| 急性多发性硬化症的临床病理分析 |
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| 引用本文： | 吕长虹,李志荣,徐越. 急性多发性硬化症的临床病理分析[J]. 中华病理学杂志, 1996, 0(2) |
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| 作者姓名： | 吕长虹 李志荣 徐越 |
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| 作者单位： | 重庆医科大学病理教研室 |
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| 摘 要： | 为探讨急性多发性硬化症的临床病理特点及其诊断和鉴别诊断要点，对１０例急性多发性硬化症（ＡＭＳ）尸体解剖病例作了临床病理分析。该病是多发性硬化症中一种少见的致死性类型。患者突出的临床特点为精神异常、瘫痪和大小便失禁。脱髓鞘病变表现为影斑、白质内空泡状病变及软化灶三种形式。其病变可单独存在也可互相移行。确诊本病主要根据上述病理组织学改变。还对ＡＭＳ和急性播散性脑脊髓炎的鉴别要点进行了讨论。
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| 关 键 词： | 脱髓鞘疾病 急性病 诊断.鉴别 尸体解剖 |
AStudyonacutemultiplesclerosis |
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| LuChanghong,LiZhirong,XuYue. AStudyonacutemultiplesclerosis[J]. Chinese Journal of Pathology, 1996, 0(2) |
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| Authors: | LuChanghong LiZhirong XuYue |
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| Affiliation: | LuChanghong,LiZhirong,XuYue.DepartmentofPatholo-gy,ChongqingUniversityofMedicalSciences,Chongqing630046 |
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| Abstract: | Withthepurposeofinvestigatingtheclinicopathologicalchangesandthecriterionfordiferentialdiagnosis,tencasesofAcutemultiplesclerosis(AMS)wereanalysed.Thedatasuggestedthatitsclinicalcoursewasanacuteneurologiceventcharacterizedbypsychicsyndrome,paralysisandincontinenceofbowelmovementandurination.Pathologicaly,thedemyeli-nationlesionconsistedofthreepatterns,i.e.:vascularorspongylesions,shadowplaquesandlique-factionornecrosis.Oneoftheaboveformscouldexistindividualyorcoexistwiththeothers.Theaccuratediagnosiswasmadeonlyafterautopsy.CriterionforthediferentialdiagnosisbetweenAMSandADEMwerediscussed. |
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| Keywords: | DemyelinatingdiseaseAcutediseaseDiagnosis differentialAutopsy |
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