阿尔茨海默病的及时诊断
Timely Diagnosis of Alzheimer’s Disease
DOI: 10.12677/MD.2019.91005, PDF,   
作者: 于红梅, 武建强:内蒙古医科大学,内蒙古 呼和浩特
关键词: 阿尔茨海默病诊断痴呆前复查及时Alzheimer’s Disease Diagnosis Pre-Dementia Review Timely
摘要: 阿尔茨海默氏病(AD)的及时诊断是指由于担心认知,行为或功能发生变化而导致临床医生注意患者的临床症状,并且仍然可以使患者免于痴呆并认知功能独立。及时诊断可能提供早期干预,实施协调护理计划,更好地控制症状,患者安全,节省成本和推迟制度化的繁琐过程。根据患者癫痫,自杀,缺乏训练以及医师诊断不确定性,专业诊断服务的缺乏,以及医疗服务提供者没有有效地对疾病修改选择时做出正确的诊断。结论:鉴于在疾病连续期的初始阶段的转向诊断,当患者尚未患有痴呆症时,需要进行更多的调查以评估其疾病风险并及时排除可能阻碍早期AD诊断的障碍。
Abstract: The timely diagnosis of Alzheimer’s disease (AD) refers to the clinician’s attention to the clinical symptoms of the patient due to concerns about changes in cognition, behavior or function, and can still protect the patient from dementia and cognitive function independence. Timely diagnosis may provide early intervention, implement coordinated care plans, better control of symptoms, patient safety, cost savings, and delays in institutionalizing the cumbersome process. According to patients with epilepsy, suicide, lack of training and physician diagnostic uncertainty, lack of professional diagnostic services, and medical service providers do not have an effective diagnosis of disease modification options. Conclusion: Given the shift diagnosis in the initial phase of the disease, when the patient is not already suffering from dementia, more investigation is needed to assess the risk of the disease and to promptly remove barriers that may impede the diagnosis of early AD.
文章引用:于红梅, 武建强. 阿尔茨海默病的及时诊断[J]. 医学诊断, 2019, 9(1): 24-28. https://doi.org/10.12677/MD.2019.91005

参考文献

[1] Rösler, M., Retz, W., Retz-Junginger, P., et al. (2008) ADHS-Diagnose bei Erwachsenen. Der Nervenarzt, 79, 320-327. [Google Scholar] [CrossRef] [PubMed]
[2] Rösler, Retz, Retzjunginger, et al. (2008) ADHS-Diagnose bei Erwachsenen: Nach DSM-IV, ICD-10 und den UTAH-Kriterien. Der Nervenarzt, 79, 320-327.
[3] Stollhoff, K. (2012) Führt frühe Einschulung zu mehr ADHS-Diagnosen. Pädiatrie Hautnah, 24, 392-393. [Google Scholar] [CrossRef
[4] Starostzik, C. (2013) ADHS-Diagnosen und Methylpheni-dat-Verordnungen boomen. DNP Der Neurologe und Psychiater, 14, 18
[5] Müller, A., Candrian, G. and Kropotov, J. (2011) ADHS heute-Diagnose und Therapien in der Praxis. ADHS Neurodiagnostik in der Praxis. [Google Scholar] [CrossRef
[6] Schwenck, C. (2016) Ist ADHS eine Modediagnose? Haben Aufmerksamkeitsprobleme und Hyperaktivität zugenommen. Psychische Störungen bei Jugendlichen.
[7] Plüger-stegemann, S. (2016) Diagnose ADHS Beratungspraxis in der Apotheke. Pz Prisma.
[8] Banerjee, S. and Dick, A.D. (2006) Diagnose Loss of Vision. Practitioner, 250, 60-64.
[9] Korczyn, A.D. (2011) Comment: Should We Diagnose MCI in Parkinson Disease. Journal of Neural Transmission, 118, 1177. [Google Scholar] [CrossRef] [PubMed]
[10] Barbashina, V., Corben, A.D., Akram, M., et al. (2014) Time to Change the Way We Diagnose Mucinous Carcinomas of Breast-Reply. Human Pathology, 45, 435. [Google Scholar] [CrossRef] [PubMed]
[11] Lim, H.S., Subbiah, R.N., Leongsit, P., et al. (2011) How to Diagnose the Cause of Sudden Cardiac Arrest. Cardiology Journal, 18, 210.
[12] Gdynia, H.J., Mogel, H., Kühnlein, P., et al. (2008) Diagnose und Differenzialdiagnose der granulomatösen Myositis. Der Nervenarzt, 79, 470-474. [Google Scholar] [CrossRef] [PubMed]
[13] None (1952) Diagnoseliste med kommentarer. Nordisk Psyk-iatrisk Medlemsblad, 6, 277-295. [Google Scholar] [CrossRef
[14] Bukhari, S.F. and Amvad, M. (2018) A Distinct Approach to Diagnose Dengue Fever with the Help of Soft Set Theory.
[15] Pptes, T., Mançano, A.D. and Marchiori, E. (2017) Hyperattenuating Sign: An Important Finding to Diagnose Pulmonary Embolism at Unenhanced Chest CT. Ajr American Journal of Roentgenology, 209, W201. [Google Scholar] [CrossRef
[16] Barker, E.N., Stranieri, A., Helps, C.R., et al. (2017) Limitations of Using Feline Coronavirus Spike Protein Gene Mutations to Diagnose Feline Infectious Peritonitis. Veterinary Research, 48, 60. [Google Scholar] [CrossRef] [PubMed]
[17] Tammelleo, A.D. (2003) Failure to Diagnose Lympho-cytic Myocarditis: Does Loss of Chance Apply. Hospital Laws Regan Report.
[18] Tammelleo, A.D. (2003) MI: Failure to Diagnose Ruptured Spleen in ER: Non-Compliance with Limitations Statute-Dismissal. Hospital Law Decisions of Note. Hospital Laws Regan Report.
[19] Tammelleo, A.D. (1996) Failure to Timely Diagnose Cervical Cancer: Limitations Issue. Neural Parallel & Scientific Computations, 4, 353-366.
[20] Tammelleo, A.D. (1991) Failure to Diagnose Pregnancy: No Pelvic Exam. Case in Point: Pines v. Dr. Carlos D. Moreno, Inc. (569 SO. 2d 203 LA (1990)). The Regan Report on Nursing Law, 31, 2.
[21] Tammelleo, A.D. (1995) “Failure to Correctly Diagnose” Is Not Viola-tion of EMTALA. Regan Report on Nursing Law, 36, 1.
[22] Thomas, J.J., Taylor, L., Camp, T., et al. (2007) 89: Delta Measurements, Using An Ultrasensitive Troponin I Assay, Reliably Diagnose Acute Coronary Syndromes and Predict Adverse Cardiac Events Within 30 Days of ED Visits. Annals of Emergency Medicine, 50, S29. [Google Scholar] [CrossRef