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中华诊断学电子杂志 ›› 2015, Vol. 03 ›› Issue (02) : 109 -113. doi: 10.3877/cma.j.issn.2095-655X.2015.02.008

所属专题: 文献

临床思维

痴呆的临床诊断思维
王梓炫1, 谭兰1, 郁金泰1,()   
  1. 1. 266000 青岛大学医学院附属青岛市立医院神经内科
  • 收稿日期:2015-03-05 出版日期:2015-05-26
  • 通信作者: 郁金泰
  • 基金资助:
    国家自然科学基金(81471309,81371406,81171209)

Clinical diagnosis thinking of dementia

Zixuan Wang1, Lan Tan1, Jintai Yu1,()   

  1. 1. Department of Neurology, Qingdao Municipal Hospital of Qingdao University, Qingdao 266071, China
  • Received:2015-03-05 Published:2015-05-26
  • Corresponding author: Jintai Yu
  • About author:
    Corresponding author: Yu Jintai, Email:
引用本文:

王梓炫, 谭兰, 郁金泰. 痴呆的临床诊断思维[J]. 中华诊断学电子杂志, 2015, 03(02): 109-113.

Zixuan Wang, Lan Tan, Jintai Yu. Clinical diagnosis thinking of dementia[J]. Chinese Journal of Diagnostics(Electronic Edition), 2015, 03(02): 109-113.

目的

痴呆是老年人群的常见病,临床医师在痴呆的诊断过程中尚存在一些障碍。目前,痴呆的诊断主要是临床医师依据病史、症状、体征、神经心理学测试和辅助检查综合分析,根据不同病因痴呆的特征性表现,遵循多种诊断思维原则,循序渐进地对痴呆综合征进行诊断和鉴别诊断。本文结合国内外痴呆诊断的最新研究进展,阐述便于临床医师应用的痴呆临床诊断思维方法。

Dementia is a common disease in the elderly population, it still exists some barriers for clinical physicians to diagnose dementia.To make the clinical diagnosis and the differential diagnosis of dementia, clinical physicians currently need to make a synthesis based on history, symptoms, signs, neuropsychological testing and auxiliary examination, and seize the characteristic features of different dementia and follow various diagnosis thinking principles.According to the recent research advances at home and abroad in the diagnosis of dementia, the clinical diagnosis thinking of dementia which is readily available to clinical physicians will be introduced.

表1 痴呆患者特征性临床症状与可能病因对照表
表2 痴呆患者特征性体征与可能病因对照表
表3 不同临床评价项目常用的神经心理测试量表
痴呆的诊断流程
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