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中老年失眠,只因抑郁了,还是失智症的首发症状?
客观检查情景记忆的量表AVLT:延迟回忆和再认都正常。MMSE=29分,MoCA=20(异常),CDR=0.5,很遗憾当时没有检查HAMD、HAMA和GDS,但是从主诉上我们可以看出,患者的情绪问题很严重。
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