CAJ | 학술논문

　　目的对帕金森病合并肺部感染患者的临床漏诊和漏治进行分析。方法随机选取2010年12月至2012年12月于我院接受诊治的帕金森病合并肺部感染患者28例，对这些病例的临床资料进行回顾性分析，总结诊治经验。结果本次诊断主要通过患者的疾病史、临床表现，26例患者均存在帕金森病史，2例无此病史，经美多巴治疗后确诊，患者主要的临床表现包括吞咽困难、震颤、运动迟缓和肌强直等，胸部螺旋 X 线检查证实所有患者均存在肺部感染，所有患者的胸廓活动度降低，肺呼吸音降低；28例合并肺部感染的患者经药物治疗后有效率为92.86%。结论诊断帕金森病合并肺部感染时要加强防误吸和抗感染治疗，结合患者病史、临床表现等进行综合考虑，减少漏诊漏治发生率。
　　목적대파금삼병합병폐부감염환자적림상루진화루치진행분석。방법수궤선취2010년12월지2012년12월우아원접수진치적파금삼병합병폐부감염환자28례，대저사병례적림상자료진행회고성분석，총결진치경험。결과본차진단주요통과환자적질병사、림상표현，26례환자균존재파금삼병사，2례무차병사，경미다파치료후학진，환자주요적림상표현포괄탄인곤난、진전、운동지완화기강직등，흉부라선 X 선검사증실소유환자균존재폐부감염，소유환자적흉곽활동도강저，폐호흡음강저；28례합병폐부감염적환자경약물치료후유효솔위92.86%。결론진단파금삼병합병폐부감염시요가강방오흡화항감염치료，결합환자병사、림상표현등진행종합고필，감소루진루치발생솔。
Objective Parkinson's disease patients with pulmonary infection combined clinical misdiagnosis and leakage for analysis. Methods Randomly selected in December 2010 - December 2012 in our accept make a diagnosis and give treatment of Parkinson's disease combined with lung infection and an example, these cases were retrospectively analyzed the clinical data, this paper make a diagnosis and give treatment experience. Results The diagnosis mainly through the patient medical history, clinical manifestation, 26 patients has Parkinson's history, 2 cases, no such history by madopar confirmed after treatment, patients were the main clinical manifestations include dysphagia, tremor, bradykinesia and myotonia, chest spiral X-ray confirmed that there were all patients with pulmonary infection, all patients with thoracic mobility, reduce lung breath sounds reduced; And merger cases pulmonary infection patients after medical treatment the effective rate of 92.86%. Conclusions The diagnosis of Parkinson's disease combined with pulmonary infection to strengthen prevent aspiration and anti-infection treatment, combining with the history, clinical presentation and so on comprehensive consideration, reduce misdiagnosis rate for leakage.