梅毒住院患者63例血清学及脑脊液的临床分析

目的了解梅毒住院患者的流行病学、临床和血清学特征。方法对63例患者的临床资料及血清学、脑脊液等进行综合分析。结果87．30％（55例）患者血清TRUST呈低滴度表现（1：1～1：8），14．29％（9例）为早期潜伏梅毒，15．87％（10例）为神经梅毒，52．38％（33例）为晚期潜伏梅毒，17．46％（11例）为无法判断病期的潜伏梅毒。73．02％（46例）传播途径为非婚性接触为主，性别分类中女性（49例）多于男性（14例），低学历（54例）、待业者（18例）及性活跃期人群发病率高。结论潜伏（隐性）梅毒在梅毒分期中占有较大的比例；有必要对血清TRUST滴度持续（≥2年）不转阴患者进行神经梅毒的排查；有必要加强宣传性保护的重要性。

Clinical analysis of serology and cerebrospinal fluid in 63 cases of syphilis inpatients

Objective To study epidemiology, clinical and serological characteristics of syphilis inpatients in demtological departpment. Methods The data on clinicaL, serological and eerebrospinal fluid of 63 paients were retrospectively analysed. Results TRUST in serum of 87.30% patients （55 cases） manifested low titre （ 1 ： 1 to 1 ： 8）. 9 cases （14.29%） were the early latent syphilis. 10 cases （15.87%） were nerve siphilis. 52.38% patient （33 cases） were late latency, and 11 cases（17.46% ） were in the unknow period of the latency. 46 cases （73.02%） of inpatient were transmitted by premarital sex be harlot. Undereducated（ 54 cases） , unemployed （ 18 cases） and sex active people had higher prevalence. Conclusion The latent syphilis has a larger proportion. It is necessary to screen the nervous syphilis with TRUST （ ＋ ） more than 2 years. It is also necessary to advertise the importance of safe sex.