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痴呆诊断的探讨
引用本文:俞丽华,夏翔. 痴呆诊断的探讨[J]. 中国临床神经科学, 1994, 2(1): 32-35
作者姓名:俞丽华  夏翔
作者单位:上海第二医科大学附属新华医院 200092(俞丽华,王根发,周永炜),上海第二医科大学附属瑞金医院 200025(夏翔,柳玉瑾,邵杏芳,朱承模,张敏),上海第二医科大学附属瑞金医院 200025(黄抗初)
摘    要:本文对50例临床符合美国精神病学会的诊断和统计手册第三版(DSM-Ⅲ)的痴呆患者应用长谷川(Hasegawa’s Dementia Scale,HDS)等多种痴呆量表进行观察分析,衡量多种量表的价值。本文认为,痴呆诊断主要依靠临床表现。当临床诊断与量表测定结果不一致时,可选择性地应用某些特殊检查,以加强临床诊断依据。

关 键 词:痴呆  痴呆量表  CT  脑血流

Investigation for Diagnosis of Dementia
Yu Li-Hua et al. Investigation for Diagnosis of Dementia[J]. Chinese Journal of Clinical Neurosciences, 1994, 2(1): 32-35
Authors:Yu Li-Hua et al
Affiliation:Yu Li-Hua et al. Xinhua Hospital,Shanghan Second Medical University
Abstract:50 cases of dementia diagnosed with DSM - III were comparatively measured by Hasegawa's dementia Scale (HDS), Mini - mental State Examination (MMSE) etc. The results showed that no matter what kind of mental examination scale was used, the clinical dementia diagnosis of DSM- I could not be accorded with it. We suggested that diagnosis of dementia should be mainly based on clinical manifestation. C T scan, rCBF or SPECT might be of a helpful supplementary tool in diagnosis of dementia.
Keywords:Dementia scale Computer Tomography rCBF
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