国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2009年
14期
62-64
,共3页
神经梅毒%麻痹性痴呆
神經梅毒%痳痺性癡呆
신경매독%마비성치태
neurosyphilis general paresis of insane
目的 探讨麻痹性痴呆的临床表现和特征以及早期诊断.方法 回顾性分析经临床和实验室确诊的22例GPI患者的有关临床资料.结果 22例患者中均有不同程度的智能下降,合并精神异常、行为异常、视幻觉或听幻觉及脑梗死等;所有患者血液、脑脊液快梅毒螺旋体血凝试验阳性;其影像学检查可发现异常.误诊率为45.45%(10/22).结论 麻痹性痴呆应重视梅毒血清和脑脊液抗体的检查,结合MRI等影像学资料,可提高其诊断准确性.
目的 探討痳痺性癡呆的臨床錶現和特徵以及早期診斷.方法 迴顧性分析經臨床和實驗室確診的22例GPI患者的有關臨床資料.結果 22例患者中均有不同程度的智能下降,閤併精神異常、行為異常、視幻覺或聽幻覺及腦梗死等;所有患者血液、腦脊液快梅毒螺鏇體血凝試驗暘性;其影像學檢查可髮現異常.誤診率為45.45%(10/22).結論 痳痺性癡呆應重視梅毒血清和腦脊液抗體的檢查,結閤MRI等影像學資料,可提高其診斷準確性.
목적 탐토마비성치태적림상표현화특정이급조기진단.방법 회고성분석경림상화실험실학진적22례GPI환자적유관림상자료.결과 22례환자중균유불동정도적지능하강,합병정신이상、행위이상、시환각혹은환각급뇌경사등;소유환자혈액、뇌척액쾌매독라선체혈응시험양성;기영상학검사가발현이상.오진솔위45.45%(10/22).결론 마비성치태응중시매독혈청화뇌척액항체적검사,결합MRI등영상학자료,가제고기진단준학성.
Objective To investigate the clinical characteristics,so as to make an early diagnosis available.Methods Retrospective study of 22 GPI cases was performed.We did the intellective detection with MMSE score.Results There were different degree decrease of intelligence in the 22 patients,some combined mental and behavior disorders,opinion and auditory hallucination,all the RPR and TPPA tests in the blood and CSF were positive.Conclusion GPI was varied clinical characteristics and easy to misdiagnose.Diagnoso on syphilis must combine the imageological data,such MRI.
