Wee J, Menard M R
Holy Family Hospital of Providence Health Care, Vancouver, BC, Canada.
Arch Phys Med Rehabil. 1999 Sep;80(9):1106-9. doi: 10.1016/s0003-9993(99)90069-2.
In "pure word deafness" after acquired brain injury, the auditory comprehension of words is much more impaired than other aspects of communication or cognition. Two cases are presented, one early and one late presentation. The key to diagnosis of communication disorders is to remember to assess all six basic aspects of language function and to be vigilant for coexisting diagnoses that can complicate such assessment (especially psychiatric diagnoses). Rehabilitation management of impaired communication should emphasize the teaching of specific coping mechanisms to the patient and to all others who are involved.
在后天性脑损伤后的“纯词聋”中,对单词的听觉理解能力受损程度远高于交流或认知的其他方面。本文介绍了两个病例,一个是早期病例,一个是晚期病例。诊断交流障碍的关键在于记住评估语言功能的所有六个基本方面,并警惕可能使此类评估复杂化的并存诊断(尤其是精神科诊断)。对受损交流的康复管理应强调向患者及所有相关人员传授特定的应对机制。