梅毒病人悄悄多起来 Syphilis patients slipped up

　　受访专家/广州医学院第一附属医院皮肤性病科主任医师 程喜平 Guangzhou medical college of experts/first affiliated hospital skin venereal division chief physician ChengXiPing

　　梅毒一度在人们的视线中消失，然而，近几年来，住院或手术患者做梅毒筛查时，常常在医院里被确诊。皮肤性病科专家称，感染梅毒后患者通常没有不适的感觉，很难及时发现，而三年后就进入晚期梅毒，引起全身重要脏器的病变。专家强调，如果能够早期发现，使用青霉素治疗，大部分患者其实是能够治愈。

Syphilis once in the line of sight of people disappeared,however,In recent years,Hospital or surgical patients do when screening syphilis,Often in the hospital are identified.Skin venereal division experts say,Syphilis infection patients after there is usually no of feeling unwell,Discovers in time very hard,But three years later came into advanced syphilis,Cause systemic important viscera lesions.Experts stressed,If can early detection,Use penicillin therapy,Most patients are able to cure.

梅毒发病人数不断增加 The increasing number of syphilis

　　在临床上，医生常常会遇到梅毒患者。广州医学院第一附属医院皮肤性病科主任医师程喜平说，医院几乎每天都要上报一例梅毒的患者。

In the clinical,The doctor often encounter syphilis patients.Guangzhou medical college first affiliated hospital skin venereal division chief physician ChengXiPing said,Almost every day the hospital to report a case of syphilis patients.

　　据广东省卫生厅网站公布的广东省法定传染病疫情通报数据显示，2011年全省梅毒发病数为46742人，而2010年的发病率为40410人，全年发病率增加了6.88%；而2012年前7个月梅毒的发病数为30465人，比2011年同期增加了3039人。据数据统计，乙类传染病报告发病数居前五位的病种为：肺结核、梅毒、乙肝、淋病和丙肝。梅毒长期处于第二位。

According to the guangdong provincial health bureau website of guangdong province of legal infectious disease outbreaks data display,In 2011 the province syphilis incidence for 46742 people,And in 2010, the incidence of a disease for 40410 people,Annual incidence increased by 6.88%;And 2012 years ago seven months the pathogenesis of syphilis number for 30465 people,Than the same period in 2011 increased by 3039 people.According to the data statistics,B class infectious diseases report incidence in the top five for the disease:tuberculosis/syphilis/Hepatitis b/Gonorrhea and c.Syphilis long-term in second.

　　程喜平说，在几十年以前，我们甚至以为消灭梅毒了，就连教科书对于三期梅毒的内容都很少，以至于很多临床医生都不了解晚期梅毒的症状。然而，近年临床常见三期梅毒，这说明这些梅毒患者已经感染了很长一段时间，梅毒螺旋体损伤神经系统、心血管、骨骼等。

ChengXiPing said,In a few years ago,We even think that destroy the syphilis,Even the textbook for three syphilis content is very few,That many clinical doctors don't know the symptoms of late syphilis.however,In recent years, clinical common three syphilis,This shows that these syphilis patients have been infected with the very long period of time,Treponema pallidum damage the nervous system/cardiovascular/Bone, etc.

三期梅毒80%为老年人 Three syphilis 80% for old people

　　梅毒是性病的一种，而且它是一种很特殊的性病。程喜平说，感染上梅毒螺旋体后，身体并没有症状，一期梅毒多数为硬下疳(在外阴部分单个或多个的无痛性的溃疡，有一定的硬度)，但一周后硬下疳就消退了；疾病就进展到二期梅毒，这个时期患者根本没什么自我感觉，典型的就是手脚掌上出现铜褐色的疹子(俗称玫瑰疹)，但是不痛不痒，持续15-21天疹子就消退了。

Syphilis is a sexually transmitted disease,And it is a special kind of venereal disease.ChengXiPing said,The infection after treponema pallidum,The body and no symptoms,A syphilis most for hard chancre(In vulva part of single or multiple painless ulcer,Have a certain hardness),But a week after hard chancre will fall away;Disease progress to the secondary syphilis,This period patients feel nothing at all,Typical is hands palm appear copper brown rash(Commonly known as rose rash),But perfunctory,Continuous 15 to 21 days will subsidise the measles.

　　由于症状并不明显，所以，很多患者往往会忽视了就诊。程喜平说：“在临床上已经很少见一期梅毒了，现在确诊的多是三期梅毒，说明这些患者感染梅毒已经超过3年时间。”

Because the symptoms are not obvious,so,Many people tend to ignore the clinic.ChengXiPing said:"In clinic is very rare for a syphilis,Now diagnosed is more than three syphilis,Explain these patients syphilis infection has more than three years time."

