摘要
目的探讨麻痹性痴呆的首发症状、诊断、治疗及预后。方法汇总分析了1990~2010年期间83篇国内文献报道的394例麻痹性痴呆患者的临床资料。结果患者首发症状较常见的是记忆下降239例(60.7%);情感障碍195例(49.5%);人格改变171例(43.4%)。200例(50.8%)初期被误诊。394例中接受驱梅治疗346例,其中319例(92.2%)精神症状改善或好转。结论麻痹性痴呆应及早正确诊断,并接受系统驱梅治疗。
Objective To study initial symptoms,diagnosis,treatment and prognosis of paralytic dementia.Method Meta-analysis of 394 cases with paralytic dementia patients of 83 domestic clinical data reported in 1990~2010.Results More common initial symptoms of paralytic dementia is memory decline of 239 cases(60.7%),affective disorder of 195 cases(49.5%),personality changes of 171 cases(43.4%).200 cases(50.8%)patients with paralytic dementia were misdiagnosed in the early treatment.Conclusion It is very important for the patients with paralytic dementia to be diagnosed correctly as soon as possible,and then they ought to receive anti syphilis.
出处
《四川精神卫生》
2012年第1期14-17,共4页
Sichuan Mental Health
关键词
麻痹性痴呆
神经梅毒
精神障碍
误诊
Paralytic dementia Neurosyphilis Mental disorders Misdiagnose