)야불소。결론다발성경화림상표현형식다양,충분인식MS림상특수성,결합다항보조검사이제고다발성경화적진단솔,감소오진솔。
Objective To investigate the clinical features of multiple sclerosis (MS)in order to reduce the rate of misdiagnosis. Methods The clinical data of 1 19 cases MS patients were retrospectively analyzed.Results The first symptom of MS was weakness (63.0%),sensory disturbances (56.3%)and visual impairment (37.8%)were more common,followed by ataxia (23.5%),bowel and bladder disorders (18.4%)and mental abnormalities (12.6%),etc.The first time MS patients were easily misdiagnosed as other diseases, such as viral encephalitis (12.6%)and cerebral infarction (16.8%),which were more common,and epilepsy (3.3%)and mental disor-ders (6.7%)as well.Conclusion The clinical manifestations of multiple sclerosis are in various forms,and understanding the particularity of MS combined with a number of clinical laboratory examinations is important in improving the diagnosis of the disease and reducing the mis-diagnosis rate.