　　值得注意的是，大约有80%的三期梅毒患者是老年人，比如住院做手术时，之前给患者一查梅毒是阳性，再给其老伴一查也是阳性；也有的在神经内科，患者突然丧失意识，一检查才发现是神经梅毒。梅毒病原体是螺旋体，它侵入人体之后，可能会侵犯多个器官系统，比如心脏、神经、骨骼、肾脏等引起一系列的症状，甚至引起死亡。

It is important to note that,About 80% of the three syphilis patients is an old man,For example when hospital for surgery,Before give patients a check syphilis is positive,Give her the check is positive;Also some in the neurology department,Patients suddenly loses consciousness,A inspection found that is neurosyphilis.Syphilis pathogens are screws,It after invading the body,May violate multiple organ system,Such as the heart/nerve/bone/Kidney caused a series of symptoms,Even cause death.

青霉素是梅毒特效药 Penicillin is syphilis specific

　　梅毒的诊断很简单，治疗也不会很困难。程喜平说，通过梅毒抗原特异性检查(TPPA)和梅毒非特异性抗原(RPR)就能确诊，140元即可做这两项检查。

Syphilis diagnosis is very simple,Therapy is not very difficult.ChengXiPing said,Through the syphilis antigen specific inspection(TPPA)And syphilis non-specific antigen(RPR)Can diagnose,140 yuan can do the two check.

　　梅毒的治疗相对来说也比较简单，最常用的是青霉素，最安全有效的是苄星青霉素，叫长效青霉素，一周一次打针，大概需要打三次，治疗费用不会超过100元，绝大多数梅毒都能治愈。

The treatment of syphilis is relatively simple,The most common is penicillin,The most safe and effective is benzathine penicillin,That long-term penicillin,Give or take an injection once a week,Probably need to play three times,Treatment costs no more than 100 yuan,The vast majority of syphilis can heal.

　　然而，由于人们对梅毒治疗的不了解，导致被骗的个案也较多。陈先生在几个月前体检时发现梅毒，他自己也知道是什么感染的，觉得很丢人，就按广告的宣传去了某民营医院，医生当时就告诉他一定要治疗，不然后果很严重，于是第一天治疗打了几针就花了几百元，第二天他又去看医生，此时治疗的价格就涨了，治疗费上千元，就这样连续治疗了一个月，然后医生告诉他可以不用每天来了，可以隔天来，或者一周两次，由于治疗费用实在是贵得离谱，在化验报告“阴性”之后停止了治疗。后来他去正规医院复查，梅毒RPR尚未转阴，而他却已经花了几万元。专家表示，即便是神经梅毒，用1500万的青霉素连续注射半个月，也能有效地治疗此病，一般来说，这种情况的驱梅治疗大概费用就是一千多元而已。

however,As people have syphilis treatment do not understand,Lead to be cheat case also more.Mr. Chen in a few months ago when medical examination found that syphilis,He himself also know what infection,Feel very a,As the advertised publicity to a private hospital,The doctor was told he must treatment,Otherwise the consequence is very serious,So the first day therapy played a few needle spent hundreds of yuan,The next day he went to see the doctor,The treatment of the price is going up,Treatment thousands of yuan,So continuous treatment for a month,Then the doctor tell him that he can not come every day,Can be the next day to,Or twice a week,The treatment cost is really how expensive,In the analysis report"negative"After treatment stopped.Then he go to normal hospital review,Syphilis RPR has not yet, shade,And he has already spent tens of thousands of yuan.Experts say,Even neurosyphilis,In 15 million penicillin continuous injection half a month,Also can effectively treat the disease,Generally speaking,The flooding may treatment about cost is one thousand yuan only.

梅毒初期症状 Syphilis initial symptoms

　　感染后2-4周出现硬性下疳，大多发生在生殖器部位。男性在冠状沟、阴茎、包皮等；女性在大小阴唇或子宫颈。开始为一丘疹，迅速破溃成红色小溃疡，圆形，上附少量浆液性分泌物。

After infection 2-4 weeks appear hard chancre,Occurs mostly in genital site.Men in coronary groove/penis/Cover, etc;Women in size labia or cervix.Start to a pimple,Rapid burst into the small red ulcer,circular,Attach a small amount of serous secretion.

TIPS TIPS

　　梅毒治疗过后，定期的复查也是非常重要的，要查三年，第一年每三个月查一次，频率会越来越低，一年以后，情况比较稳定的话，第二年考虑半年查一次。这样密切的复查，目的就是及早发现那些未清除的梅毒螺旋体，以防止其损伤神经系统、心血管等重要器官。(文/记者 张华 通讯员 茹志娜)

Syphilis after treatment,Regular review is also very important,To find three years,The first year every three months a check,Frequency will be more and more low,A year later,The situation is more stable words,The second half a year in considering a check.So close review,Purpose is to early detection of treponema pallidum that is not clear,In order to prevent the damage the nervous system/Cardiovascular and other important organs.(Wen/reporter zhang hua RuZhiNa correspondent)