摘要
目的对帕金森病合并肺部感染患者的临床漏诊和漏治进行分析。方法随机选取2010年12月至2012年12月于我院接受诊治的帕金森病合并肺部感染患者28例,对这些病例的临床资料进行回顾性分析,总结诊治经验。结果本次诊断主要通过患者的疾病史、临床表现,26例患者均存在帕金森病史,2例无此病史,经美多巴治疗后确诊,患者主要的临床表现包括吞咽困难、震颤、运动迟缓和肌强直等,胸部螺旋X线检查证实所有患者均存在肺部感染,所有患者的胸廓活动度降低,肺呼吸音降低;28例合并肺部感染的患者经药物治疗后有效率为92.86%。结论诊断帕金森病合并肺部感染时要加强防误吸和抗感染治疗,结合患者病史、临床表现等进行综合考虑,减少漏诊漏治发生率。
Objeefive Parkinson＇s disease patients with pulmonary infection combined clinical misdiagnosis and leakage for analysis. Methods Randomly selected in December 2010 - December 2012 in our accept make a diagnosis and give treatment of Parkinson＇s disease combined with lung infection and an example, these cases were retrospectively analyzed the clinical data, this paper make a diagnosis and give treatment experience. Results The diagnosis mainly through the patient medical history, clinical manifestation, 26 patients has Parkinson＇s history, 2 cases, no such history by madopar confirmed after treatment, patients were the main clinical manifestations include dysphagia, tremor, bradykinesia and myotonla, chest spiral X-ray confirmed that there were all patients with pulmonary infection, all patients with thoracic mobility, reduce lung breath sounds reduced; And merger cases pulmonary infection patients after medical treatment the effective rate of 92.86%. Conelusiuns The diagnosis of Parkinson＇s disease combined with pulmonary infection to strengthen prevent aspiration and anti-infection treatment, combining with the history, clinical presentation and so on comprehensive consideration, reduce misdiagnosis rate for leakage.
出处
《中国医药指南》
2013年第18期54-54,56,共2页
Guide of China Medicine
关键词
帕金森病
肺部感染
漏诊漏治
Parkinson＇s disease
Lung infection
Misdiagnosis for leakage
