神经梅毒50临床特征分析  

Clinical features analysis of neurosyphilis in 50 cases

作　　者：邓耀芳[1] 崔明志[1] 黄国敏[1] 邱观养[1] 黄丹丹[1] 黄汉宁[1] 吴泳[1] 

机构地区：[1]广东省高州市人民医院神经内科,525200

出　　处：《中国实用医药》2013年第13期63-64,共2页China Practical Medicine

摘　　要：目的对神经梅毒的临床主要特征和诊断方法进行总结与分析。方法回顾性分析本院自2008年1月至2011年12月收治的50例患者的临床资料。结果在本研究中,患者平均年龄为45.2岁,其中男性居多;其中间质型梅毒34例,实质型梅毒10例,无症状神经梅毒6例。主要对患者进行血液学检查和脑脊液检查,参考美国疾病控制中心(CDC)的诊断标准进行诊断分型;患者头部CT或MRI表现呈多样化,没有明显的特异性。患者的临床表现多为头痛头晕、偏瘫或行动障碍、记忆力下降、精神异常等。目前神经梅毒的诊断尚无明确的统一标准,临床诊断多将症状表现与脑脊液及血液检测结果相结合,进行综合分析而得。Objective To analyse and explore the clinical manifestations,diagnosis of neurosyphilis.Methods The clinical data of 50 patients treated in our hospital between Jan,2008 and Dec,2011were retrospectively analyzed.Results In our reserch,the patients＇average age was 45.2 years.Most of them were male.Among the patients,there were 34 patients suffering from the cerebral interstitial syphilis,and 10 cases were diagnosised as brain syphilis,6 cases left were diagnosised as asymptomatic neurosyphilis.We checked the patients＇blood and cerebrospinal fluid and referenced to the diagnostic criteria of the CDC.The clinica manifestations were headache,dizziness,paralysis,mobility impairments,memory loss,mental disorders etc.Conclusion The diagnosis of neurosyphilis is no unified standard,clinical diagnosis of symptoms and cerebrospinal fluid and blood test results combined,comprehensive analysis dereved.

关 键 词：神经梅毒 诊断 临床表现 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]