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早期梅毒106例误诊临床分析

Clinical analysis of 106 misdiagnosed early syphilis patients

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【作者】 吴文中; 刘姝莉; 李延武; 张书岭;

【Author】 $$$$ WU Wen-zhong, LIU Zhu-li, LI Yan-wu, et al. (Department of Dermatology of Shenzhen Municipal Second Hospital, Shenzhen 518035, Guangdong, P. R. China)

【机构】 深圳市第二人民医院; 深圳市第二人民医院 广东深圳518035; 广东深圳518035; 广东深圳518035;

【摘要】 目的总结早期梅毒临床表现特点,提高临床医生对早期梅毒的诊断水平。方法对临床误诊的106例早期梅毒患者进行详细的病史采集、体检和实验室检查,总结分析其误诊原因。结果早期梅毒,特别是二期梅毒的皮疹具有多形性特点,和许多皮肤病症状相似,容易误诊,实验室检查可资鉴别。结论对临床可疑病例,应详细追问病史,并行梅毒血清学检查以确诊。

【Abstract】 Objective To improve diagnosis level of physicians for early syphilis. Methods 106 misdiagnosed patients with early syphilis were examinated physically and experimentally, and enquired about their medical history detailedly, the reasons of misdiagnosis were summarized and analyzed. Results The eruptions of early (especially secondary )syphilis were multiform, its symptoms were similar to many other skin diseases, therefore, it was misdiagnosed easily, but it could be identified by experimental examination. Conclusion The detail medical history and serologic examination are necessary for confirmation of suspicious syphilis cases.

【关键词】 梅毒; 误诊; 病原;
【Key words】 Syphilis; Misdiagnosis; Pathogen;
  • 【文献出处】 中国热带医学 ,China Tropical Medicine , 编辑部邮箱 ,2005年05期
  • 【分类号】R759.1
  • 【被引频次】2
  • 【下载频次】54
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