二期梅毒98例临床分析

Clinical analysis of 98 cases of secondary syphilis

为观察二期梅毒的临床特点,对其发病情况、治疗效果及与皮疹类型、病程长短的关系和误诊原因进行了临床分析。结果二期梅毒女性患者增多,用青毒素治疗,USR转阴率为100%,病程短及斑疹型皮损消退最快,扁平湿疣、掌跖部皮损次之,病程长及银屑病样皮损、脓疱样疹消退最慢。提出青霉素仍为治疗梅毒的最佳药物,以及提高各科医生对梅毒的认识实属必要。

In order to observe the clinical characteristics of secondary syphilis,its incidence,therapeutic effects,misdiagnosis,and rash types with the course of disease were clinically analysed.The resul ts showed that female cases were increasing.The USR test returned to negative in all cases tre ated by penicillin.When the course o f disease was short the macular erupt ions disappeared most quickly and then condyloma latum and squamous lesion on palms and soles.T he psoriatic lesion and pustular eru ptions with a longer course of disease disappeared most s lowly.It is suggested that penicill in still is the best medicine for trea ting syphilis and it is also necessary to raise the diagnostic le vel of syphilis in doctors of every sp eciality.