儿童假性癫痫发作的临床特征及误诊分析  

Analysis of clinical features and reasions for misdiagnosis of Pseudoseizure in children ---- Knight Hospital in Chongqing Neurology400021 zhoushaohong

作　　者：杨文科 邹胜群 

机构地区：[1]重庆市九龙坡区巴福镇卫生院内儿科,401329 [2]重庆市九龙坡区第五人民医院儿科,401329

出　　处：《医学美学美容（中旬刊）》2013年第2期14-16,共3页

摘　　要：目的：探讨儿童假性癫痫发作（psetldoseizure，PS）的误诊原因并提出预防措施。方法：回顾性分析总结250例假性癫痫发作的临床资料。结果：由于假性癫痫发作临床现象复杂多样；相关检查手段和治疗思路单一；医生和患者交流不充分等原因易引起误诊。通过心理治疗，辅以药物和针刺疗法，194例患者症状于1～15d内消失，48例病情好转，3例无明显改善，5例患者症状反复，经治疗1月缓解。结论：充分认识假性癫痫发作的临床特点，取得患者的信任后及时进行相关医技检查，尽早确诊，正确治疗，是预防误诊、减少假性癫痫发作损害的关键。Objective The purpose of this work was to discuss reasions for misdiagnosis of pseudoseizure in children and make recommendations to improve future research and combined treatment. Methods The clinical features of 250 cases of Pseudoseizure were retrospectively analyzed and summarized. Results The misdiagnosis and rnistherapy of pseudoseizure usually occur in clinic due to its complex clinical phenomenon, patent＇s confusion about the diagnosis as well as the lack of effective diagnosis and therapy methods. By systematic psychotherapy combined with pharmaceutical therapy, acupuncture therapy, 194 patients with pseudoseizure become event--free shortly after being treated 1-15 days ; 48 patients got obvious improvement~ 5 patients have achieved symptomatic relief, however, 3 patients with no obvious improve- ment. Conclusions It is critical to foster clear awareness of the clinical features of pseudoseizure and communicate convincingly to gain the patients trust at the initial phase of treatment. After the diagnosis is confirmed, proper treatment should be made to prevent physical harm of pseudoseizure.

关 键 词：儿童 假性癫痫发作 误诊 治疗 

分 类 号：R742.1[医药卫生—神经病学与精神病学]