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诊断阿尔茨海默病所致痴呆:临床观点。

Diagnosing dementia due to alzemier's disease : clinical perspective.

机构信息

NILAMADHAB KAR, MD., DPM., DNB., Assistant Professor, Department of Psychiatry, Kasturba Medical College, Manipai-576119.

出版信息

Indian J Psychiatry. 2000 Jul;42(3):267-70.

Abstract

The diagnosis of dementia in Alzheimer's disease on clinical grounds is made by exclusion of other etiologies. The differential diagnoses of other subtypes considered along with dementia of Alzheimer's disease and the clinical process involved were studied in a tertiary level health care set up. Out of 39 patients with dementia admitted over 12 years it was found that a differential diagnoses of other subtype were considered along with dementia of Alzheimer's disease in 13 cases, while 15 cases had no such association. Most frequently associated category was vascular dementia in 30.8%. The clinical difficulties in differentiating dementia in Alzheimer's disease are discussed.

摘要

基于临床诊断阿尔茨海默病性痴呆是通过排除其他病因做出的。在三级保健机构中研究了与阿尔茨海默病性痴呆一起考虑的其他亚型的鉴别诊断和涉及的临床过程。在 12 年期间收治的 39 例痴呆患者中,发现有 13 例除阿尔茨海默病性痴呆外还考虑了其他亚型的鉴别诊断,而 15 例无此种关联。最常相关的类别是血管性痴呆占 30.8%。讨论了在鉴别阿尔茨海默病性痴呆时的临床困难。

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本文引用的文献

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Differential diagnosis of dementia. The clinical process.痴呆的鉴别诊断。临床过程。
Psychiatr Clin North Am. 1997 Mar;20(1):45-57. doi: 10.1016/s0193-953x(05)70392-0.
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Delirium in the aged.老年人的谵妄
Psychiatr Clin North Am. 1982 Apr;5(1):49-66.
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Age and Alzheimer disease.年龄与阿尔茨海默病
Lancet. 1983 Jun 25;1(8339):1447. doi: 10.1016/s0140-6736(83)92396-6.

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