中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2015年
10期
25-26,27
,共3页
癫痫%误诊%周期性呕吐
癲癇%誤診%週期性嘔吐
전간%오진%주기성구토
Epilepsy%Misdiagnosis%Cyclic vomiting
目的:通过对小儿癫痫特殊临床表现的分析,帮助临床医生尽早发现疾病,提高疾病的诊断率,降低误诊率。方法:对我院收入院的1例癫痫患儿的临床资料进行回顾性分析。结果:口服抗癫痫药2年后随访痊愈,再无呕吐等异常情况出现。结论:有些部分性发作癫痫类型例如以行为异常、神经精神症状、自主神经症状等为主要特点的患者容易误诊[1],儿科临床医生提高对小儿癫痫特殊临床表现的认识,通过仔细询问病史,认真做好体格检查,综合分析脑电图。注意追踪随访,减少误诊,提高诊断率。
目的:通過對小兒癲癇特殊臨床錶現的分析,幫助臨床醫生儘早髮現疾病,提高疾病的診斷率,降低誤診率。方法:對我院收入院的1例癲癇患兒的臨床資料進行迴顧性分析。結果:口服抗癲癇藥2年後隨訪痊愈,再無嘔吐等異常情況齣現。結論:有些部分性髮作癲癇類型例如以行為異常、神經精神癥狀、自主神經癥狀等為主要特點的患者容易誤診[1],兒科臨床醫生提高對小兒癲癇特殊臨床錶現的認識,通過仔細詢問病史,認真做好體格檢查,綜閤分析腦電圖。註意追蹤隨訪,減少誤診,提高診斷率。
목적:통과대소인전간특수림상표현적분석,방조림상의생진조발현질병,제고질병적진단솔,강저오진솔。방법:대아원수입원적1례전간환인적림상자료진행회고성분석。결과:구복항전간약2년후수방전유,재무구토등이상정황출현。결론:유사부분성발작전간류형례여이행위이상、신경정신증상、자주신경증상등위주요특점적환자용역오진[1],인과림상의생제고대소인전간특수림상표현적인식,통과자세순문병사,인진주호체격검사,종합분석뇌전도。주의추종수방,감소오진,제고진단솔。
Objective:To analyze the special clinical features of epilepsy in children ,helping clinicians find disease as soon as possible, improving the diagnosis of disease, reducing misdiagnosis rate.Methods:Retrospective analysis the clinical data of an epileptic in our hospi-tal.Results:Oral antiepileptic drugs after 2 years follow-up, no vomiting appear abnormal situation.Conclusion:Some partial seizure epi-lepsy types such as the maln clinical manifestation of abnormal behavior、neuropsychiatric、autonomic symptoms are easily misdiagnosed of[1] , clinical should ralsise awareness of the special clinical features of epilepsy,carefully ask case history and do physical examination,compre-hensiving the result of electroencephalogram.Pay attention to the follow-up,reducing misdiagnosis and improving diagnostic rate.