63例麻风回顾性临床分析Retrospective clinical analysis of 63 cases of leprosy.pdfVIP

63 例麻风回顾性临床分析 专业名称： 皮肤病与性病学 研 究 生： 龙 娟 导 师： 何 勤 教授 摘 要 目的对2001-2011 年来在我科确诊的63 例麻风的病例进行临床和病理回顾性分析 与总结，并探索其规范的诊断路径，以提高临床医生对麻风病的临床诊断水平以及 减少致残率。 方法 收集2001-2011 年来在我科确诊的63 例麻风患者的临床资料、皮肤组织病理 重新复习总结。 结果 麻风多为青壮年男性，多伴有各种类型皮损和神经炎及功能障碍，病程较长， 就诊时多为瘤型或偏瘤型麻风。临床医生的诊断流程不规范，病史和体检遗漏项目 情况严重。 结论 临床医生要提高麻风的警惕性，重视皮肤科门诊对麻风患者初筛作用。相关 部门要加强对年轻医生进行麻风知识培训，规范麻风诊治流程。 【关键词】麻风; 临床医生; 培训; 临床分析。 63 cases of leprosy retrospective clinical analysis Professional Name: Dermatology and Venereology Student: Long Juan Supervisor: Professor He Qin ABSTRACT Objective For the years 2001-2011 in 63 cases of leprosy cases diagnosed in our department retrospective clinical and pathological analysis and summary, and explore its diagnostic path specification to improve the level of clinical diagnosis clinicians leprosy and reducing disability. Methods The clinical data of 2001-2011 years in our department confirmed 63 cases of leprosy patients, the skin tissue pathology re-review summary. Results Most of the 63 cases patients were young with a longer course of disease ，and some of them were associated with neuritis and dysfunction with the rash had been developed as lepromatous leprosy ． Lack of standardization ，and history and physical examination were usually on diagnosis process ． Conclusion The prevention and treatment of leprosy is still an arduous task ，the clinicians still need to maintain a high level of leprosy vigilance ，to pay great attention to the dermatologist outpatient service to patients on leprosy early screening ，and to strengthen th