摘要
梅毒、淋病和生殖道沙眼衣原体感染是我国目前重点防治的性传播疾病。梅毒的临床表现复杂,按照其发病时间、临床表现及传染方式,可分为一期梅毒、二期梅毒、三期梅毒、神经梅毒、隐性梅毒及先天梅毒等。淋病和生殖道沙眼衣原体感染主要侵犯泌尿生殖道,其临床表现从无症状到伴发各种并发症,差别较大。这3种性病的诊断应依据流行病学史、临床表现及实验室检查结果综合判断后确定。应尽早、规范并按推荐方案进行治疗。治疗后应进行必要的随访。淋病的病原体耐药已经成为临床关注的问题。
Syphilis,gonorrhea and genital Chlamydia trachomatis infection are main sexually transmitted diseases which need focused prevention and treatment in China.Clinical manifestations of syphilis are complicated.According to its duration of onset,clinical features,and transmission routes,syphilis can be classified as primary syphilis,secondary syphilis,tertiary syphilis,neurosyphilis,latent syphilis and congenital syphilis.Gonorrhea and genital Chlamydia trachomatis infection mainly affect genitourinary tract,and their clinical manifestations markedly vary from asymptomatic types to complicated types.Diagnosis of the 3 diseases should be based on their epidemiological history,clinical manifestations and laboratory examination results.Treatment should be started according to recommended regimens as early as possible.Appropriate follow-up should be performed after treatment.The antimicrobial resistance in gonorrhea has become a clinical concern.
作者
无
王千秋
刘全忠
徐金华
周平玉
苏晓红
无;Wang Qianqiu(National Center for STD Control,Chinese Center for Disease Control and Prevention;Venereology Group,Chinese Society of Dermatology;Subcommittee on Venereology,China Dermatologist Association;不详)
出处
《中华皮肤科杂志》
CAS
CSCD
北大核心
2020年第3期168-179,共12页
Chinese Journal of Dermatology
基金
国家自然科学基金(81772209、81601804)
中国医学科学院医学与健康科技创新工程项目(2016-I2M-3021)。
关键词
梅毒
淋病
衣原体感染
沙眼衣原体
诊断
治疗
指南
Syphilis
Gonorrhea
Chlamydia infections
Chlamydia trachomatis
Diagnosis
Therapy
Guidelines
