Zeharia A, Mukamel M, Carel C, Weitz R, Danziger Y, Mimouni M
Paediatric Emergency Medicine and Day Care Department, Schneider Children's Medical Center of Israel, Petah Tiqva.
Eur J Pediatr. 1999 Feb;158(2):160-4. doi: 10.1007/s004310051039.
We describe the diagnosis and management of 47 children with conversion reaction seen during the past 9 years in our outpatient department. Some illustrative cases are reported in detail. The study shows that conversion reactions in children can often be accurately diagnosed by detailed history and physical examination. When the diagnosis was made early and presented with certainty, both parental acceptance and the child's recovery were easier, and the need for expensive and unnecessary diagnostic procedures was eliminated. Immediate intervention by the paediatrician prevented perpetuation of the problem, secondary gains and continuing family stress. Most of the patients recovered after a few days without recurrence. The major role of the paediatrician is emphasized. Co-operation between the patients, parents and the paediatrician is important, as is close follow up.
Paediatricians cope successfully with children with conversion reaction with early diagnosis and immediate intervention.
我们描述了过去9年在我们门诊部见到的47例转换反应患儿的诊断和处理情况。详细报告了一些典型病例。研究表明，通过详细的病史询问和体格检查，常常能够准确诊断儿童的转换反应。如果早期做出明确诊断，家长更容易接受，患儿康复也更容易，同时也避免了昂贵且不必要的诊断程序。儿科医生的及时干预可防止问题持续存在、避免继发获益以及持续的家庭压力。大多数患者在数天后康复且无复发。强调了儿科医生的主要作用。患者、家长和儿科医生之间的合作很重要，密切随访也同样重要。
儿科医生通过早期诊断和及时干预能够成功应对转换反应患儿。
