婴儿先天性无痛症一例  

A Case Report of Infantile Congenital Analgesia

作　　者：Ahmed Mohamed Elzaher 田朗[1] 杨作成[1] 

机构地区：[1]中南大学湘雅三医院儿科,长沙410013

出　　处：《临床误诊误治》2013年第5期51-53,共3页Clinical Misdiagnosis & Mistherapy

摘　　要：目的分析遗传性感觉和自主神经障碍导致婴儿无痛症的临床特点,增强对该疾病的认识。方法回顾性分析先天性无痛症1例的临床资料。结果本例因中切牙脱落2 d而就诊,追问病史有反复外伤、预防接种而不哭现象,完善脑电图、头部CT等相关检查均未见异常,诊断先天性无痛症。随诊3年虽有多次外伤,但未发生骨折,疼痛感未出现。结论临床医生诊治经验不足、对本病认识不足是导致误诊、漏诊的主要原因,提示临床医生应深入询问病史,详细检查,全面分析,避免误诊、漏诊。Objective To analyze clinical characteristics of congenital analgesia caused by disorder of hereditary sensory and autonomic neuropathy, so as to improve awareness. Methods Clinical data of an infant with congenital analgesia was retro spectively analyzed. Results The patient visited the doctor for central incisor odontoptosis for 2 days. Repeated external injuries and vaccination without crying were recorded in the medical history, but there was no abnormality by electroencephalogram （EEG）, head CT and other related examinations, and the patient was diagnosed as having congenital analgesia. No fractures or pains were complained but multiple injuries were reported during a 3year followup. Conclusion There is lack of experience and awareness of congenital analgesia by clinicians, which may lead to misdiagnosis or missed diagnosis. In order to avoid misdiagnosis or missed di agnosis, it is necessary for clinicians to inquiry the patient medical history carefully, examine the patient and analyze the data com prehensively.

关 键 词：痛觉缺失 先天性 遗传性感觉和自主神经障碍 

分 类 号：R748[医药卫生—神经病学与精神病学]