241例住院潜伏梅毒患者的临床与血清学分析-东南大学学报医学版

241例住院潜伏梅毒患者的临床与血清学分析

单位：同济大学附属第十人民医院皮肤科, 上海 200072

分类号：R759.1

出版年·卷·期（页码）：2009·28·第一期（45-47）

摘要：

目的: 探讨住院患者潜伏梅毒的流行病学、临床特点及血清学特点。方法: 对241例潜伏梅毒患者的临床资料进行回顾性分析。结果: 241例潜伏梅毒患者男女比例为1:1.41;发病年龄最小19岁,最大91岁,其中71岁以上的病例有94例(39%);早期潜伏梅毒35例,晚期潜伏梅毒65例,无法判断病期的潜伏梅毒141例;TRUST滴度≥1:8的患者有57例,≤1:2有154例;潜伏梅毒患者例数逐年增多。结论: 潜伏梅毒病例在住院患者中分布较广,有一定的流行病学特点,对住院患者的梅毒血清学筛查是非常必要的。普鲁卡因青霉素是治疗潜伏梅毒的首选药物。

Objective To study the epidemiology,clinical features and serology of hospitalized patients with latent syphilis.Methods The clinical data of 241 cases of latent syphilis were retrospectively analyzed.Results The 241 cases of latent syphilis were in a male/female ratio of 1.64:1.Early latent syphilis accounted for 35 cases and late latent syphilis for 65 cases.141cases were in undefinite stage.The patients of latent syphilis trend went up in recent years.Conclusions Cases of latent syphilis are widespread in hospitalized patients with epidemiology characteristics.Therefore,syphilis serology test for hospitalized patients is highly recommended.Procaine penicillin is the drug of first choice in the treatment of latent syphilis.

参考文献：

[1] CHEN J L,KODAGODA D,LAWRENCE A M,et al.Rapid public interventions in response to an outbreak of syphilis in Los Angeles[J].Sex Transm Dis,2002,29:277-284.
[2] HALSOS A M,EDGARDH K.An outbreak of syphilis in Oslo[J].Int J STD AIDS,2002,13:370-372.
[3] 龚向东,叶顺章,张君炎,等.1991-2001年我国性病流行病学分析[J].中华皮肤科杂志,2002,35:178-182.
[4] 赵辩.临床皮肤病学[M].3版.南京:江苏科学技术出版社,2001:520.
[5] 邓云华,王澍弘,周礼义.1999-2003年住院病人潜伏梅毒流行病学特征分析[J].中国麻风皮肤病杂志,2005,21:538-539.
[6] STRATIGOS J D,KATOULIS A C,HASAPI V,et al.An epidemiological study of syphilis incognito,an emerging public heath problem in Greece[J].Arch Dermat,2001,137:1373-1374.
[7] 吴志华.实用性病学[M].北京:科学出版社,2005:64.

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录