125例早期梅毒的临床分析

Clinical analysis of 125 cases of early syphilis

目的:探讨早期梅毒发病的临床特点,提高梅毒的诊治水平。方法:对125例早期梅毒患者的临床资料进行回顾性分析。结果:125例梅毒患者男女比例为1.31∶1;Ⅰ、Ⅱ期梅毒分别占25.6%和74.4%;职业以待业人员、服务业人员和司机居多,分别占本组病例的23.2%、16.8%、16.0%;年龄以21～45岁为最多,占79.2%;梅毒的临床表现多种多样,易被误诊。结论:对于早期梅毒应提高对早期梅毒临床皮肤损害的认识,减少误诊及漏诊率,一旦诊断明确,推荐应用苄星青霉素治疗。

Objective： To investigate the clinical features of early syphilis and improve the diagnosis and treatment of syphilis. Methods： Data of 125 cases of early syphilis was reviewed. Results： The ratio of male to female was 1.31：1; syphilis of stage I , II accounted for 25.6% and 74.4%; job-waiting people, people at service industry and the drivers ac- counted for 23.2%,16.8%,16%.most of patients aged 21 to 45 years （79.2%）; syphilis had variety of clinical manifestations, easy to be misdiagnosized. Conclusion： The skin damage of early syphilis should be concerned, reduce the rate of misdiagnosis and missed diagnosis, once diagnosed, the benzathine penicillin is recommended.