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目的探讨新疆乌鲁木齐市梅毒患者临床表现、血清学特点及临床科室病例报告的准确性。方法分析2014年7月1日─2015年6月30日乌鲁木齐市1 174例网络报告的梅毒病例,判定临床分期的准确性。结果 1 174例梅毒患者中,一期梅毒患者RPR滴度分布于1∶2~1∶64、占96.15%;二期梅毒患者RPR滴度多高于1∶8、占96.73%;隐性梅毒患者多低于1∶64、占98.60%;一期梅毒患者(占60.26%)和二期梅毒患者(占77.12%)大多由皮肤性病科、男性科和泌尿科等专业科室报告,隐性梅毒患者(占73.38%)多由非专业科室报告。结论乌鲁木齐市各医疗机构应注重对临床医师的专业培训,尤其是重点培训梅毒临床分期知识,同时规范和落实患者的转诊、会诊制度,减少或避免对梅毒患者的过度报告及分期错误。
Objective To investigate the clinical manifestations, serological features and the accuracy of clinical reports of syphilis patients in Urumqi, Xinjiang. Methods From July 1, 2014 to June 30, 2015, 1 174 cases of syphilis reported by Internet in Urumqi were analyzed to determine the accuracy of clinical staging. Results Among the 1 174 cases of syphilis, the RPR titer of primary syphilis was between 1:2 and 1:64, accounting for 96.15%. The RPR titer of secondary syphilis was higher than 1: 8, accounting for 96.73% Most of the patients were less than 1:64, accounting for 98.60%. The first phase syphilis patients (60.26%) and the second phase syphilis patients (77.12%) were mostly reported by professional departments of dermatology, male and urology, and latent syphilis Patients (73.38%) were mostly reported by non-professional departments. Conclusion Urumqi medical institutions should pay attention to the professional training of clinicians, especially focusing on the clinical staging of syphilis knowledge, at the same time regulate and implement the referral of patients, consultation system, reduce or avoid excessive reporting of patients with syphilis and phasing errors.