摘要
目的 探讨带状疱疹神经痛的临床特点。方法 分析７７ 例带状疱疹患者神经痛与疱疹关系，症候定位，误诊 原因及治疗转归。结果 神经痛与水疱疹是带状疱疹主要临床表现，以单节段神经节受累为主，多个神经节受累１４ 例（１８２ ％ ） ， Ｈｕｎｔ 综合征１１ 例（１４３ ％ ） ；神经痛先于疱疹出现组４０ 例（５２０ ％ ） ，其中２６ 例误诊（６５０ ％ ） ，和神经痛与疱疹同时出 现组比较有极显著差异（ Ｐ ＜ ００１） ，老年人较中青年人更易误诊（ Ｐ ＜ ００５） ，疱疹落痂后遗神经痛２４ 例（３１２ ％ ） ，止痛 与抗病毒治疗有效。结论 了解神经痛与疱疹呈节段性分布的临床特点，有助于带状疱疹的早期临床诊断与治疗，有利于疾病转归。
Objective To investigate the clinical characteristics of neuralgia of herpes zoster. Methods The general clinical materials, the relationship between neuralgia and varicella, the symptoms,the reasons of misdiagnosis, treatment and prognosis in 77 patients with herpes zoster were analyzed. Results Neuralgia and rash of varicella were the main clinical manifestation which distributed in the corresponding dermatomes of injured ganglions. The main damage were seen in the single ganglion. More than one ganglion were involved in 14 patients (18.2). There were 11 cases with Hunt syndrome (14 3%). The neuralgia was presented before rash in 40 patients (52.0%) and 26 of them (65.0%) were misdiagnosed. The significant difference was founded between the groups of neuralgia presented before rash and that of the neuralgia presented with rash ( P<0.01 ). The misdiagnosis was more common in the group of old age than in younger ( P<0.05 ).The left neuralgia after crust dropped was presented in 24 patients (31.2%). Analgesics and anti virus treatment are effective. Conclusions To understand the clinical characteristics of the neuralgia and rash distributing in segmentum is helpful to early diagnosis and treatment as well as benefit to its prognosis. Key words Herpes zoster Neuralgia Clincal characteristics。悖铮颍颍澹悖簦椋睿? ｔｈｅ ｒｅｆｒａｃｔｉｖｅ ｅｒｒｏｒ ａｎｄ ａｎｉｓｏｍｅｔｒｏｐｉａ ａｆｔｅｒ ＰＣ ＩＯＬ ｉｍｐｌａｎｔａｔｉｏｎ． Key words:refractive error intraocular lens intraocular lens implant exchangePPAGESS A clinical analysis of intraocular lens implantation for corneal penetrating injury combining with traumatic cataract in children$$$$ Dong Qin Tunxi Eye hospital,Huanshan,Anhui 245000 To evaluated 26 cases (26 eyes) of corneal penetrating injury combining with traumatic cataract in children 5～14 years after cataract surgery with intraocular lens implantation.We discuss and analysis anaesthesia,intraocular lens implantation and fibrous membranes opacity in posterior capsular.The children over eight can be operated smoothly under local anaesthesia.The method of IOL implantation (primary and secondary implantation) can be chosen according to the degree of injury and surgical condition.The author observed the fibrous membranes proliferated in various degrees during 1～2 weeks after combined surgery.
出处
《中国神经精神疾病杂志》
CAS
CSCD
北大核心
1999年第4期227-229,共3页
Chinese Journal of Nervous and Mental Diseases
关键词
带状疱疹
神经痛
临床分析
children intraocular lens implantation traumatic cataract corneal penetrating injury
