摘要
目的:探讨麻痹性痴呆合并艾滋病患者的临床特点。方法:选取2012年3月至2015年2月广东三九脑科医院收治的6例麻痹性痴呆合并艾滋病患者的临床表现和实验室检查进行回顾性分析。结果:麻痹性痴呆合并艾滋病患者平均年龄36.5岁,均先后出现不同程度的记忆力减弱和性格改变,答非所问,言语不清,反应迟钝,定向力下降等痴呆症状。经过系统治疗后3例患者基本能够恢复正常生活和工作。3例有轻度改善。结论:在艾滋病患者中,麻痹性痴呆可发生在青壮年患者中,及时诊断和足量的驱梅治疗可改善神经系统症状,同时需要注意有无同时合并艾滋病脑病。
Objective To study the clinical characteristics of general paresis of insane（GPI） in AIDS patient.Methods The clinical manifestations and laboratory examination of 6 cases of neurosyphilis with GPI in AIDS patients were retrospectively analyzed.Results The average age of patients were 36.5,all had the symptoms of dementia,including varying degrees of memory loss and personality changes,give an irrelevant answer,slurred speech,slow response,directional force decrease.After treatment,3 patients were cured to normal life and work.3 cases had mild improvement.Conclusion Neurosyphilis with GPI in AIDS patients could happen in early age,prompt diagnosis and adequate treatment of syphilis can improve the symptoms.Differential diagnosis of AIDS encephalopathy was needed..
出处
《深圳中西医结合杂志》
2016年第14期79-81,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金
广东省科技厅科研项目资助课题(2012B031800332)
广州市卫生局科研课题项目资助课题(20121A011079)
关键词
麻痹性痴呆
艾滋病
神经梅毒
General paresis of insane（GPI）
AIDS
Neurosyphilis
