发声性抽动的表现形式与慢性咳嗽的病因诊断  

Pattern of manifestation on vocal tics and cause of chronic persistent cough

作　　者：朱海峤[1] 张勤[1] 王欣欣[1] 周馥英[1] 

机构地区：[1]浙江省人民医院儿科,浙江杭州310014

出　　处：《中国儿童保健杂志》2007年第2期144-146,共3页Chinese Journal of Child Health Care

摘　　要：【目的】探讨儿童发声性抽动与慢性持续性咳嗽(chronic persistent cough,CPC)的关系,以提高临床医生在CPC诊断中对抽动症的识别能力,减少儿童抽动症误诊率。【方法】回顾性分析儿科门诊抽动症病例中,CPC的发生率、误诊率及易误诊的疾病。【结果】280例抽动症患儿表现为CPC的有247例,占88.2%,其中有CPC表现病例初期被误诊为其他疾病的占47.8%。主要的误诊疾病为上、下呼吸道的感染和过敏性咳嗽。【结论】儿童抽动症中的发声性抽动。[Objective] To study relation of the vocal tics of tic disorders with the chronic persistent cough in children, in order to increase the skill of clinician for identifying vocal tics with chronic persistent cough, and to decrease misdiagnosis rates on tic disorders. [Method] By retrospective analyses, incidence rates and misdiagnosis rate of chronic persistent cough on tic disorders were analyzed in 280 children with tic disorder. [Results] 247（88.2%） were manifested chronic persistent cough,47.8% of these cases had been misdiagnoses to other disease in the initial stage. The best easily misdiagnostic diseases was upper or under respiratory infectious and allergic cough. [Conclusions] The vocal tic on tic disorder in children is one of common causes of chronic persistent cough. It were often been misdiagnosis or missed diagnosis.

关 键 词：TOURETTE综合征 抽动性障碍 发声性抽动 慢性持续性咳嗽 儿童 

分 类 号：R749.94[医药卫生—神经病学与精神病学]