三例麻风畸残病例延迟发现原因分析

Analysis of factors for delayed detection of 3 leprosy cases with disability

本文对3例麻风畸残病例延迟发现原因进行了分析,患者1在神经内科多次误诊,在治疗效果不佳的情况下,连续十几年未再就诊,直至出现溃疡畸残;患者2独居、智障,发病后一直未就诊,4年后出现畸残;患者3在神经科误诊5年后出现畸残。3例畸残病例的发现过程提示,应面向鳏寡孤独或智障人员开展麻风线索调查,同时加强神经科医师麻风防治知识的培训,促进麻风患者的早发现。

We analyzed the factors for delayed detection of 3 leprosy cases with disability in this paper.Patient one was misdiagnosed in neurology department for many times with poor efficacy,and did not seek for other medical treatment for more than ten years until ulcer and disability appeared.Patient two was mental disordered who lived alone and did not seek for medical treatment when symptoms appeared,until developed to deformity after 4 years.Patient three developed to deformity 5 years after the neurological misdiagnosis.The discovery process of the above 3 leprosy cases suggested that conducting clue survey for the widowed,lonely or mental disabled persons and training neurologists should be performed to promote early detection of leprosy.