摘要
目的总结近2年内就诊于我院的麻痹性痴呆的诊治经验。方法收集分析经实验室检查确诊的7例麻痹性痴呆患者的有关临床资料。结果麻痹性痴呆的临床表现复杂多变,早期误诊率高;诊断主要根据临床特点及血清学检查,影像学检查无特异性;单纯抗精神病药物治疗对精神症状无明显改善作用,而青霉素驱梅能有效阻止病情进展。结论就诊于精神科的麻痹性痴呆均以神经、精神症状首发,症状不典型易被误诊,早期鉴别诊断十分重要,青霉素治疗可以有效控制症状。
Objective To summarize the experience of the diagnosis and treatment of general paresis of insane（GPI）in recent two years.Methods The clinical data of seven patients with confirmed GPI were retrospectively analyzed.Results The clinical characteristics of GPI were varied,and the misdiagnosis rate was high at early stage of the disease.The diagnosis of GPI mainly depended on the clinical characteristics and serum tests.The imaging examinations at the first admission to psychiatric hospital were non-specific.Single administration of antipsychotic drug had no significant effect on the psychiatric symptoms,while the penicillin G effectively prevented the disease from worsening and relieving the illness.Conclusion GPI with functional mental disorder as the first attacks and atypical mental symptoms is easy to be misdiagnosed,thus it should be discerned and diagnosed as early as possible,while the penicillin can effectively control these symptoms.
出处
《山西医科大学学报》
CAS
2010年第4期355-357,共3页
Journal of Shanxi Medical University
关键词
麻痹性痴呆
临床表现
误诊
general paresis of insane
clinical symptom
misdiagnosis
