中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2010年
2期
178-180
,共3页
帕金森病%误诊%分析
帕金森病%誤診%分析
파금삼병%오진%분석
Parkinson disease%Misdiagnosis%Analysis
目的 分析与帕金森病相关误诊患者的临床资料,以期提高临床医生对该病的认识水平,提高帕金森病的正确诊断率.方法 利用兰州大学第二医院运动障碍疾病数据库筛选出26例误诊患者,结合国内外的参考文献以系统回顾的方法分析疾病误诊原因.结果 特发性震颤、血管性帕金森综合征、脑血管病、进行性核上性麻痹、药物性帕金森综合征、多系统萎缩等疾病易与帕金森病相混淆.结论 病史采集不详细、体格检查不仔细、过分依赖实验室检查或缺少必要的实验室检查、对PD认识不足等因素与帕金森病相关误诊有关.
目的 分析與帕金森病相關誤診患者的臨床資料,以期提高臨床醫生對該病的認識水平,提高帕金森病的正確診斷率.方法 利用蘭州大學第二醫院運動障礙疾病數據庫篩選齣26例誤診患者,結閤國內外的參攷文獻以繫統迴顧的方法分析疾病誤診原因.結果 特髮性震顫、血管性帕金森綜閤徵、腦血管病、進行性覈上性痳痺、藥物性帕金森綜閤徵、多繫統萎縮等疾病易與帕金森病相混淆.結論 病史採集不詳細、體格檢查不仔細、過分依賴實驗室檢查或缺少必要的實驗室檢查、對PD認識不足等因素與帕金森病相關誤診有關.
목적 분석여파금삼병상관오진환자적림상자료,이기제고림상의생대해병적인식수평,제고파금삼병적정학진단솔.방법 이용란주대학제이의원운동장애질병수거고사선출26례오진환자,결합국내외적삼고문헌이계통회고적방법분석질병오진원인.결과 특발성진전、혈관성파금삼종합정、뇌혈관병、진행성핵상성마비、약물성파금삼종합정、다계통위축등질병역여파금삼병상혼효.결론 병사채집불상세、체격검사불자세、과분의뢰실험실검사혹결소필요적실험실검사、대PD인식불족등인소여파금삼병상관오진유관.
Objective To analyze the clinical data of misdiagnoses related to Parkinson's disease,to improve the awareness level of clinical doctors and the rate of correct diagnoses of Parkinson's disease.Methods Twenty-six misdiagnosed patients screened out from Dyskinesia Disease Database of Second Hospital of Lanzhou University.The misdiagnoses reasons were analyzed retrospectively integrating with references at home and abroad.Results Parkinson's disease were easily confused with idiopathic tremor,vascular Parkinson's disease,cerebrovascular disease,progressive supranuclear palsy,drug-induced parkinson's syndrome,multiple system atrophy,etc.Conclusion Not detailed history collection,careless physical examinations,over-reliance on laboratory tests or lack of necessary laboratory tests and of PD knowledge and other factors are related to misdiagnoses of Parkinson's disease.
