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目的了解梅毒住院患者的流行病学、临床和血清学特征。方法对63例患者的临床资料及血清学、脑脊液等进行综合分析。结果 87.30%(55例)患者血清TRUST呈低滴度表现(1:1~1:8),14.29%(9例)为早期潜伏梅毒,15.87%(10例)为神经梅毒,52.38%(33例)为晚期潜伏梅毒,17.46%(11例)为无法判断病期的潜伏梅毒。73.02%(46例)传播途径为非婚性接触为主,性别分类中女性(49例)多于男性(14例),低学历(54例)、待业者(18例)及性活跃期人群发病率高。结论潜伏(隐性)梅毒在梅毒分期中占有较大的比例;有必要对血清TRUST滴度持续(≥2年)不转阴患者进行神经梅毒的排查;有必要加强宣传性保护的重要性。
Objective To understand the epidemiological, clinical and serological characteristics of syphilis inpatients. Methods 63 cases of clinical data and serology, cerebrospinal fluid, etc. were analyzed. Results Serum TRUST showed low titer (1: 1 ~ 1: 8) in 87.30% (55 cases), early latent syphilis in 14.29% (9 cases), neurosyphilis in 15.87% (10 cases) Cases) were late-stage latent syphilis, and 17.46% (11 cases) were latent syphilis whose stage of disease could not be determined. 73.02% (46 cases) were mainly non-marital, 49 cases were female, 14 were low education, 54 were unemployed, 18 were unemployed and 18 were sexually active High incidence. Conclusion Latent (latent) syphilis accounts for a large proportion of syphilis staging; it is necessary to conduct investigation on neurosyphilis in patients with non-metastatic TRUST titer (≥2 years); it is necessary to strengthen the importance of propaganda protection.