摘要
目的：分析２８例住院阿尔采末病的临床特征、家族遗传史、诊断及治疗。方法：按照ＩＣＤ－１０精神与行为障碍分类临床描述与诊断要点及ＣＣＭＤ－２－Ｒ进行严格筛选确定病例。结果：确诊晚发性阿尔采末病１２例，早发性６例，混合型１０例；具阳性家族史者３例；初诊误诊１０例；定向障碍２４例，意志减退２４例，伴幻觉或（和）妄想者１９例，性格改变１７例，情感欣快１０例，行为怪异或紊乱１１例。结论：提示该病的发病与遗传因素有关，误诊原因是多方面的，目前尚无特效疗法。
Objective:To analyse the clinical characteristics,family history,diagnosis and treatment of 28 inpatients with Alzheimers disease(AD).Methods:Twenty eight patients were all diagnosed with ICD 10 and CCMD 2 R Results:Twelve of the subjects were diagnosed as senile type AD,6 presenile type,10 atypical or mixed type.Ten patients were misdiagnosed as other mental disorders when they were admitted to hospital,and 3 patients had family history.The main symptoms of the AD patients were disorientation(n=24),hypobulia (n=24),personality change (n=17),hallucination and/or delusion (n=19),euphoria (n=10)and behavior disorders (n=11).Conclusion:AD is a hereditary disease.The misdiagnosis is due to many things and there is no ideal therapy for AD at present.
出处
《滨州医学院学报》
1999年第2期119-120,共2页
Journal of Binzhou Medical University
关键词
阿尔采末病
临床特征
误诊
诊断
Alzheimers disease
clinical characteristics
misdiagnosis
