Ropper A H
Can Med Assoc J. 1979 Nov 3;121(9):1175-90.
Dementia is a common problem facing all medical practitioners and it frequently results in hospitalization and death. This review provides a framework for dealing with dementia in clinical practice that is based on both traditional concepts and recent advances in the understanding of the problem. Distinguishing at the bedside between dementia and other disorders of intellect is emphasized. The main causes of dementia and their clinical characteristics are reviewed and a rational approach to definitive diagnosis is developed. Simple, effective symptomatic forms of therapy are described.
痴呆症是所有医学从业者面临的一个常见问题,它常常导致住院和死亡。本综述提供了一个在临床实践中处理痴呆症的框架,该框架基于传统概念以及对该问题理解的最新进展。强调了在床边区分痴呆症和其他智力障碍。回顾了痴呆症的主要病因及其临床特征,并制定了明确诊断的合理方法。描述了简单、有效的对症治疗形式。