Edwards R A, James B
Med J Aust. 1979 Jun 2;1(11):483-4.
Six patients who were admitted with the initial diagnosis of tetanus to a general hospital serving 130 000 people over a 10-year period are reviewed. In three of these patients psychogenic factors played a major part in the presenting pictures. These cases followed a markedly different course from the others. Guidelines to the early differentiation of such atypical cases, and to the way psychogenic factors can be identified and their importance evaluated, are discussed.
回顾了一家为13万人服务的综合医院在10年期间收治的6例初诊为破伤风的患者。其中3例患者的发病情况中，心理因素起了主要作用。这些病例的病程与其他病例明显不同。讨论了早期鉴别此类非典型病例的指南，以及识别心理因素的方法及其重要性评估。
