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以步态障碍为表现的功能性疾病的诊断

Diagnosis of functional illness presenting with gait disorder.

作者信息

Thomson A P, Sills J A

机构信息

Royal Liverpool Children's Hospital (Alder Hey).

出版信息

Arch Dis Child. 1988 Feb;63(2):148-53. doi: 10.1136/adc.63.2.148.

Abstract

Nine children presented with disturbances of gait that were not caused by organic disease. They all fulfilled at least four out of eight diagnostic criteria. Diagnosis in all had been delayed while organic causes were excluded. Unnecessary and sometimes potentially harmful procedures were performed or proposed for each child. Identification of such children earlier may avoid morbidity and facilitate management.

摘要

九名儿童出现步态障碍,但并非由器质性疾病引起。他们均至少符合八项诊断标准中的四项。在排除器质性病因的过程中,所有患儿的诊断均被延误。为每个孩子都进行了或建议进行了不必要的、有时甚至可能有害的检查。更早地识别此类儿童可避免发病并便于治疗。

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本文引用的文献

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Sick role, illness behaviour and coping.患病角色、疾病行为与应对
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2
Hysteria.癔症
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Hysteria: a case for conservation?癔症:需要保留的病例?
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