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我国梅毒病人众多,并且发病率逐年递增。这种形势与漏诊问题密切相关。造成漏诊的原因包括:病人就诊率低,梅毒潜伏期较长,隐性梅毒多发,很多病人因不了解自身疾病状态而继续进行性活动;梅毒皮疹表现多样,医生易误诊为其他皮肤病,或迫于紧张的医患关系未做相应化验;现行的化验方法不够合理。此外,对已确诊病人的治疗并不理想,青霉素治疗为首选,但其过敏现象普遍,其他抗生素的疗效并不确定。目前存在很多关于梅毒临床的疑惑,比如神经梅毒的确诊和治疗、潜伏梅毒的传染性及治疗方案、血清固定的处理等。梅毒诊疗的难题也是梅毒临床研究的机遇,有巨大的性病人群,研究条件、设备已不成问题,能在很多方面对梅毒诊治做出更多贡献。疾病防治方面可以借鉴美国治理性病的经验,并结合我国国情,以控制梅毒肆虐。
There are many syphilis patients in our country, and the incidence is increasing year by year. This situation is closely related to the problem of misdiagnosis. Reasons for misdiagnosis include low patient attendance, long latent period of syphilis and frequent latent syphilis. Many patients continue their sexual activity because they do not understand their own disease status. Syphilis rash is diverse, doctors are often misdiagnosed as other skin diseases, or forced to Tension in the doctor-patient relationship did not make the appropriate test; the current test method is not reasonable enough. In addition, the treatment of patients who have been diagnosed is not ideal, penicillin treatment is preferred, but its allergy is common, the efficacy of other antibiotics is not sure. There are currently many doubts about the clinical syphilis, such as the diagnosis and treatment of neurosyphilis, latent infectious syphilis and treatment options, such as serum treatment. The problem of syphilis diagnosis and treatment is also an opportunity for clinical research of syphilis. There is a huge population of sexually transmitted diseases, research conditions and equipment no longer a problem, and can make more contributions to syphilis diagnosis and treatment in many aspects. Disease prevention and control can learn from the experience of the United States to treat sexually transmitted diseases, combined with our national conditions, to control the syphilis raging.