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多梗塞痴呆与老年痴呆综合征的临床鉴别诊断比较困难,本文采用 Hachinski 计分表,对以痴呆为主要症状住院的60例病人进行了计分诊断并和 CT 检查对照,其中5例是经过外地会诊3例诊断为 Alzheimer’s 病,2例诊断为 Pick’s 病。我们采用 Hachinski计分表目的是评价该表对多梗塞痴呆与其它老年痴呆综合征鉴别诊断的可靠程度,试图找出一个对多梗塞痴呆简单易行的诊断方法和探索一下此病与常见老年痴呆综合征的鉴别诊断要点。一、Hachinski 计分因素(见下表)及对不同痴呆判定标准。
Multi-infarct dementia and Alzheimer’s syndrome is more difficult to differentiate the clinical diagnosis. In this paper, Hachinski score table, 60 patients with dementia as the main hospitalized 60 patients were scored and compared with CT examination, of which 5 were after field Three cases were diagnosed as Alzheimer’s disease and two cases were diagnosed as Pick’s disease. We used the Hachinski scoring system to evaluate the reliability of this table in the differential diagnosis of multi-infarct dementia and other dementia syndromes. We sought to find an easy-to-diagnose method for multi-infarct dementia and to explore the association of this disease with common dementia Differential diagnosis of syndrome points. First, Hachinski scoring factors (see table below) and criteria for different dementias.