| 男性梅毒的误诊分析与提示 |
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| 引用本文： | 慕永飞,刘海华. 男性梅毒的误诊分析与提示[J]. 中国性科学, 2011, 20(1): 23-24. DOI: 10.3969/j.issn.1672-1993.2011.01.010 |
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| 作者姓名： | 慕永飞 刘海华 |
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| 作者单位： | 1. 内蒙古鄂托克前旗蒙医院,内蒙古,鄂托克,0162002
2. 内蒙古鄂托克前旗医院,内蒙古,鄂托克,016200 |
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| 摘 要： | 目的:分析研究男性梅毒的误诊情况及原因。方法:选择近年资料完整的35例男性患者,分析研究其病史、临床表现、实验室检查及治疗经过;对首诊误诊的15例梅毒进行了误诊分析。结果:一期梅毒男性易误诊为生殖器疱疹、疥疮结节等;二期梅毒斑疹及斑丘疹皮损易误诊为过敏性皮炎、玫瑰糠疹等;鳞屑性丘疹易误诊为银屑病;扁平湿疣易误诊为尖锐湿疣等。结论:病史、临床表现和快速血浆反应素环状长片试验(RPR)可以快速准确地诊断一、二期梅毒,青霉素(或头孢类抗生素)疗效最可靠。
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| 关 键 词： | 男性梅毒 误诊 临床分析 |
Analysis on misdiagnosis of male syphilis |
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| MU Yongfei,LIU Haihua. Analysis on misdiagnosis of male syphilis[J]. The Chinese Journal of Human Sexuality, 2011, 20(1): 23-24. DOI: 10.3969/j.issn.1672-1993.2011.01.010 |
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| Authors: | MU Yongfei LIU Haihua |
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| Affiliation: | MU Yongfei,LIU Haihua Erketuo Hospital,Innermongolia 016200,China |
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| Abstract: | Objectives：To analyze the causes of misdiagnosis on male syphilis.Methods：The clinical data of 35 male patients were collected to analyze their history,clinical manifestation,laboratory exam results and treatments.Results：PhaseⅠsyphilis is likely to be misdiagnosed as genital herpes;Phase Ⅱ syphilis and scabies node tends to be misdiagnosed as atopic dermatosis and pityriasis rosea,papulosquamous syphilide as pustulosa psoriasis and condyloma latum as condyloma acuminatum.Conclusion：Patient’s history,clinical manifestation and RPR test can quickly and accurately diagnose phase Ⅰ and Ⅱ syphilis.Penicillin has reliable curative effects. |
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| Keywords: | Male syphilis Misdiagnosis Clinical analysis |
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